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Rosacea is a chronic rash of the central face that tends to affect people over 30. It is characterised by recurrent episodes of facial flushing, erythema, telangiectasia, papules and pustules. Blepharitis may be associated. Rule out acne vulgaris (presence of open comedones) before commencing treatment. There are three main subtypes, which can overlap:
Erythematotelangectatic rosacea - this lacks inflammatory papules and pustules and tends to be associated with fair and very sensitive skin. Topical treatments are often unsuccessful.
Papulopustular – this is more like acne, and tends to respond to the treatments listed below
Rhinophymatous – thickening of sebaceous skin, particularly round the nose.
General advice to those with rosacea includes:
This preparation is licensed for the treatment of rosacea. A course of doxycycline 40mg modified release is almost three times more expensive than a course of lymecycline.