Rosacea

Rosacea typically presents with one or more of the following primary features:

• Flushing Intermittent redness that may come and go
• Persistent facial redness Looks similar to a blush or sunburn
• Red bumps or pimples Often mistaken for acne
• Visible blood vessels Thin, red lines beneath the skin

Additional symptoms may include:

• Burning or stinging sensations
• Dry, rough, or sensitive skin
• Eye irritation or redness
• Raised red patches (plaques)
• Skin thickening, especially on the nose
• Facial swelling

Rosacea is commonly classified into four subtypes:

• Erythematotelangiectatic (Vascular) Rosacea
  Persistent redness and visible blood vessels on the face
• Papulopustular (Inflammatory) Rosacea
  Red bumps and pus-filled blemishes alongside facial redness
• Phymatous Rosacea
  Thickened, uneven skin—most often affecting the nose
• Ocular Rosacea
  Red, irritated eyes and eyelids; may occur with or without skin symptoms

The exact cause of rosacea is unknown, but research suggests it may involve:

• Immune, nervous, or blood vessel dysfunction
• Overgrowth of skin mites (Demodex)
• Certain bacterial infections
• Abnormal skin inflammatory responses

Common triggers vary by individual but often include:

• Sun exposure
• Hot or cold weather
• Emotional stress
• Alcohol
• Spicy foods
• Skincare or hair products
• Hormonal changes

Rosacea most commonly affects the face, including the cheeks, nose, chin, forehead, and eyes. In some cases, it may also appear on the scalp, neck, or chest.

Although rosacea and acne can look similar, they are distinct conditions.

Acne typically includes:

• Blackheads and whiteheads
• Oily skin
• Breakouts concentrated in specific areas
• Scarring

Rosacea typically includes:

• Red, acne-like bumps without blackheads
• Persistent facial redness
• Visible blood vessels
• Eye irritation
• Highly sensitive skin

Rosacea vs. Lupus Rash

Both rosacea and lupus can cause redness across the cheeks and nose. However:

• Rosacea causes redness, swelling, and bumps and is not harmful long term
• Lupus rashes are often scaly or itchy and may lead to scarring or hair loss

A proper medical evaluation is important for diagnosis.

Rosacea cannot be prevented, but flare-ups can often be reduced by avoiding known triggers such as sun exposure, extreme temperatures, alcohol, spicy foods, stress, and irritating skincare products.

There is no cure for rosacea, but treatment can significantly reduce redness, bumps, and discomfort—and help keep symptoms under control long term.

Treatment options depend on symptoms and severity and may include:

• Topical medications such as azelaic acid, ivermectin, metronidazole, or brimonidine
• Oral antibiotics like doxycycline to reduce inflammation
• Laser or light therapy to minimize visible blood vessels and redness

Common prescription options include:

• Brimonidine cream
• Azelaic acid 15% gel
• Ivermectin cream
• Metronidazole cream or gel
• Clindamycin phosphate topical solution
• Oral doxycycline

Many people begin to see improvement within several weeks, but optimal results may take three months or longer, depending on the treatment plan.

Yes. Azelaic acid is available without a prescription in lower (10%) strength and may help with mild symptoms

Yes. Our online platform connects you with a licensed medical provider who can evaluate your symptoms and prescribe treatment if appropriate. Prescriptions can be shipped directly to your home or sent to your local pharmacy.