Help treat rosacea

[Anonymous]

Anonymous wrote:

Anonymous wrote:Wondering if people have had any luck treating rosacea/red skin? My 16 yo has been dealing with rosacea for years and she constantly has pink cheeks and chin and occasional flares. Her dermatologist prescribed Metronidazole yet it hasn't helped in the 2 months that she's been using it. Worried about having her try any other products due to her sensitive skin but has anything helped any of you?
She's very embarrassed about it and I feel so bad for her.

Getting treating for SIBO ended my rosacea. The creams don't do much.

I’m fascinated by the link between SIBO and rosacea. I was diagnosed with Type 2 rosacea about two months ago. I have always had really great skin. It all changed after a bout of double pneumonia that required serious antibiotic use for a few weeks. I wonder if I have SIBO from getting my microbiome out of whack. I honestly haven’t been the same and it’s been nine months now.

[Anonymous]

In my experience the creams and washes (sulfur based) can help with some of the bumps and pimple like things but the game changer for me was 2 pulsed dye laser treatments with my cosmetic derm. I stopped using any topical stuff after those and now I basically go back once a year for my maintenance treatment with the PDL and that's it.

[Anonymous]

I use a compound from Dermatica. Azelaic acid, ivermectin, and metronidazole.

V beam gets rid of the dilated capillaries but for me also seemed to reduce the frequency and severity of the flushing episodes.

[Anonymous]

Anonymous wrote:

Anonymous wrote:

Anonymous wrote:Wondering if people have had any luck treating rosacea/red skin? My 16 yo has been dealing with rosacea for years and she constantly has pink cheeks and chin and occasional flares. Her dermatologist prescribed Metronidazole yet it hasn't helped in the 2 months that she's been using it. Worried about having her try any other products due to her sensitive skin but has anything helped any of you?
She's very embarrassed about it and I feel so bad for her.

Getting treating for SIBO ended my rosacea. The creams don't do much.

I’m fascinated by the link between SIBO and rosacea. I was diagnosed with Type 2 rosacea about two months ago. I have always had really great skin. It all changed after a bout of double pneumonia that required serious antibiotic use for a few weeks. I wonder if I have SIBO from getting my microbiome out of whack. I honestly haven’t been the same and it’s been nine months now.

I can't tell you how many times someone has said to me, "I haven't been the same since..." [fill in the blank with food poisoning or antibiotics].

Getting the SIBO test is quick and simple. I went to Wash Hospital Center. Another doctor I visited let me take the test home.

The drug of choice for SIBO is Rifaximin. https://en.wikipedia.org/wiki/Rifaximin

[Anonymous]

Anonymous wrote:I’m in my 60s and have had rosacea forever. Metronidazole never did anything for me. Prescription azelic acid used to help but doesn’t help much anymore either. The most effective thing for me was taking low dose doxycycline worked wonders for me. A very expensive version of doxy was marketed hard years ago but it’s a rip off.

As I’ve aged my rosacea is much worse. I make my own primer and have to use very basic makeup. All chemical sun screens cause me to react terribly. I can’t use any “active” beauty products- no vit c serums or tretenion etc.

You probably have SIBO.

Doxycycline is keeping the methane-producing bacteria in check, which means your rosacea is not as bad.

But, you are never really getting rid of the SIBO because Doxy is not the ideal drug to eradicate it.

"According to the North American Consensus from 2020, oral antibiotics play a key role in SIBO eradication [11]. The purpose of antibiotic therapy is not to eradicate completely (which is not always possible) the bacteria colonizing the small intestine but to modulate the small intestinal microbiota in a manner that leads to improvement of SIBO symptoms. Most studies on SIBO treatment have evaluated the efficacy of amoxicillin with clavulanic acid, ciprofloxacin, doxycycline, metronidazole, neomycin, norfloxacin, tetracycline, co-trimoxazole, or rifaximin [32]. In light of the lack of large randomized clinical trials evaluating the effects of antibiotics in the treatment of SIBO, antibiotic therapy is usually empirical."

Rifaximin is the drug used by GIs.

"Recently, rifaximin has been increasingly used in the treatment of SIBO [34,35]. Rifaximin has a good safety profile, is not absorbed from the gastrointestinal tract, dissolves well in bile, has broad-spectrum antibacterial effects against Gram-positive and Gram-negative aerobic and anaerobic bacteria, and its side effects are comparable with those of a placebo. What is particularly noteworthy is the fact that, according to studies, rifaximin acts like a eubiotic in the gastrointestinal lumen, which means that it protects the intestinal microbiota and increases the number of beneficial bacterial strains of the genera Lactobacillus and Bifidobacterium, reduces inflammation, augments intestinal barrier function, and limits bacterial translocation [36]. Another valuable characteristic of rifaximin is the fact that it does not produce bacterial resistance, and therefore, can be used again (provided the necessary interval of at least four weeks is maintained between consecutive 14-day courses of rifaximin treatment) [37]."

Source:
https://pmc.ncbi.nlm.nih.gov/articles/PMC9604644/

[Anonymous]

Azelaic acid + Ivermectin

Can also add low dose doxycycline

It’s not just cosmetic! It actually burns when you have a flare up. Usually exercise or being hot exacerbated it for me

[Anonymous]

I quit eating gluten a month and a half ago and my rosacea has pretty much vanished.

[Anonymous]

I had to limit sun exposure, give up spicy foods and use azaelic acid (I also am Af-Am if that matters)

[Anonymous]

I have rosacea. I use a sulphur soap is the morning with prescription azaleic acid (finacea). Night I use a prescription ivermectin cream (soolantra). I also take oracea- low dose doxycycline for rosacea. And I use all la roche posay products. Anthelios sunscreen. I’m also 53, so your 16 yo might not need all of this!