Because the flushing and facial redness of subtype 1 (erythematotelangiectatic) rosacea are difficult to treat with medical therapy, other measures may be especially important for successfully controlling this widespread form of rosacea, according to the standard management options for rosacea recently published by the National Rosacea Society (NRS).¹

Theresa Pignotti jokes that she was born in a dermatologist's office and saw her dermatologist more often than her own father while growing up. Although she had impetigo as a newborn and acne as an adolescent, she was still taken aback by her first rosacea flare-up. In fact, the 54-year-old respiratory therapist from Rhode Island vividly recalls that very day in 2000.

"I thought I would treat myself to a facial for my birthday," Theresa said, "but it just made my face go crazy. I looked like I was sunburned, and I had pimples and pustules all over."

While some signs and symptoms of rosacea can be challenging to control, effective medical therapies have been extensively studied and approved for the treatment of the bumps and pimples of subtype 2 (papulopustular) rosacea, according to the standard management options for rosacea recently published by the National Rosacea Society.¹

If potential complications and side effects of oral antibiotic therapy were minimized, the vast majority of rosacea sufferers would be more likely to accept oral therapy to treat their condition, according to results of a recent National Rosacea Society survey of 520 rosacea patients.

Andrea considered herself somewhat fortunate when she was diagnosed with rosacea about 15 years ago because her doctor worked closely with her to find just the right combination of medications and skin care products for her sensitive skin. The 46-year-old Russian translator from Maryland often stood in front of large crowds when she performed simultaneous interpretations, and she was grateful that she was able to keep her condition under control with oral and topical therapy.

In addition to complying with medical therapy, an important part of managing rosacea for many patients is to identify and avoid environmental and lifestyle factors that may trigger or aggravate their individual conditions.

Although flushing may be the most difficult component of rosacea to treat, it can be controlled with a variety of options that must be tailored to each individual -- including medications for severe cases -- according to physicians now developing standard disease management options as part of a consensus committee organized by the National Rosacea Society (NRS).

Rosacea often casts a negative spell on quality of life and emotional well-being that is in direct proportion to its physical effects, according to a new survey by the National Rosacea Society. Fortunately, most rosacea patients reported they are able to overcome these drawbacks through effective medical therapy and coping techniques.

Q. If I take long-term medication consistently, will it lose its effectiveness?

A. Topical therapy is commonly prescribed to control rosacea on a long-term basis, and no evidence has suggested that it loses effectiveness. A long-term controlled clinical study found that 77 percent of rosacea patients consistently using topical metronidazole remained in remission, while 42 percent of patients using no therapy had relapsed within six months.

Most cases of rosacea can be controlled with oral and long-term topical antibiotics, combined with avoiding lifestyle and environmental factors that may aggravate the disorder in individual cases. In certain patients, however, dermatologists may prescribe additional medication to prevent flushing and reduce severe redness that may not be well-controlled by other means.¹