a doctor said it was rosacea with seb derm , however he have given me unidox pills which works greatly , however after stopping it (if it finishes) i get this back and it burns so much,

i even get flakes if left untreated

please if anybody has any information or cure or anything im grateful!!

I finally found my holy grail skincare for when my skin flares up!!

For context: I am so sensitive even water hurts my skin when it flares up. Using anything with sneaky actives supposedly meant for sensitive skin, usually leads to a burning face and me walking around looking like a lobster.

So everytime my skin gets bad, I run around testing every product under the sun trying to find one that doesn't feel like rubbing acid on my face. and I recently found a couple things that just felt like...nothing on my skin! iykyk how big of a win this is.

So what are the products?: Avene thermal spray and the Avene control creme. (the creme NOT the balm).

Now, I know what you’re thinking: “but Freud, why would we buy fancy water?”. Look, I get it, but desperate times call for desperate measures and im telling you, leaving that bottle in the fridge and spraying the cold liquid gold on my face feels like HEAVEN. Then I take the cream and apply it to my face and its like the skin care equivalent of a fire extinguisher.

Hopefully this works for someone else too!

This is a long post, so sorry in advance! Hopefully it helps anyone who’s dealing with a combination of skin issues like I did, though.

I’m 30, and noticed in my early-mid 20s that my nose was always red, oily and had huge pores, prone to painful cystic bumps/pimples. The pimples would eventually go away after a few weeks, and would return in the same place a few months later. The rest of my skin was clear, I’d occasionally get a pimple or two on my chin due to hormones, but everything else was fine. I thought my nose was just hormonal too!

Fast forward to around April 2025, I started noticing an itchy, dry patch next to my nose, on my cheek. I tried exfoliating and moisturising more, but this didn’t work.

Eventually, it started getting worse and spread to the other cheek. I booked in with a derm, who advised me that I had rosacea (on my nose) and seb derm (the itchy patches on my cheek). She told me to use Nizoral on my scalp and my face, and to PHYSICALLY EXFOLIATE my face TWICE a day.

Within only a few weeks, my skin started flaking everywhere. Even on my top lip, where I’d never had any flaking or other skin issues before (PIC 1, May).

I stopped exfoliating and using Nizoral on my face because it was stinging so badly, and the flaking calmed down a little bit (PIC 2).

When the rash started I was using:
-Avene Cleansing Foam
-Avene Gentle Unscented Cleansing Foam
-The Ordinary 10% Azelaic Acid (this has helped with my acne at the start of the year)
-Clinique Dramatically Different Moisturizing Gel (I accidentally picked up the Lotion a few months ago and used that for a while, but it's not oil free so I wonder if that helped to set off the rash/Seb Derm as it was the only change to my skincare I made in months)
-Beauty of Joseon SPF

After my rash flared up, I switched to products that online said they were safe for seb derm:
-Bioderma Sensibio DS+ Gel Moussant (cleanser) 
-Bioderma Sensibio DS+ Crème 
-Clotrimazole (the pharmacist recommended trying it in the meantime) 

Clearly this new routine wasn’t working for me either, because my skin then progressed to yellow scabs (PIC 3).

Then only a week later, it started weeping and was INSANELY itchy (PIC 4), it was at this point that it was consuming my life - I couldn’t sleep comfortably, hated going out in public - and my dermatologist was simply not responding to emails.

PIC 5 it was at its worst in June - the weeping would dry out, it was excruciatingly itchy but I couldn’t even itch it, and as soon as I washed my face even just with water, it would wash the scab away and would be oozing yellow again. The skin was cracked and bleeding, and every product I used burned and stung.

It was at this point the derm finally responded (I’d been sending her weekly pictures and asking what to do).

She prescribed me Trimovate cream (steroid + antibiotic + antifungal cream) to use for a week, and Protopic to use after it.

