Bumps and Pimples

This type of rosacea may respond best to a combination of therapies, including:

• Topical medication – A number of medications applied to the skin can help the acne-like bumps of this form of rosacea. Medications include azelaic acid, benzoyl peroxide, retinoids, sulfacetamide and sulfur lotions. It may take a few months to notice results. Side effects include burning, stinging, itching and skin irritation, or sometimes a rash.
• Glycolic acid – Typically, the dermatologist applies a high concentration of glycolic acid for five minutes, which peels away the top layer of the skin (this is called a chemical peel). A lower concentration of the acid in wash or cream form may be used to enhance the benefits of the peel. This treatment often is combined with oral antibiotics. The skin may remain very red for a few hours after treatment.
• Oral medications – The dermatologist might prescribe one of several oral medications, including low-dosage non-antibiotic strength doxycycline and antibiotics such as doxycycline, erythromycin, minocycline, tetracycline, azithromycin and clarithromycin. Side effects for antibiotics may include yeast infections in women, upset stomach, light sensitivity and vertigo.

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