the Role of Antibiotics in Treating Rosacea Symptoms - Dermatology

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The relationship between the treatment of rosacea and antibiotics?


Hello Doctor, I have been experiencing rosacea for 5 years.
However, I only have persistent redness and visible blood vessels on both sides of my nose, which has lasted for several years.
There is also a red area between my lips and chin that has persisted for some time.
As for my cheeks, they only occasionally flush or become red when my skin is dehydrated or in high temperatures.
Currently, it is summer, and my cheeks are continuously red, which is causing me significant distress.
I have seen a doctor and have been prescribed doxycycline (antibiotics).
However, since I started taking this medication, the areas around my nose and the area between my lips and chin have been feeling warm.
I have been on the medication for 10 days (one pill a day).
Previously, my skin would only feel warm after eating spicy foods, but my cheeks did not feel warm.
Currently, there is no noticeable improvement in the redness of my cheeks or around my nose.
I would like to ask the doctor the following questions:
1.
Is it normal for the areas around my nose and between my lips and chin to feel warm after taking doxycycline (antibiotics)?
2.
I started taking doxycycline (antibiotics) mainly to reduce or improve the redness of my skin.
Does this medication have such an effect?
3.
Can doxycycline (antibiotics) cause the face to become redder in those who take it? If so, is this redness gradual or does it occur suddenly?
4.
If this medication can treat the redness associated with rosacea, how long should I take it before I see results and my face stops being red?
5.
Are there any skincare products that can moisturize rosacea-prone skin without causing redness after use?
I hope the doctor can patiently answer my questions.
Thank you very much.
P.S.
I live a normal life, go to bed by 11 PM, and avoid spicy foods.
Thank you! ^0^

Xiao Hai, 20~29 year old female. Ask Date: 2007/07/01

Dr. Jiang Zheen reply Dermatology


Doxycycline can improve symptoms of certain types of rosacea, and it may take up to a month to see results.
I have not heard of this medication causing the skin to feel warm.
If there is still no improvement, topical or oral metronidazole can be used.
It is reported that Neostrata has released a topical product that can help with this skin issue.
Wishing you peace; Jesus loves you.

Reply Date: 2007/07/01

More Info


Rosacea is a chronic skin condition characterized by facial redness, flushing, and sometimes the appearance of small, red, pus-filled bumps. It can be exacerbated by various triggers, including temperature changes, spicy foods, and stress. The symptoms you describe, particularly the persistent redness on your nose and around your mouth, are common in rosacea patients.
Regarding your questions about doxycycline, an antibiotic often prescribed for rosacea, let's address them one by one:
1. Is it normal for my skin to feel warm after taking doxycycline?
Yes, experiencing warmth or a slight increase in skin sensitivity can occur when starting doxycycline. This antibiotic works by reducing inflammation and bacterial growth, which can sometimes lead to temporary changes in skin sensation. However, if the warmth is accompanied by significant discomfort or other concerning symptoms, it is advisable to consult your healthcare provider.

2. Does doxycycline help reduce redness in rosacea?
Doxycycline is effective in treating rosacea primarily due to its anti-inflammatory properties rather than its antibacterial effects. It can help reduce the redness and inflammation associated with rosacea. However, the response to treatment can vary from person to person. Some may notice improvement within a few weeks, while others may take longer to see significant changes.

3. Can doxycycline make my face redder?
While doxycycline is intended to reduce redness, some individuals may experience a paradoxical increase in redness or flushing, especially during the initial stages of treatment. This reaction can be gradual or sudden, depending on individual sensitivity. If you notice a marked increase in redness, it’s important to discuss this with your doctor, as they may need to adjust your treatment plan.

4. How long should I take doxycycline for it to be effective?
The duration of doxycycline treatment for rosacea can vary. Typically, a course may last from several weeks to a few months, depending on the severity of your condition and your response to the medication. It’s crucial to follow your doctor’s recommendations and attend follow-up appointments to monitor your progress.

5. Are there any skincare products that can help moisturize rosacea-prone skin without causing redness?
Yes, using gentle, hydrating products is essential for rosacea-prone skin. Look for moisturizers that are fragrance-free and designed for sensitive skin. Ingredients like hyaluronic acid, glycerin, and ceramides can provide hydration without irritation. Additionally, products containing niacinamide may help soothe inflammation and redness. Always patch-test new products before applying them to your entire face, and consult with a dermatologist for personalized recommendations.

In summary, doxycycline can be an effective treatment for rosacea, but individual responses can vary. It’s essential to maintain open communication with your healthcare provider regarding any side effects or concerns you may have during treatment. Additionally, adopting a gentle skincare routine can help manage your symptoms and improve your skin’s overall health. If you continue to experience significant discomfort or lack of improvement, further evaluation and adjustment of your treatment plan may be necessary.

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