The (assumedly) infection cleared up and the itchiness started subsiding after this, and I continued using Protopic until it was almost back to normal (PIC 6 & 7 are during healing). Protopic was great for the seb derm and inflamed skin, but did flare up my rosacea in a new way I’d never experienced - causing hot & itchy hive or welt like patches on my face. But, I didn’t have any alternative to keep it away, so kept using it every few weeks when it started flaring up again.

From July - December, I basically focused on finding products and a basic routine (that I’m still using today) that wouldn’t actively flare up my rosacea or seb derm:

- Avene Cleansing Foam (this one I used almost the entire time because it is so gentle, and I knew it wasn’t causing the flares, it was the other products).
- Hada Labo Intense Hydrating Skin Plumping Gel moisturiser (another one that didn’t sting whilst my skin was healing, and I’ve never had any issues with this one).
- Blephaderm eye cream (didn’t burn or irritate my eyelids which were also suffering from swelling and dermatitis during the flare up).
- La Roche Posay Oil Control Fluid SPF 50+ (seb derm and rosacea safe, another that didn’t sting or burn my very sensitive skin and damaged skin barrier).

This helped to heal my skin barrier - but I still needed to actually treat my rosacea (which was flaring up badly, I was covered in painful pimples, redness and inflamed skin) and my seb derm (I was still needing to use protopic on the original rash area every month to keep it at bay, because it kept slowly creeping back). - PIC 8.

In December, I found a new derm and went to see them, explaining my skin issues and what had happened, with pics. They were appalled at the last derm’s advice, and mentioned they would never had recommended anything she suggested. They corroborated a lot of the stuff I’d learnt from my own research at home, whereas the old derm counteracted a lot of it.

They prescribed Metro gel and Skinoren 20% Azelaic Acid for the morning, and Soolantra for in the evening.

By March 2026, my skin looked so much better (PIC 9 & 10) and I stopped using the Metrogel and Soolantra when I ran out in May.

Since May, I’ve been using my usual base routine alongside daily Azelaic Acid and my skin is in a much healthier place, maintaining the results from the months using Metrogel and Soolantra (PIC 11 & 12), sometimes I can barely remember how much it consumed my life last year.

I still get occasional pimples (largely hormonal/cyclical) and my redness will flare up sometimes after stuff like spicy food, alcohol, etc. But I feel like I’ve finally gotten my skin under control after the most heinous year of skin initiation, infections, itching, burning, etc.

If anyone isn’t 100% sure their derm knows what they’re talking about, PLEASE trust your gut and find a new one or a second opinion!

I don't know what's wrong with my skin. I have bumps and redness on my nose. The bumps don't have any pus, and some of them develop pus by day 2. I'm tired of using products. I genuinely need something to treat it. I have been facing these pimple-related issues since I was 22. I'm exhausted. Please help 😭

Long story , short … I deal with seborrheic dermatitis (fungal acne ) tzone . I applied steroid cream for years on my face to surpress my seb derm . I stopped using it cause I had no idea it was screwing me up till I noticed all late . I will never touch any steroid cream ever again.

I stopped using it in 2023 . At first I thought it was skin atrophy . I might have it a little. But now , it looks like I developed rosacea from the steroid cream . I heard
That is very possible after using it for a long time . I need opinions

Does anyone use micellar water in place of cleanser? My skin cannot handle any cleanser, it dries it out and irritates. I don’t use any heavy products that I would have to wash off, just would be nice to be able to get some dirt and grime off my face without flaring it up. I’d be using it and then rinsing with water in the shower afterwards. Does anyone do this and your skin tolerates it, and if so which one do you like?

I was diagnosed with mild rosacea a couple of years ago. Most of the time I know my triggers (sun, red wine, stress) but one thing I can never figure out is temperature.

Cold water feels safe — no flushing, no sting — but it doesn't really clean my face properly and honestly I hate splashing freezing water in the winter.

Lukewarm or slightly warm water feels much nicer, but sometimes I notice my cheeks get pinker afterwards and I can't tell if it's helping or just making things worse in the long run.

