Rosacea – what about Mirvaso and what other skincare products do you recommend?

Your website is a wonderful resource for consumers. Thank you for all that you do. You have addressed rosacea many times, however I could not find anything you had written addressing the relatively new drug Mirvaso for the flushing. My doctor prescribed it but I was reluctant to use it after reading so much online about rebound effects. If you have prescribed it, what were you patients' reactions? Finally, the age old question that must drive you nuts, what order would you recommend for products like this and other rosacea products such as Finacea, along with serums, moisturizers, sunscreen etc. Thanks so much Ruth

Thank you for reading!    Since each of us are individuals, it’s hard to generalize sometimes.   But………many patients describe a rebound flushing after using Mirvaso.   In my opinion, it makes sense to use this more a an occasional crutch for a few days when having a flair or…..before an event, speaking engagement, reunion, etc. 

Even better is to really work to identify those food triggers and avoid them, and to work to find both prescription topical medications (like the Finacea or Metrocream, for example), and then a great non irritating skincare regimen.   Here’s a link to a skincare regimen for sentitive or rosacea prone skin.   Also consider the Avene “anti-rougeur” kit.  

Myself, many other dermatologists and doctors in general are trying to avoid prescribing oral antibiotics long term for chronic conditions like rosacea.   I find we can almost always get it under good control by working with diet and good prescription creams and nonprescription skincare products.  Probiotics taken daily may help as well (anecdotal though).  

More interesting questions and answers from readers on this topic.

Hope this helps,   Dr. I


Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin, and I believe that consumers need and deserve a medically trained and unbiased skincare advocate.

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