Rosacea Treatment: Gel Application and Skincare Tips - Dermatology

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Inquiry about rosacea medications and skincare products?


Hello 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 used on 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.
Is using SPF 50 really too much of a burden?
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 can be used.
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 the duration of exposure.

Reply Date: 2022/08/16

More Info


Understanding rosacea and its treatment can be quite complex, especially when it comes to the application of topical medications like the prescribed gel (膚麗凝膠) and the overall skincare routine. Here’s a comprehensive overview addressing your questions and providing additional insights into managing rosacea effectively.


1. Application of the Gel
When using topical treatments for rosacea, it is generally recommended to apply the gel to the entire affected area of the face. This means that you should cover all areas where you experience symptoms, not just localized spots. The typical dosage is usually a pea-sized amount for the entire face, but it’s essential to follow your healthcare provider's specific instructions regarding the amount and frequency of application. Generally, applying the gel once or twice daily is common, but this can vary based on the severity of your condition and the specific formulation of the gel.


2. Efficacy Against Demodex Mites
The gel you mentioned may have ingredients that target Demodex mites, which are often associated with rosacea. Certain topical treatments, particularly those containing ivermectin, are known to be effective against these mites. If your gel contains such active ingredients, it may help reduce the population of these mites, which can contribute to the inflammation and redness associated with rosacea. However, it’s crucial to consult your dermatologist to confirm the specific action of your prescribed gel.


3. Ingredients to Avoid
When managing rosacea, it’s vital to be cautious about the skincare products you use. Ingredients that can exacerbate rosacea symptoms include:
- Alcohol: Often found in toners and some skincare products, alcohol can dry out the skin and lead to irritation.

- Fragrances: These can cause allergic reactions and irritation, so it’s best to opt for fragrance-free products.

- Exfoliants: Harsh scrubs or products with strong acids can irritate sensitive skin.

- Certain preservatives: Ingredients like parabens and formaldehyde-releasing agents can also be irritating.

Always check the labels of your skincare products and consult with your dermatologist for recommendations tailored to your skin type.


4. Sunscreen Recommendations
Regarding sunscreen, it is indeed recommended to use a broad-spectrum sunscreen with at least SPF 30 to protect your skin from UV rays, which can aggravate rosacea. While SPF 50 offers slightly more protection, the difference in UVB protection between SPF 30 and SPF 50 is minimal (about 1% more). However, higher SPF formulations can sometimes contain additional chemical filters that may irritate sensitive skin. Therefore, if you find that SPF 50 feels heavy or irritating, SPF 30 is generally sufficient, provided it is applied generously and reapplied every two hours when outdoors.


Additional Skincare Tips
- Gentle Cleansing: Use a mild, non-irritating cleanser to wash your face. Avoid hot water and harsh scrubs.

- Moisturizing: Keeping your skin hydrated is crucial. Look for moisturizers that contain soothing ingredients like ceramides or hyaluronic acid.

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


Conclusion
Managing rosacea requires a comprehensive approach that includes appropriate topical treatments, a careful selection of skincare products, and sun protection. Always consult your dermatologist for personalized advice and adjustments to your treatment plan as needed. By following these guidelines, you can effectively manage your rosacea and maintain healthier skin.

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