Rosacea Treatment: Gel Usage, Dosage, and Skincare Tips - Dermatology

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Inquiry about rosacea medications and skincare products?


Dear Dr.
Wu,
I was recently diagnosed with rosacea, and my doctor prescribed me with Puri Gel.
I have a few questions:
1.
Should it be applied to the entire face? What is the recommended amount to use at one time?
2.
Does this gel have the ability to kill Demodex mites?
3.
Are there any specific ingredients in skincare products and sunscreens that should be avoided while using this medication?
4.
Some say that SPF 30 is sufficient for sunscreen, but is SPF 50 really too heavy?
Thank you for your assistance, and I apologize for the inconvenience.

Niming, 20~29 year old female. Ask Date: 2022/08/16

Dr. Wu Yuxin reply Dermatology


1.
In principle, yes, approximately 5-10mm should be sufficient for a thin application over the entire face.
2.
Yes, it is possible.
3.
There are no specific restrictions.
4.
It mainly depends on individual needs, as there are differences between indoor and outdoor work, as well as variations in duration.

Reply Date: 2022/08/16

More Info


When it comes to managing rosacea, understanding the appropriate treatment options and skincare practices is crucial. Rosacea is a chronic inflammatory skin condition characterized by facial redness, flushing, and sometimes the presence of acne-like bumps. The treatment often involves topical medications, lifestyle adjustments, and careful selection of skincare products.


1. Usage and Dosage of Gel
For topical treatments like Puri Gel (膚麗凝膠), it is generally recommended to apply a thin layer to the affected areas of the face. Depending on the specific formulation and the doctor's instructions, you may be advised to use it once or twice daily. It's important to follow your healthcare provider's recommendations regarding the amount to use. Typically, a pea-sized amount is sufficient for the entire face, but this can vary based on individual needs and the severity of the condition.


2. Efficacy Against Demodex Mites
Regarding your question about whether the gel can kill Demodex mites, some topical treatments for rosacea, particularly those containing metronidazole or ivermectin, have been shown to reduce the population of these mites, which are often associated with rosacea flare-ups. If your gel contains such active ingredients, it may help in managing the mite population, thereby alleviating some symptoms of rosacea.


3. Ingredients to Avoid
When using any topical treatment for rosacea, it is essential to be mindful of the ingredients in your skincare products. Generally, you should avoid products that contain:
- Alcohol: Can be drying and irritating.

- Fragrance: Often triggers sensitivity and irritation.

- Exfoliating agents: Such as alpha hydroxy acids (AHAs) or beta hydroxy acids (BHAs), which can exacerbate redness and irritation.

- Harsh scrubs: Physical exfoliants can irritate the skin and worsen rosacea symptoms.

Instead, opt for gentle, hydrating products that are labeled as non-comedogenic and suitable for sensitive skin.


4. Sunscreen Recommendations
As for sunscreen, it is crucial for rosacea management. A broad-spectrum sunscreen with an SPF of 30 or higher is generally recommended. While SPF 50 provides slightly more protection, it is not necessarily burdensome for the skin unless it contains irritating ingredients. The key is to choose a sunscreen that is formulated for sensitive skin, ideally one that is mineral-based (containing zinc oxide or titanium dioxide), as these tend to be less irritating.


Additional Skincare Tips
- Gentle Cleansing: Use a mild, non-irritating cleanser to wash your face. Avoid hot water, which can exacerbate flushing.

- Moisturization: Keeping the skin well-hydrated is essential. Look for moisturizers that contain ceramides or hyaluronic acid.

- Avoid Triggers: Identify and avoid personal triggers that may worsen your rosacea, such as spicy foods, alcohol, extreme temperatures, and stress.


Conclusion
Managing rosacea effectively requires a comprehensive approach that includes the right topical treatments, careful selection of skincare products, and sun protection. Always consult with your dermatologist for personalized advice and treatment plans tailored to your specific condition. Regular follow-ups can help monitor your progress and make necessary adjustments to your treatment regimen.

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