It's so bad. Nordlind K, Somolinos AL, Estürk E. Jackson M, Combination sodium sulfacetamide 10% and sulfur 5% cream with sunscreens versus metronidazole 0.75% cream for rosacea. Highly recommend this product. Webster GF. National Rosacea Society. “I was prescribed the gel form for ingrown hairs on my neck and acne. Topical metronidazole, sulfacetamide/sulfur, and azelaic acid are generally effective for patients with mild rosacea. Egan N, Del Rosso JQ. Rigopoulos D, Bradshaw M, Additionally, concerns about long-term use of antibiotics leading to resistant bacterial strains need to be addressed. Webster GF, et al. !” Comparison of efficacy of azithromycin vs. doxycycline in the treatment of acne vulgaris. “I have been using the Clindamycin Phosphate Topical Solution USP 1% with a Tretinoin Cream for my acne. My skin is now glowing.” I had random acne flare ups throughout the first year that were minimal in comparison to the flare ups I had before. Levine N, Chaudhry M, Rosacea review. Topical treatments are applied directly to your skin. In most patients, the central area of the face is affected, such as the nose, forehead, chin, and perioral areas. Del Rosso JQ. Levine N, It works! Ehsani AH, A comparison of the efficacy of topical tretinoin and low-dose oral isotretinoin in rosacea. When this small amount is applied externally, clindamycin is absorbed through the skin and has the ability to stop the growth of bacteria. He has really big pores in between his eyes and always breaks out there, on nose and chin. Subantimicrobial dosing should be considered.Subantimicrobial dose, once-daily doxycycline (alone or added to metronidazole therapy) may reduce inflammatory lesions.Mild ocular rosacea should be treated with eyelid hygiene (e.g., hot compresses, eyelid cleansing) and topical agents.Moderate ocular rosacea should be treated with oral drug therapy (tetracycline class).Drug therapy should be based on rosacea classification, severity, and response to previous treatment regimens.The following may be recommended to reduce rosacea flares:• Use of emollient, noncomedogenic moisturizers and mild, fragrance-free, soap-free cleansers that have a nonalkaline or neutral pH level• Use of broad-spectrum sunscreen containing either zinc oxide or titanium dioxide, and wide-brimmed hats• Avoidance of astringents and other skin care products containing alcohol, menthol, eucalyptus oil, clove oil, peppermint, witch hazel, or sodium lauryl sulfateDermatologic laser therapy may be considered for background erythema and telangiectasia.Initial drug therapy for mild rosacea should include appropriate topical regimens, such as antibiotics, immunomodulators, or retinoids. Clindamycin is a topical antibiotic rosacea treatment. Sanchez J, Available medical treatment options for rosacea include:-Antibiotic pills (e.g Doxycycline, Azithromycin OR Roxithromycin)-Topical like Clindamycin phosphate 1% gel, Clarithromycin gel, Benzoyl peroxide 2.5% gel can be used if you also have bumps/acne along with redness,-Topical Retinoids like Azaleic acid, Adapalene, Tretinoin. Powala C. Because sunscreen products can be irritating, patients with rosacea may better tolerate formulations with a simethicone or dimethicone base that contain titanium dioxide or zinc oxide.Although few studies have examined nonpharmacologic treatments for erythematotelangiectatic and phymatous rosacea, vascular lasers are the mainstay of nonpharmacologic therapy and have been useful for treating resistant telangiectasias, persistent erythema, and recalcitrant rosacea.Topical regimens are first-line therapies for mild papulopustular rosacea because there is less risk of adverse events, drug interactions, and antibiotic resistance.