Treatment Roadmap
Most rosacea plans combine prescription treatments, gentle skincare, and trigger management. The goal is steady improvement, not overnight change. Consistency and patience matter.
If you are unsure where to start, begin by identifying your subtype and symptoms, then pair a basic routine with a targeted treatment option.
Topical Treatments
Often first-line options for redness, bumps, and inflammation
Azelaic acid
Anti-inflammatory and antimicrobial. Often used for papules, pustules, and redness.
Metronidazole
Prescription topical that reduces inflammation and flare frequency.
Ivermectin
Targets inflammation and Demodex-related factors for papulopustular rosacea.
Brimonidine or oxymetazoline
Vasoconstrictors that temporarily reduce visible redness.
Learn more about ingredient tolerance in the ingredient guide.
Oral Treatments
Used for moderate to severe inflammation or frequent flares
Common options
Low-dose doxycycline is commonly prescribed to reduce inflammation without acting as a traditional antibiotic dose.
Oral therapies require medical guidance. They are typically used alongside gentle topical care and trigger management.
Procedural Treatments
Helpful for persistent redness, flushing, and visible vessels
Laser therapy
Targets visible blood vessels and background redness.
IPL (Intense Pulsed Light)
Often used for diffuse redness and flushing patterns.
Supportive Skincare
Barrier-first routine
Gentle cleanser, soothing moisturizer, and daily mineral sunscreen form the foundation. Treatments work best on a calm, protected barrier.
When to See a Professional
If symptoms are worsening, affecting your eyes, or not responding to over-the-counter options, a dermatologist can confirm your subtype and recommend targeted treatment.
This page is informational and does not replace medical advice.