Hello. Thank you for writing to us at healthcaremagic One of the Oral drugs that you have been taking contains Minocycline. Minocycline has a well-documented and cosmetically dis-pleasing side effect is skin pigmentation. Diffuse muddy-brown discoloration in areas of sun exposure is a side effect of Minocycline and is due to increase in melanin. Your doctor did the right thing by discontinuing minocycline. The Oral tablet that he has not started is actually Azithromycin and is also effective in Rosacea. Azithromycin is usually administered in pulse doses i.e 3 consecutive days every week. Besides Oral medications, topical anti-inflammatory preparations like Metronidazole gel, Azaleic acid gel, Pimecrolimus are also effective in maintaining remission in Rosacea. I suggest you to follow up with your doctor regular intervals so that the necessary changes can be made, as and when required. Use a broad spectrum suncreen whenever out in the sun as skin in rosacea is sensitive to sun and might get redened. Regards