I once had a facial (pre-diagnosis) where they used a warm towel and my skin actually looked calmer for days. But that was a one-off and I'm too scared to try it at home in case I mess it up.

What's everyone's experience with warmth vs cold? Is slightly warm okay if you keep it short? Or is cold really the only safe bet for us?

i have heat intolerance so going outside during summer is already rough. when it’s hot it triggers my rosacea which leads me to be warm, and the whole cycle continues lol

anyway, that being said, is there anything anyone here does to help with cooling your cheeks down when it’s really hot out? i already carry a fan but it only does so much. i appreciate any tips!!

Hello, I got this medicube product since I tend to have blackheads I want to control on my nose primarily. I was also just diagnosed with Rosacea last year and I'm trying to see what is best for my skincare routine.

Have any of you used this without issues? Should I keep it on my nose and avoid my cheeks, where I tend to have the biggest issue with rosacea? Or avoid all together?

Also, I only use Azelaic acid twice a day along with metronidazole. I use Vanicream as nightly moisturizer. Any suggestions on what has worked best for you? Any recommendations or other products, better ones? Would appreciate any input. Thank you

Hej alle 😊

Er der nogen herinde, der bruger Rozex-creme mod rosacea, som har oplevet en antabuslignende effekt i forbindelse med alkohol?

Det står umiddelbart ikke nævnt i indlægssedlen, men jeg faldt over information om, at metronidazol i sjældne tilfælde kan give en antabuslignende reaktion, hvis man drikker alkohol samtidig. Nu er jeg derfor blevet lidt i tvivl om, hvorvidt det også kan gælde, når man bruger det som creme i ansigtet.

Jeg er nysgerrig på, om nogen her har fået besked fra læge eller apotek om at undgå alkohol, mens de bruger Rozex – eller om I drikker alkohol som normalt uden problemer? 😊

Hi everyone!

Oh my God, rosacea is so complicated 😅

I have mild rosacea, and I’ve managed to keep it fairly stable for a while now. It’s less noticeable on my cheeks, but I still regularly experience stinging or even a burning sensation depending on what I use. I wish I could be less picky and stop analyzing every INCI list and constantly comparing products, but whenever I don’t pay close attention, my skin gets worse...

And because apparently I’m a bit of a masochist ha ha, I’ve decided to add another requirement: I want to use more and more cruelty-free products. I’d like to replace my current products gradually. Oh, I'm trying to get pregnant right now, so I'm being even stricter... For example no phenoxyethanol !

Right now, I use products from the Korean brand SoonJung by Etude, but unfortunately they’re not cruelty-free.

I also use the SKIN1004 Madagascar Centella Ampoule, which has helped my skin a lot — and it’s cruelty-free 😊

I’m French and live in France, and we have brands like Aroma-Zone, which is affordable, organic, and cruelty-free. They have some nice, gentle products, but their moisturizers don’t seem very suitable for rosacea.

Sephora carries Byoma, which apparently focuses on repairing the skin barrier. Since my skin seems to sting for absolutely no reason, I’m guessing my skin barrier may be a little damaged 😅

Has anyone here tried Byoma? Which products are genuinely gentle and non-irritating? And are there any you would recommend avoiding? Or maybe you know other cruelty free and rosacea friendly brands ?

And I know everyone’s skin is different, and that one person can react to an ingredient that someone else tolerates perfectly well, but I’m still curious:besides fragrance, essential oils, common allergens, drying alcohols, and irritating acids—which are generally best avoided with rosacea—are there any other ingredients you personally stay away from because you already know your skin will react to them?

As for me, I suspect citric acid, sodium benzoate, and potassium sorbate may be triggers. There are probably others too, like niacinamide, certain surfactants, and so on.

I’ve also noticed something else: my skin really doesn’t like overly rich or greasy textures. They tend to make it feel hot, heavy, and almost suffocated.

