Only thing that saved me was ivermectin.

No joke.

And when I couldn’t get back to my derm because of covid to reup my script, I went with apostrophe. Was delt with in minutes and had a new script on the way that day.

Just sent them pictures of my face and what I was previously on.

I deal with a bit of subderm too so every other day my morning regime is wash my entire face and head with nizoral. You can get the ketoconazol shampoo script but I like the nizoral better and I can just buy it otc.

As far as diet triggers, alcohol and spicy food.

If you are like me the breakouts are caused by the skin mites we all have.

quote:
Rosacea is a chronic dermatological disorder with a variety of clinical manifestations localized largely to the central face. The unclear etiology of rosacea fosters therapeutic difficulty; however, subtle clinical improvement with pharmacologic treatments of various drug categories suggests a multifactorial etiology of the disease. Factors that may contribute to disease pathogenesis include immune abnormality, vascular abnormality, neurogenic dysregulation, presence of cutaneous microorganisms, UV damage, and skin barrier dysfunction. The role of ivermectin in the treatment of rosacea may be as an anti-inflammatory and anti-parasitic agent targeting Demodex mites.

They eat the dead skin and the inflammation is your reaction to them. So me also battling the subderm is important. Dead flaky skin means more mites munching on you and more inflammation.

quote:
Topical ivermectin has significant clinical efficacy and decreases the density of Demodex mites found in the skin of people with rosacea, but cutaneous dysbiosis remains, according to a report presented at the recent European Academy of Dermatology and Venereology (EADV) 2023 Congress.

"This is the first hint that the host's cutaneous microbiome plays a secondary role in the immunopathogenesis of rosacea," said Bernard Homey, MD, director of the Department of Dermatology at University Hospital Düsseldorf in Germany.

"In rosacea, we are well aware of trigger factors such as stress, UV light, heat, cold, food, and alcohol," he said. "We are also well aware that there is an increase in Demodex mites in the pilosebaceous unit."

This post was edited on 3/5/24 at 1:58 pm