8th June 2025

Management

High sun protection factor (SPF) sunscreen on face regularly (SPF 30-50)
Minimise triggers that could worsen skin and flushing, such as:
- Ultraviolet light exposure
- Temperature extremes
- Alcohol
- Heavy exercise
- Stressful situations
- Spicy food
- Hot beverages
Treatment of erythematotelangiectatic component
- Brimonidine (alpha agonist) gel – produces temporary vasoconstriction for a few hours after application but rebound erythema can be problematic
- Camouflage cream
- Laser therapy
Treatment of papulopustular component
- Topical azelaic acid/ivermectin/metronidazole
- Oral lymecycline or doxycycline for moderate-to-severe disease
Management of ocular disease
- May require ophthalmology input
- Lid hygiene
- Lubricants +/- topical anti-inflammatories
- Oral lymecycline or doxycycline

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