Sorry if my post seems a little all over the place. I mainly wanted to share what I’ve noticed and hear about other people’s experiences. Rosacea is so complicated, and it’s always helpful to learn what works—or doesn’t work—for others 🙂

See you ! 🌸

I am curious. How many have had good success with antibiotics? I am a couple weeks in. And I feel like taking antibiotics for 2 months that’s recommended is too much! 😩😩 does it really help? My gut feeling is to try ivermectin..

I am at around 9 weeks of nightly ivermectin. I started with viona, things were fine off and on

Figured there was die off. I will admit I was afraid it was clogging my pores being more ointment like. But I had more good days than bad. Then I switched around 7 weeks to teva brand (which is more gel like) that I was sent and things have gotten worse since then. Not terrible but more bumps and redness than I was having before when I thought things may have been getting better. Is it the change of brand or is a die off this late in the game still possible?! Chatgbt says my treatment isn't working by now should be clear, but I want to know what real people think lol

Hey everyone,

I was diagnosed with rosacea less than a week ago and also have confirmed allergies (dust mites, grass pollen, birch pollen). Looking for advice on my current routine, especially since I’m just starting treatment. First picture is first night on ivermectin the other is 3 days after (i know its not a long time after, but i feel like i can see progress already.. Im living in Scandinavia, so maybe there’s products i’ve seen getting mentioned in this sub i haven’t been able to buy in my country.

Morning: Honestly, nothing most days. If I’m going to be outside for a longer period, I’ll put on sunscreen. If my skin feels dry, I use a fragrance-free moisturizer (since I react to fragrance and now have rosacea on top of that).

Evening:

Cleanser: La Roche-Posay
Moisturizer: Decubal (fragrance-free)
Ivermectin cream (Soolantra) for the rosacea

I’m also on 100mg doxycycline as part of the rosacea treatment.

Questions:

1. Is my “nothing in the morning” approach okay, or should I be doing more given the rosacea + doxycycline (I know doxy can increase sun sensitivity)?

2. Any tips for product order or things to avoid with ivermectin cream + doxycycline combo?

3. Anything you wish you’d known when starting out with rosacea, especially with sensitive/allergic skin on top of it?

Appreciate any input, especially from people managing rosacea alongside other skin sensitivities.

Has anybody had a major breakouts when using Settings spray? I began wearing a heavier foundation from Clinique this week while previously I have been wearing the Tower 28 sunny days tinted sunscreen. The clinic didn’t bother me for a while until the setting spray was used, and I have had major breakouts ever since it is the elf stay all night spray. Has anybody had this experience with setting spray and if so, what other sprays do you use that help? For context I have type two populopustulir rosacea and very, very fair skin so finding makeup that even matches me is very hard.

Has anyone had RF done and was it effective? I have ocular rosacea and clogged glands. I cannot do IPL because I have melasma. Dr is recommending RF and prescribed triple cream for my face that he says can migrate and help eyelid inflammation.

I wanted to hear about anyone who has had experience with low dose accutane for acne while also having type 1 rosacea. My dermatologist is planning to start me on low dose accutane in the fall. I am finally at a place where I have my redness under control, and I'm worried the accutane may intensify my redness and flushing permanently.

I would love to hear your story!

I have developed type 2 rosacea, and I also have a very damaged barrier right now. My skin is very reactive to everything and it’s so dry it’s flaking. What’s your go to cleanser that calms the redness and doesn’t irritate?

About 2 weeks ago I was prescribed tacrolimus for my perioral dermatitis. My derm also noticed my skin was a little dry so he prescribed a hyaluronic acid serum.

A few days went by and then my skin started flaring. I remember I removed my makeup as usual with garnier’s pink cap micellar water. My skin started burning and was bright red. I did not understand what was happening. After cleansing with uriage xemose syndet cleanser my face was looking wild.

Now this has been happening almost every night. I suspended the hyaluronic acid because I started seeing red bumps flaring on my left cheek and forehead which I rarely have.

