the Effects of Similac on Rosacea: What to Expect After Discontinuation - Dermatology

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Hello Dr.
Li: My daughter has mild rosacea, but she has been using the prescription medication, Metronidazole cream, along with skincare products specifically designed for rosacea.
Her skin condition has been very well controlled, and she hasn't had an outbreak for over six months.
Recently, she finished the Metronidazole cream, but there have been no flare-ups of rosacea (it's been over a month since she stopped using it).
Could you please explain the effects of Metronidazole on rosacea? Will discontinuing it lead to a worsening of her condition? Thank you for taking the time to respond.

Ada, 40~49 year old female. Ask Date: 2017/05/28

Dr. Li Yufen reply Dermatology


Hello: For a detailed introduction to rosacea, you can refer to the article by Dr.
Cheng-Hsien Lin and Dr.
Hsiu-Han Wang at https://www.everydayhealth.com.tw/article/12729 and http://www.skin168.net/2012/03/azelaic-acid.html.
Basically, if there are currently no inflammatory lesions, the use of azelaic acid cream can be discontinued.
It is important to focus on daily skincare, avoid aggravating factors, and ensure proper moisturization and sun protection.
Thank you!

Reply Date: 2017/05/28

More Info


Hello! Thank you for your question regarding the effects of discontinuing the use of Similac (likely referring to a topical medication for rosacea) on your daughter's skin condition. It's great to hear that her rosacea has been well-controlled for over six months with the use of the prescribed medication and specialized skincare products.

Rosacea is a chronic inflammatory skin condition characterized by facial redness, flushing, and sometimes the presence of papules and pustules. The management of rosacea often involves a combination of lifestyle modifications, topical treatments, and sometimes oral medications. The topical medication you mentioned, Similac, is likely a formulation that helps reduce inflammation and redness associated with rosacea.

When it comes to discontinuing a topical treatment like Similac, there are a few considerations to keep in mind:
1. Effect of Discontinuation: If your daughter has been using Similac consistently and has seen improvement, stopping the medication could potentially lead to a resurgence of symptoms. However, since she has not experienced any flare-ups for over a month after stopping the medication, it may indicate that her skin is currently stable. This stability could be due to the effectiveness of the skincare routine she has been following, which may have helped maintain her skin's barrier and overall health.

2. Monitoring for Flare-Ups: It is essential to monitor her skin closely for any signs of returning symptoms, such as increased redness, flushing, or the appearance of bumps. If any of these symptoms reappear, it may be necessary to consult with her dermatologist about resuming treatment or exploring alternative therapies.

3. Long-Term Management: Rosacea is often a long-term condition that requires ongoing management. While it is possible for some individuals to experience periods of remission, others may need to continue treatment to maintain control over their symptoms. It’s important to have a plan in place with her healthcare provider for managing any potential flare-ups in the future.

4. Lifestyle Factors: Encourage your daughter to continue practicing good skincare habits and to avoid known triggers that can exacerbate rosacea, such as spicy foods, alcohol, extreme temperatures, and stress. A gentle skincare routine that includes sun protection is crucial for maintaining skin health.

5. Consultation with a Dermatologist: If you have concerns about her skin condition or the potential for flare-ups after discontinuing Similac, it would be beneficial to schedule a follow-up appointment with her dermatologist. They can provide personalized advice based on her specific skin type and condition.

In summary, while discontinuing Similac may lead to a risk of flare-ups, the absence of symptoms for over a month is a positive sign. Continuous monitoring and maintaining a good skincare routine will be key in managing her rosacea. If symptoms do return, consulting with a healthcare professional will be important for determining the best course of action. Thank you for your inquiry, and I wish your daughter continued success in managing her skin condition!

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