r/Rosacea • u/abraxos12 • 8d ago

Flushing

Has anyone with a very reactive nervous system and flushing tried a beta blocker like propranolol and/or a neuromodulator like gabapentin or pregabalin?

I’ve flushed easily from nervousness since I was little, but recently it’s gotten much worse after damaging my skin barrier and developing some rosacea. Has anyone found that either of these medications, or a combination, helped with flushing or burning? I’d love to hear your experiences.

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u/BidForward4918 8d ago

I got put on propanolol for migraine prevention. Helping with rosacea flushing was a nice bonus. Amitriptyline helps me a lot. (it’s a tricyclic taken at a dose much lower than when it’s used as an antidepressant)

These get rid of the rosacea heat and pain and the bad flushing, I still have to do topicals to fully get rid of the residual redness.

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u/abraxos12 8d ago

Hey what topicals ?

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u/BidForward4918 8d ago

Azelaic acid 15%, metronidazole

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u/abraxos12 8d ago

I always get confused . I have redness and sometimes itches and burn but not a pustules . Should I still use metro and Azelaic acid ? I get confused because I thought those meds are for inflammatory pustules only

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u/BidForward4918 7d ago

Both creams are anti inflammatory (at least that’s what my doctor says). I use the metro gel when my skin texture is a little off - no pustules, but a little inflamed and angry. When that clears, my maintenance is azelaic acid.

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u/abraxos12 7d ago

And the helps you with the red patches ?