Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

177 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for severe case of rosacea

Answered by
Dr.
Dr. VINAY KUMAR

Dermatologist

Practicing since :1980

Answered : 480 Questions

default
Posted on Wed, 4 Nov 2015 in Skin Hair and Nails
Question: I have had a severe case of Rosacea this year but it suddenly got better. Three times in the last 2 months I wake up with red, raised patches that itch. Right now my entire face is red except for my forehead but no raised areas. My dermatologist believes I have dermatitis caused by an allergy to something I come into contact with. My dermatologist gave me a shot of steroids earlier this week and for 3 days now I have been soaking my face in Domeboro several times a day and applying either Mometasone Furoate Cream.1% or Desoximetasone Ointment .05%, but it's not helping and my face is so red I've had to cancel business meetings this week. I have been asked to speak for 2 hours at the XXXXXXX Hospital Association's Society for Healthcare Strategy in DC next Tuesday and I'm frantic over how to get rid of this red face because if I cannot I will have to miss the most important opportunity to grow my market research business I have ever had. Could I have developed an allergy to my cat? I'm pretty much at the end of the rope on this thing. It's impacting my business and seriously disrupting my life. Any suggestions would be greatly appreciated.
doctor
Answered by Dr. VINAY KUMAR 5 hours later
Brief Answer:
Diagnosis determines the line of action

Detailed Answer:
Hello

Welcome to this site!
I am Dr V XXXXXXX I am a XXXXXXX Consultant Dermatologist.

I am concerned with your problem and would do my best to help you out.

First of all, I presume that the diagnosis is not in doubt. Rosacea is a condition with redness and other features of inflammation with tiny pimples and enlarged blood vessels on the central third of face with eye changes in some and brought on by triggers like foods, alcohol, etc.

The underlining theme of treatment should be to control flare ups and soothe the skin if it gets active lesions.This requires patience and hard work and quick solutions like use of steroids need to be kept out of consideration.

The active phase, as seems to be currently present, will resolve best following a strict avoidance of triggers along with following measures:

1 The steroids need to be tapered as their use is not recommended.

2 Frequent washing of face without soaps, face wash, disinfectants, cleansers will be your best help

3 Brimonidine gel is the latest and one of the most effective treatments for blanching redness. Others are Metronidazole and Azelaic Acid.

4 Orally an antibiotic like Minocycline can prove every effective

5 Identification and avoidance of triggers is good not only for the current phase but also for prevention of future episodes

6 In my experience, Isotretinoin is a highly effective drug for long term use in Rosacea and once you are free from current assignments, you might consider its use after proper evaluation.

I hope this helps you in maximizing benefit from suggestions. I want to request you to keep the option of steroids out of the way and use the standard treatments instead. One is tempted by their immediate action but ultimately that too does not measure up to expectations as you have observed.

It would be my pleasure to help you solve the issue at hand.

Best wishes, always!
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,  
Drug/Medication ,   ,   ,  

Recent questions on  Mometasone

doctor1 MD

hello doc i m frm India(19 years - male). i ve got vitiligo in 80% of my body like above eyelid, knees, small areas around bones in ankles, and nipples. Darmatologists prescibed me trioxalen usp 25mg, tacrolimus .1% , mometasone furoate .1% usp, nb uv-b,etc. After 2 months of treatment, there s no change in vitiligo size but get reddish pink. Doc substituted mometasone with halobatasol propionate .05% due to low stock of mometasone in govt hosp and skin started peeling off nipples as a result to inc vil. size and no were else. So doc stopped tacrolimus ointment . But skin is still peeling off my nipples and size is increasing. What to do ??? Should i use tacrolimus and insist using mometasone furoate.. PLZ HELP

doctor1 MD

hi

I was diagnosed for facial Seborrheic dermatitis which caused some hair loss in the mustache area just above the upper lip and was advised to use mometasone furoate solution which has treated the condition, but i have a tiny bald spot where i was affected. The doctor had told me to apply a certain tincture to stimulate hair growth in the affected region after ten days of applying the mometasone furoate solution. Unfortunately, my wife lost the prescription and I dont know what kind of tincture was prescribed. I currently reside in different city and I cannot consult the doc again, and neither can call the doctor cause I do not have the doctors phone number.

Therefore, I'd really appreciate if you could please advise me as to which tincture I should apply.

Regards,
Rick
                                                                 
                                                                 

doctor1 MD

My four year old son was diagnosed recently with having inflamed membranes in his nostril which in turn was responsible for sleep apnea. I was prescribed Nasonex spray and it was recommended that i use same for one month. five weeks have since gone by, i see no improvement. Should i have the ENT test him for asthma

doctor1 MD

hi doctor i am 32 years old , i have allergic to cold air, which is more severe in the morning, i consulted the physician they given me nasonex, when i take the nasonex it gives me only temporary relief. my concern is that i am planning for pregnancy since one year, i couldnot so far, i worried that it because of the severe sneezing, we consulted gynaecologist for any other problem. but all the result seems to be normal. i like to get permanent relief from the sneezing . taking corticosteroids while trying to get pregnant will affect or not? give me some solution to get relief from the sneezing and to get pregnant soon. thank you.

doctor1 MD

Hello doctor The corners of my lips especially the left corner of the lower lips feels very dry and flaky ( it is not completly peeling off and coming such that I can wipe it offf but at the same time if I wipe it off using cotton bud it becomes...

doctor1 MD

My 5 year old daughter has had this rash on her bottom (cheeks and back of upper leg) since last Wednesday. No where else on body. Called doc and they said yeast infection (They didn't see her, just by description). Two days ago, it still wasn't...

doctor1 MD

I HAVE A PRICKLY RASH ON MY LEGS BEEN USING CORTISONE FOR MILD RASH NOW IT IS ALL OVER MY LEGS