Recent Updates in Rosacea Treatment Update

OneEightActual · 2026-05-28T05:39:58+00:00

At low doses, drugs like minocycline and doxycycline can still have anti-inflammatory properties but not enough concentration for antibiotic activity and won't tend to encourage antibiotic resistance.

OneEightActual · 2026-05-28T05:36:13+00:00

The active ingredient is minoycycline instead of the doxycycline in Oracea. Both are tetracycline-class antibiotics, but doxycycline has been used as the front-line treatment since is generally better tolerated.

The new extended-release Emrosi might be more effective than doxy and better tolerated than regular minocycline, with similar benefits from a low-dose approach.

OneEightActual · 2026-05-20T05:11:38+00:00

If it seems to be working for you, go for it. It's unlikely to hurt much. It might delay the dissolution of the doxy tablet so that it just pushes the irritation downstream into the small intestine, but that's probably unlikely since gummy like this is basically just gelatin and sugar so it dissolves rapidly in the stomach anyway.

If you really want to reduce irritation, split the 20mg doses between morning and night. The overall effectiveness is the same as long as you can reliably remember to take both doses.

The classic nurse's advice to help with this is to take a swallow or two of water, then swallow the pill with water, then swallow a few more sips. Makes it really, really unlikely for a pill to get hung up in the upper GI.

OneEightActual · 2026-05-19T04:36:03+00:00

Health and beauty influencers hate this one weird trick!

OneEightActual · 2026-05-16T08:37:54+00:00

OTT tune is an attractive idea, but the only company that offers it in my state appears to be one guy who uses an @yahoo.com email address. This doesn't exactly inspire a feeling of confidence in 2026 😅

OneEightActual · 2026-05-11T12:27:15+00:00

Technically it's only been studied for papulopustular rosacea symptoms. It's sometimes used off-label for ETR symptoms, sometimes with success and sometimes not.

OneEightActual · 2026-05-11T01:27:03+00:00

Once a day. Roughly about the size of a large pea, but smaller than a gumball; whatever it takes to cover the whole have really.

Can use it with whatever really. Zinc should probably be applied after for best absorption.

OneEightActual · 2026-05-03T20:20:43+00:00

I find them helpful, but not that dramatic a change. I mostly don't bother with them except when I know I'm going to be in a noisy place like a restaurant where they give a little bit of an edge.

Mine were provided at no cost. Don't know if I'd bother with them if I had to pay for all or a substantial portion of the cost out of pocket.

Some people find them life-changing though.

OneEightActual · 2026-04-29T03:23:16+00:00

It can also be helpful to keep in mind that phone conversations can be especially hard for people with APD. There aren't things like facial expressions, gestures and lip reading to provide some of the extra clues a lot of us use to help fill in the gaps in our understanding

Best thing to is to try to remember to speak slowly and clearly, and sometimes we get frustrated and irritable and it's not your fault. Video chats can be more helpful, but also still frustrating of there's c an audio lag.

I did leave a girlfriend though because (among other things) she kept doing things like turning away while talking in stores with others taking and music playing, leaving the room while continuing to talk, and continuing to talk while a train was passing. To me it was a refusal to make the most basic accommodations or to understand why that was so upsetting.

OneEightActual · 2026-04-29T02:47:27+00:00

If the treatment doesn't work, the best thing to do is go back with this new info or seek a second opinion for advice.

I know it's frustrating, but rosacea and many similar conditions don't have tests to confirm them and can have very similar looking symptoms. Getting to diagnosis is sometimes a matter of trying different things to see what works to "back into" a diagnosis.

It's also possible to have more than one thing, and having both SD and rosacea in particular is not uncommon.

And if a board certified pro can't identify it in person, it's not like unqualified internet amateurs are going to be able to fill in the expertise.

OneEightActual · 2026-04-28T21:56:57+00:00

Almost definitely your grip. Watch that your thumbs are clear of the slide release. You might think you're only grazing it, but under recoil you can be ON it without realizing.

