Establishing a gentle skincare routine with fragrance-free cleansers and moisturisers designed for sensitive or rosacea-prone skin can make a big difference. It’s best to avoid products particularly containing certain alcohols (like denatured alcohol, ethanol and isopropyl alcohol), menthol, or strong exfoliants, as these can irritate the skin in people with rosacea.

For some patients, treating Demodex mites may be helpful, and dermatologists can formulate prescribed protocols for patients to specifically address this.

Ingredients to consider

Azelaic acid

A powerful anti-inflammatory and antimicrobial ingredient, azelaic acid helps calm redness, reduce swelling and smooth bumpy skin. Commonly found in 10-20% concentrations in prescription and over-the-counter creams.

Niacinamide

A calming, barrier-strengthening ingredient that helps reduce flushing, blotchiness, and irritation. Typically used at 2-5% concentrations in moisturisers and serums, niacinamide is gentle and well-tolerated – even in sensitive skin.

Soolantra Cream

A prescription-only topical treatment containing 1% ivermectin, Soolantra is commonly used to manage inflammatory rosacea, especially when redness, bumps, and pustules are present. It’s particularly effective in cases associated with Demodex mite overgrowth. To access it, you’ll need to consult a specialist pharmacist, dermatologist or primary care physician.

Metronidazole

A prescription-only topical treatment with anti-inflammatory and antibacterial properties. Metronidazole (0.75% or 1%) helps calm redness, reduce inflammation, and target the pimples commonly seen in rosacea. To access it, you’ll need to consult a specialist pharmacist, dermatologist or primary care physician.

Derm-recommended treatments

For over-the-counter options, I really like the Facetheory Blemicalm Azelaic Acid 10% Clarifying Serum, it’s effective yet gentle at the highest possible percentage for azelaic acid over the counter, helping to calm inflammation. When it comes to sun protection, the La Roche-Posay Anthelios Pigment Correct SPF50+ is a standout choice for rosacea-prone skin to cover the visible light spectrum.

A good barrier-supporting, fragrance-free moisturiser is also essential. I often recommend The Inkey List Omega Water Cream, which is lightweight, hydrating and includes 5% niacinamide to help soothe redness and support the skin barrier.

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