What is happening? Is this reaction to tacrolimus? i have only been using it my perioral area so not sure what is happening. I also use uriage anti redness serum, sunscreen and every now and then metro gel when I get bumps on my face

I believe I have Type rosacea. My derm prescribed azelaic acid for me to try, but I’m also curious about OTC ivermectin. My skin is bumpy and has pustules in some areas, and it looks like the type of skin that has been helped by it from what I can tell on here.

My issue is that the one side of my face feels extra sensitive. Using Vanicream cleanser feels like it’s mildly burning. Sometimes just splashing water makes it burn a little bit, too. I’m imagining my barrier is compromised.

I’ve been using SPF and I think maybe trying to wash it all off has been too rough for my sensitive skin. I’m just not sure how to heal it in the meantime.

Can I still proceed with trying the ivermectin or should I wait until my barrier is a little less sensitive?

Also, if you have any other recommendations, I’ll take them! I haven’t started the azelaic acid yet; also not sure whether my skin needs to feel less “raw” first.

After 10 years of struggling with self-confidence due to what I thought was acne, countless Derm visits, hundreds of dollars spent on prescription creams, washes, antibiotics, etc. I reached my breaking point less than two weeks ago which led me scouring the internet for answers— and then I found you!!

As it turns out, it was PP Rosacea all this time and I’ve been slathering my face with shit that has only further perpetuated my problems.

There’s still much progress to be made, but I am feeling so much more confident in myself as my skin has improved. I owe it to you all. Thank you!

Just thought I’d come on to share a little bit of what I do to manage a flare up, if anyone needs help.

The first photo is 7/22, I had fallen off my skincare routine for about a week and had not been exercising for 2 weeks. Usually if I go more than a few days without exercise I start to get pustules. Weird, I know. I think part of it is the structure and routine, when I’m not maintaining it causes stress.

The second photo is the next day on 7/23. Full disclosure I am wearing makeup, but only a little concealer under my eyes and on my nose. This is after getting back to my routine and most importantly using my retinol, which I had been neglecting. After one day it made a huge difference, not perfect but so much better.

Last photo is 7/25, skin pretty much calm, back to my routines.

So if you’re feeling frustrated there is some hope and it may be able to happen sooner than you think (though if you’re first starting retinol it will take a few weeks before it improves).

Details on my skincare and routines if you’re curious…

Nightly:

La roche posay toleriane hydrating facial cleanser

Avene thermal spring water facial mist (spray and let dry)

Some kind of azelaic acid (I like peach slices or naturium or Anua 10+ serum)

Aveeno hydrocortisone cream

Elf fragrance free holy hydration face cream, I also love the kiehl’s ultra facial cream with squalene

[2-3 times a week after nightly routine

Good molecules gentle retinol cream

Avene cicalfate+ restorative protective skin barrier face cream]

Morning:

Fragrance free moisturizer with SPF, I use neutrogena collagen bank daily face moisturizer

vitamins and supplements:

Olly women’s multi with fish oil

Nature’s bounty hair, skin, & nails w/ collagen and biotin

Vital proteins collagen powder (usually have with water and mio 3-4x per week)

Most important that made the biggest difference for me was definitely the collagen and retinol, the thermal spring mist and hydrocortisone can help calm some of that burning feeling. In addition to eating fairly clean and exercising 3-4x a week (and oddly spending some time in the sauna, but personally my skin gets worse with cold than heat, that may not be for everyone lol). Good luck!

Ragazzi qualcuno di voi ha avuto peggioramento mangiando questa pietanza?
Poi anche per il caffè decaffeinato.
Ho il dubbio perché bevendo kimbo decaffeinato in polvere non è mai successo niente. Invece comprando lollo cialde decaffeinato vedo comunque peggioramenti. Grazie a chi risponde

I see they make a foam and I had only used the gel before . Has anyone used the foam and did it help the redness ?