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Thread: Pre-trigger meds

  1. #1
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    Default Pre-trigger meds

    Hi,

    I've read about general meds you can try for Rosacea but what about things you could take because you know there's a trigger ahead - so for me, the gym, a few beers, a couple of hours outside in hot weather etc. Has anyone had any luck with that approach?

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    Quote Originally Posted by Sco View Post
    Hi,

    I've read about general meds you can try for Rosacea but what about things you could take because you know there's a trigger ahead - so for me, the gym, a few beers, a couple of hours outside in hot weather etc. Has anyone had any luck with that approach?
    Propranolol is the most commonly taken pre-trigger rather than on an ongoing basis, though you can take it consistently as well. It is also used commonly by actors before going on stage for anxiety on an ad hoc basis. However, it is best in response to social blushing and flushing, but may help some people with various causes of mild flushing.

    A lot of people with rosacea find they just don't tolerate alcohol very well, but sometimes certain spirits are better tolerated than beer. Integrative therapeutics GFCF is supposed to help with digesting small quantities of wheat. An aspirin before drinking beer may help a little with flushing as well.

    I've found gabapentin quite helpful for hot weather as it reduces pain and flushing from extremities - however it is not necessarily intended for ad hoc use.

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    Quote Originally Posted by antwantsclear View Post
    Propranolol is the most commonly taken pre-trigger rather than on an ongoing basis, though you can take it consistently as well. It is also used commonly by actors before going on stage for anxiety on an ad hoc basis. However, it is best in response to social blushing and flushing, but may help some people with various causes of mild flushing.

    A lot of people with rosacea find they just don't tolerate alcohol very well, but sometimes certain spirits are better tolerated than beer. Integrative therapeutics GFCF is supposed to help with digesting small quantities of wheat. An aspirin before drinking beer may help a little with flushing as well.

    I've found gabapentin quite helpful for hot weather as it reduces pain and flushing from extremities - however it is not necessarily intended for ad hoc use.
    Antwantsclear, do you find gabapentin to be helpful for heat sensitivity? Not just for extremities but for face possibly too? That would be great if it worked well for that as that is my biggest trigger.

    Thanks.
    Angela

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    Quote Originally Posted by Ange4 View Post
    Antwantsclear, do you find gabapentin to be helpful for heat sensitivity? Not just for extremities but for face possibly too? That would be great if it worked well for that as that is my biggest trigger.

    Thanks.
    Angela
    Hi Angela

    Yes, it does help with heat-related flushing from the face. It is also used to treat hot flushing during the menopause, and there are some studies to show how it can help with that. If your flushing is bad, you are likely to need to treat different aspects of the flushing: the blood vessels (e.g. with clonidine or moxonodine), the blood systemically (e.g. with aspirin) and the nerves (e.g. with gabapentin). You may find that one of these is your primary problem, but if the flushing is really bad, then it is helpful to stop the flushing from every angle if possible (e.g. don't just treat the nerve angle of flushing, or only the blood vessels).

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    Quote Originally Posted by antwantsclear View Post
    Hi Angela

    Yes, it does help with heat-related flushing from the face. It is also used to treat hot flushing during the menopause, and there are some studies to show how it can help with that. If your flushing is bad, you are likely to need to treat different aspects of the flushing: the blood vessels (e.g. with clonidine or moxonodine), the blood systemically (e.g. with aspirin) and the nerves (e.g. with gabapentin). You may find that one of these is your primary problem, but if the flushing is really bad, then it is helpful to stop the flushing from every angle if possible (e.g. don't just treat the nerve angle of flushing, or only the blood vessels).
    Antwantsclear, thank you for that advice. I havenít really heard that gabapentin helped the heat aspect of flushing. I have horrible flushing but it is heat triggered mainly all day long. I live in Florida which is very difficult. I already take propranolol, clonidine, LDN, cbd capsules and Palmitoylethanolamide so I am just missing that heat aspect maybe.

    I did see somewhere that someone did gabapentin and had worse flushing than ever so maybe that scared me to try.
    Do you take gabapentin now? If so, did it help you?

    Thanks again.
    Angela

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    Quote Originally Posted by Ange4 View Post
    Antwantsclear, thank you for that advice. I havenít really heard that gabapentin helped the heat aspect of flushing. I have horrible flushing but it is heat triggered mainly all day long. I live in Florida which is very difficult. I already take propranolol, clonidine, LDN, cbd capsules and Palmitoylethanolamide so I am just missing that heat aspect maybe.

    I did see somewhere that someone did gabapentin and had worse flushing than ever so maybe that scared me to try.
    Do you take gabapentin now? If so, did it help you?

    Thanks again.
    Angela
    Hi Angela

    I take gabepentin now and yes it has helped me. It's also listed in several specialist rosacea textbooks as a possible treatment for flushing. It can help me on a hot day, up to about 24/25C in the sun I'd say, if I was out for a limited time e.g. 30 minutes. I also take moxonodine, hydroxychloroquine, aspirin, doxycycline, so I'm sure it works in parallel with those, and may not work that well just by itself.

    In terms of living in Florida, a long time ago there was a discussion on rosacea sites of people moving states or country to cooler places, but I realise that's very unfeasible for a lot of people. At least you're more likely to have good air conditioning in Florida building compared to some hot countries in Europe.

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    Quote Originally Posted by antwantsclear View Post
    Hi Angela

    I take gabepentin now and yes it has helped me. It's also listed in several specialist rosacea textbooks as a possible treatment for flushing. It can help me on a hot day, up to about 24/25C in the sun I'd say, if I was out for a limited time e.g. 30 minutes. I also take moxonodine, hydroxychloroquine, aspirin, doxycycline, so I'm sure it works in parallel with those, and may not work that well just by itself.

    In terms of living in Florida, a long time ago there was a discussion on rosacea sites of people moving states or country to cooler places, but I realise that's very unfeasible for a lot of people. At least you're more likely to have good air conditioning in Florida building compared to some hot countries in Europe.
    Antwantsclear, thanks again for responding so quickly. I have four children but I have already said that when they are done with college which wonít be for another nine years that I will spend four months every summer up north because I just hate this Florida heat.

    I have to mention something.....and thatís ever since I decreased my LDN again to 1.5mg about 5 days ago, I have noticed a decrease in my indoor heat sensitivity. Even though I keep it at 69 degrees Fahrenheit I still would need a handheld fan and spray bottle everywhere I went in the house. I still use it occasionally but not near as much as I did five days ago. Every little bit that can help I will gladly accept.

    Did you notice any weight gain with gabapentin? How does the hydroxychloroquine help you? One of my doctors mentioned a while ago about me possibly taking that.

    Take care and thank you.
    Angela

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