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Dermatology (Expert Forum)
Rosacea Meds
Answered by
Alan Rockoff, MD - dermatology, Child Skin Problems
The Rockoff Dermatology Center
Brookline - MA
This forum is for questions regarding Dermatology issues, such as: skin rashes, acne, birthmarks, skin infections, rosacea, and general skin care.
Rosacea Meds
by Rocky33, Mar 31, 2005 12:00AM
I am a mid 50s male, medium skin tone, with dx rosacea and taking 1800mg Niaspan (limited flushing problems) and 20 mg Zocor for elevated Lp(a) and lipid control. After a recent and significant rosacea flare primarily affecting my nose (redness/papules), my dermatoligist switched me from daily metrogel to: a Finacea 15% gel, Elidel cream and Keflex tabs 500 twice daily. Next visit in 6 weeks.
Would you explain the role of each medication for symtomatic Rosacea control. Also would you comment on the possible benefits of Keflex in this context rather than tetracycline?
Would you explain the role of each medication for symtomatic Rosacea control. Also would you comment on the possible benefits of Keflex in this context rather than tetracycline?
Doctor's Answer
by Alan Rockoff, MD, Mar 31, 2005 12:00AM
, Mar 31, 2005 12:00AM
Finacea (azelaic acid) has been shown effective in rosacea. Antibiotics, both oral and topical, seem to work as anti-inflammatory agents in this condition, rather than as germ-killers. Elidel may be intended to reduce inflammation without the need for steroids, which can aggravate rosacea. I am not familiar with Keflex as a rosacea drug; tetracycline derivatives are the standard ones, and I don't know exactly why your doctor chose Keflex.
Best.
Dr. Rockoff
Best.
Dr. Rockoff
