Experts have identified a number of underlying factors that may contribute to rosacea:
• Immune system dysfunction
• Microorganisms like Demodex mites living under the skin
• Hyperreactive vascular system
• Genetics
• Ultraviolent (UV) light
Your account has an Amazon One Medical Membership
On-Demand Care for this condition is included with membership
With your membership you can:
Get 24/7 On-Demand Care
Convenient prescription refill and renewal requests
View a summary and action items after your treatment, and directly message your care team
Rosacea treatment
Share your symptoms with Health AI and get treatment from a provider if appropriate.
How it works
Check-in with Health AI
Complete a check-in with the help of Health AI.
Discuss with a provider
Review your health concern or treatment request with a One Medical provider via message.
Get treatment
Receive your care plan. If appropriate, prescriptions are sent to your pharmacy and, if you use Amazon Pharmacy, delivered to your door (if eligible).
Commonly prescribed rosacea treatments
Your Amazon One Medical provider will determine which (if any) topical rosacea treatment is medically appropriate for you based on your symptoms and health history. If you're prescribed medication, your provider will send the prescription to your preferred pharmacy. Choose Amazon Pharmacy for free delivery and transparent Prime pricing. The cost of your prescribed medication is not included with the treatment cost and may be covered by health insurance.
Oral antibiotics aren't available for rosacea treatment through On-Demand Care.
Topical antibiotics
• Metronidazole cream (Metrocream)
• Metronidazole gel (MetroGel)
Benzoyl peroxide
Topical antiseptic available in prescription strength as 5% cream (Epsolay)
Sulfacetamide-sulfur
Available in prescription strength as 10% sulfacetamide sodium / 5% sulfur face wash (Avar)
Azelaic acid 15%
(Azelex, Finacea)
Prescribed as a foam or gel
Brimonidine
(Mirvaso)
Prescription rosacea gel that shrinks blood vessels
Oxymetazoline
(Rhofade)
Prescription rosacea cream that can treat facial redness
Ivermectin 1% cream
(Soolantra)
Prescription antiparasitic agent that acts against Demodex mites and reduces inflammation
What are the symptoms of rosacea?
Rosacea is a chronic skin condition characterized by redness in the center of the face (cheeks, nose, forehead, and chin). It can be diagnosed by the following facial features:
• A classic flushing pattern that periodically gets worse
• Skin thickening
• Visible blood vessels (spider veins)
• Inflamed bumps or pus-filled bumps
• Burning or stinging
• Swelling
• Dry appearance
Rosacea can also cause eye irritation and eyelid swelling, which is called ocular rosacea. Any eye involvement should be evaluated in person by a primary care provider or an ophthalmologist (eye doctor).
Frequently asked questions
What causes rosacea?
What can trigger rosacea symptoms?
• Sun exposure
• Hot or cold weather
• Hot drinks
• Spicy foods
• Alcohol
• Exercise
• Irritation from certain skin care products
• Psychological stressors
• Certain types of medication
• Menopause
Is there a cure for rosacea?
There's no cure for rosacea, but the condition can be controlled with self-help measures and FDA-approved rosacea medications.
To manage the skin condition, it's important to identify your rosacea triggers. It may help to track your flare-ups in a diary.
What are some natural strategies for reducing facial redness?
• Apply a cold compress to face or neck
• Drink iced coffee or tea (instead of hot)
• Stay out of the sun
• Use natural anti-inflammatories like chamomile or turmeric
• Wear green-tinted foundation
Clinical sources
1. Ebbelaar, C. C. F., Venema, A. W., & Van Dijk, M. R. (2018). Topical Ivermectin in the Treatment of Papulopustular Rosacea: A Systematic Review of Evidence and Clinical Guideline Recommendations. Dermatology and therapy, 8(3), 379–387.
2. National Rosacea Society. (2019). National Rosacea Society. Rosacea.org - National Rosacea Society. https://www.rosacea.org/2. Pflipsen, M. C., & Vega Colon, K. M. (2020). Anaphylaxis: Recognition and Management. American family physician, 102(6), 355–362.
3. Thiboutot, D., Anderson, R., Cook-Bolden, F., Draelos, Z., Gallo, R. L., Granstein, R. D., Kang, S., Macsai, M., Gold, L. S., & Tan, J. (2020). Standard management options for rosacea: The 2019 update by the National Rosacea Society Expert Committee. Journal of the American Academy of Dermatology, 82(6), 1501–1510.
