Treatments for Severe Rosacea If your rosacea is more severe, you likely have a good amount of acne and a significant amount of red and even purple blood vessels. You may even have painful cysts and swollen cheeks. In addition to getting a prescription topical antibiotic like Metrogel or Finacea, you will likely need an oral antibiotic (like Doxycycline, Minocycline or Tetracycline) as well. They will help minimize the inflammation and pimples. "Once the pimple part of the rosacea has diminished, we gradually taper off the oral antibiotic while leaving the patient on the topical program," Waldorf says.
And as stated on the previous page: Your derm may have you continue the topical products for a year after your rosacea clears. Because for some people rosacea is "a life-long problem," says Waldorf, but for others, "once it's under control with treatment, it peters out with only occasional flares," she says.
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