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How to manage persistent redness and dryness from rosacea?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have had severe rosacea for the past few years, even though I never had it during my teens. I initially thought it was due to overusing retinoids and irritation, but after stopping retinoids for over a year, my skin remains consistently red and hot. Despite using moisturizers, my skin still feels dry and tight. I suspect Demodex mites might be contributing to my rosacea. Since topical Ivermectin is not available in my country, would it be okay to use Permethrin on my face to treat Demodex?

Kindly help.

Answered by Dr. Dhepe Snehal Madhav

Education:

MBBS

Professional Bio:

Dr. Dhepe Snehal Madhav is a Dermatologist and Venereologist specializing in the diagnosis and treatment of various skin conditions. She is experienced in evaluating patients, conducting thorough screenings, and formulating personalized treatment plans to ensure optimal skin health. She delivers compassionate and comprehensive dermatological care.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I can understand your concern.

Avoid self-medication. Start by washing your face with a gentle cleanser twice daily for two weeks. Then, apply Metronidazole one percent gel (MetroGel) during the day for two weeks. For added treatment, use Benzac AC 2.5 percent cream (Benzoyl peroxide) on alternate days for two weeks.

In addition, it is important to avoid known rosacea triggers and drink plenty of water to keep your skin hydrated. Use sunscreen with SPF 30 for 30 minutes before going outdoors to protect your skin from the sun. Please attach a clinical image to help with further guidance.

I hope this addresses your concerns.

Thank you.

Medically reviewed by iCliniq medical review team
Published At December 28, 2024
Reviewed At December 28, 2024

Education:

MBBS

Professional Bio:

Dr. Dhepe Snehal Madhav is a Dermatologist and Venereologist specializing in the diagnosis and treatment of various skin conditions. She is experienced in evaluating patients, conducting thorough screenings, and formulating personalized treatment plans to ensure optimal skin health. She delivers compassionate and comprehensive dermatological care.

This doctor is not available for online consultations on the platform anymore.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Education:

MBBS

Professional Bio:

Dr. Dhepe Snehal Madhav is a Dermatologist and Venereologist specializing in the diagnosis and treatment of various skin conditions. She is experienced in evaluating patients, conducting thorough screenings, and formulating personalized treatment plans to ensure optimal skin health. She delivers compassionate and comprehensive dermatological care.

This doctor is not available for online consultations on the platform anymore.

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