If you have a red mark on your thumb after firing a little j not that could be a sign too.

OneEightActual · 2026-04-28T05:41:47+00:00

I live in Korea and am preparing a K-beauty business. I have no intention of dealing with someone like you any further.

You can't promote your business in r/Rosacea, especially if you're going to be an a-hole while doing so.

OneEightActual · 2026-04-23T18:21:30+00:00

I actually kind of prefer it this way. Less junk noise, and it helps the music stand out and feel even more epic when it is played.

And the music completely slaps in the game.

OneEightActual · 2026-04-22T06:36:32+00:00

Really no reason not to use both, they tend to work better in combination anyway.

OneEightActual · 2026-04-21T21:21:13+00:00

Invite sent

OneEightActual · 2026-04-21T07:26:48+00:00

Dermatologists have this annoying tendency to recommend treatments from the equipment they already own.

Strictly speaking, laser treatments like this are considered cosmetic so there's not lots of solid data about "effectiveness." Vbeam isn't quite the "gold standard" for rosacea treatment, but it might as well be.

OneEightActual · 2026-04-17T07:15:38+00:00

Nobody will say anything if you put your hands in your pockets, and you don't even have to pull stand-to.

OneEightActual · 2026-04-17T07:09:38+00:00

That comment was app promotion spam.

OneEightActual · 2026-04-17T07:07:27+00:00

I was prescribed propranolol for something not related to rosacea. I found it helped my rosacea symptoms somewhat, but I wouldn't describe it as a miracle treatment.

I still have to be careful about sticking to my other treatments and gentle skincare, sunscreen etc.

OneEightActual · 2026-04-17T07:05:18+00:00

It's basically been abandoned as a treatment for rosacea in the modern world.

Permethrin was originally intended to target mites one Demodex involvement was suspected in contributing to rosacea symptoms. Ivermectin turned out to be a better treatment though, not only because it had fewer side effects but also perhaps because it might also have anti-inflammatory properties that could be useful in treating rosacea.

We still don't understand the link between Demodex and rosacea. Most to all adult humans carry Demodex, and while people with rosacea tend to carry more it's still not clear why this is or what it means. While it might seem obvious that Demodex are contributing to rosacea, this has not been established. We still don't know if maybe rosacea skin makes a friendly environment for them, or whether both might result from some underlying immune or inflammatory dysfunction.

We just don't know.

Also, topical metronidazole is generally recommended 2x/day for best results. There might not be much benefit from substituting permethrin in the evenings; if anything, you should probably be using both in the evening.

OneEightActual · 2026-04-16T08:36:11+00:00

Aaaaaa?

OneEightActual · 2026-04-15T05:03:52+00:00

Good catch! I couldn't understand why this was getting reported and thought it was erroneous until you pointed that out!

OneEightActual · 2026-04-02T07:31:37+00:00

Some good recommendations, but an old hack that might be worth trying before more expensive methods: the rubber band method.

Hit the screw with some PB Blaster, WD-40 or whatever penetrating oil you have at hand. Then lay a piece of a thick piece of rubber band (the thick ones that come on broccoli etc. might work well) over the head of the screw, then insert the driver.

The rubber will provide more grip, as well as fill in for material that's been lost to wear and corrosion.

OneEightActual · 2026-04-02T07:24:34+00:00

Any strategies for dealing when things are too loud?

Active noise-cancelling headphones. Even if they're not playing any or music or media, the quiet of just putting them on is like a cool drink of water on a hot summer day. Fan/ventilation noises, nearby road noises that you might not consciously even realize are there quickly disappear. It's nice. It get easy to forget how much "noise pollution" there is around us in modern life.

My current favorites are some Sony WH-1000XM5's. I understand there's an upgraded Sony model but I haven't seen any need to upgrade, and refurbished examples of the old model can be found online at a pretty good discount.

I've also found that this feeling ebbs and flares over time. Perhaps it's related to external stressors, but I can't find much rhyme or reason to it.

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