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‍The Top Rosacea Medications: The Latest in Rosacea Treatments

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Here at Strut Health, we stay in the know about the latest developments in rosacea medications. When it comes to rosacea, there is no one-size-fits-all treatment. Since every rosacea patient is a little different, we offer affordable custom formulas tailored to specific rosacea symptoms. 

It’s estimated that 14 million people in the US deal with this common skin condition. For millions, as this condition progresses, it may begin taking a serious toll on their confidence. If you have rosacea then you know it may cause pimple-like breakouts, persistent redness, bumpy skin texture, visible blood vessels, and inflamed, sensitive skin. 

While there is no cure for rosacea, there are rosacea medications that have been proven effective at reducing rosacea symptoms. 

If you’re ready to find a solution that works for you -- you’ve made it to the right place. We’ll go over dermatologists’ most recommended rosacea medications. 

A combination treatment plan for rosacea

If you’re considering medications to help reduce rosacea symptoms, it’s also important to consider other factors. Often, a combination of rosacea-friendly skincare, trigger management, and prescription rosacea medications are required to manage symptoms.

Often dermatologists will go over a few main things with a rosacea patient: 

#1 Identify your triggers: 

Diet triggers can include spicy foods, alcohol, hot beverages, and food containing histamines. The sun, excessive stress, and ingredients in topical products are also common triggers. Pinpointing and removing triggers can greatly reduce rosacea symptoms. 

#2 Step up daily sun protection: 

Just a few minutes of sun exposure on unprotected rosacea-prone skin may be enough to cause a flushing flare-up. Dermatologists stress strict sun protection for rosacea patients.  

#3 Use rosacea-friendly skincare products: 

Not all skincare products are rosacea-friendly. To help reduce symptoms use products that are gentle, non-stripping, and fragrance-free. With rosacea, less is definitely more. 

#4 Prescription medications:  

Often, a combination of medications are used to help treat rosacea. Compound products that utilize multiple ingredients may be very effective in treating both rosacea subtypes 1 and 2. 

Topical rosacea medications and treatments

The type of medication you’ll require for your rosacea will depend on your specific symptoms. If you have a combination of symptoms, as many rosacea patients do, you might benefit from a compound product containing multiple ingredients that can target all symptoms. 

Here is a list of common rosacea medications that have been used to reduce rosacea symptoms. 

Topical rosacea medication for redness control:

Often redness is the main complaint of those with rosacea. If your rosacea is mainly flushing and redness-based, you may have mainly type 1 rosacea. For these patients, vasoconstrictor medications may help. 


This medication is a vasoconstrictor that narrows blood vessels under the skin, thus reducing flushing and redness. It restricts excessive blood flow which is characteristic of rosacea. 

Unlike other rosacea medications, you may see immediate redness control with Oxymetazoline. It may help reduce redness for up to 12 hours.

Traditionally vasoconstrictor anti-redness creams are very expensive and not covered by insurance -- making them inaccessible to many. But here at Strut Health, we offer Oxymetazoline cream in compounded multi-ingredient formulas at the most affordable price on the market. We believe great health care should be affordable and sustainable. 

Learn more about Oxymetazoline for anti-redness. 

Topical rosacea medication for acne-like breakouts or inflamed skin:

Rosacea might cause acne-like breakouts that include pustules or papules. This is considered to be rosacea type 2 or “papulopustular rosacea.”

For these symptoms, here are a few rosacea medications that might help.

Azelaic acid

At prescription strengths, azelaic acid may reduce swelling, inflammation, redness, visible blood vessels, and bacteria in those with rosacea. This anti-inflammatory cream is great for all types of rosacea but specifically those with inflammation and acne-like breakouts. It is FDA approved for the treatment of rosacea. 

Learn more about Azelaic Acid for rosacea.


This topical antibiotic is often used to treat rosacea and can help reduce redness, pustules, and papules. It is FDA approved for the treatment of rosacea. 

Learn more about Metronidazole for rosacea

What’s new in rosacea medications? 

While the other medications in this article have been around for a good while, there is still ongoing research to find new solutions.

A recent development in rosacea treatment is the use of topical Ivermectin for erythema and acne-like rosacea. This medication is an anti-inflammatory and an anti-parasitic agent that targets Demodex mites seen in 35%–50% of rosacea patients. 

Topical Ivermectin gel has been found to decrease inflammation redness and erythema in rosacea patients. 0.75% or 1% is well tolerated in patients with moderate to severe rosacea. 

Learn more about Ivermectin for rosacea​​

Strut Health prescribes rosacea medications and solutions online 

Our rosacea formulas are custom made for each patient so we can better target your specific needs. Our custom rosacea medication creams may contain a combination of Azelaic Acid, Oxymetazoline, Metronidazole, Ivermectin in a prescription cosmetic cream base

To get your custom rosacea medication, simply complete a questionnaire-based online doctor's consultation to see if our treatments are right for you. 

If our doctors find this is a good fit for you, we’ll ship your rosacea prescription right to your doorstep.

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