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Thread: Should type 1 rosacea people use metrogel,soolantra,finacea etc?

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    Default Should type 1 rosacea people use metrogel,soolantra,finacea etc?

    So I have type 1 rosacea which basically just gives me baseline redness 24/7 with visible spider veins down the side of my nose. I do flush occasionally but that doesn't really bother me. I also have zero spots, acne etc. I'm like 99% sure my Rosacea was caused by sun damage it appeared during last summer and hasn't left. So I'm thinking in my case it's not so much an inflammatory problem as much as blood vessel/capillary damage.

    I'm wondering before I try for last resort and go for a v beam. Would any of these -metrogel,soolantra,finacea/azelaic gel, rozex, efacea; help me out? Or are these medications for people that have type 2-3 and gut/inflammation issues?

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    Quote Originally Posted by LawrenceK View Post
    So I have type 1 rosacea which basically just gives me baseline redness 24/7 with visible spider veins down the side of my nose. I do flush occasionally but that doesn't really bother me. I also have zero spots, acne etc. I'm like 99% sure my Rosacea was caused by sun damage it appeared during last summer and hasn't left. So I'm thinking in my case it's not so much an inflammatory problem as much as blood vessel/capillary damage.

    I'm wondering before I try for last resort and go for a v beam. Would any of these -metrogel,soolantra,finacea/azelaic gel, rozex, efacea; help me out? Or are these medications for people that have type 2-3 and gut/inflammation issues?
    I find soolantra, and more so Zhongzhou cream, very helpful for type 1 rosacea yes. The purpose is to kill demodex mites, which interfere with the skin in all types of rosacea, the research is now indicating. Lots of people on the forum use zhongzhou cream for type 1 for redness etc. A skin barrier cream such as Skinceuticals Epidermal Repair cream or Dermalogica Barrier Cream can also be very helpful.

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    Senior Member Brady Barrows's Avatar
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    Did you actually get a diagnosis of subtype 1 from your physician or did you self diagnose yourself? Either way, you or your physician are not keeping up with the latest classification of rosacea. Depending on the phenotype determines the treatment.

    One of the many theories on the cause of rosacea is sun damage and you should have your physician rule out photosensitivity diseases from rosacea.

    "When a patient presents with a rash on sun-exposed areas, a thorough history must be taken that includes exposure to sunlight, use of medication, and prior personal and family history of manifestations of dermatologic disease. The dermatologic examination further delineates the photosensitive dermatosis. Correctly diagnosing the specific condition associated with a photosensitive rash makes it possible to provide adequate treatment and, depending on the diagnosis, avoid future outbreaks. Clinicians must be aware of the spectrum of photosensitivity diseases because these conditions are common and can be associated with systemic diseases, although they are rarely life-threatening."
    Last edited by Brady Barrows; 16th March 2020 at 03:13 PM.
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    Quote Originally Posted by antwantsclear View Post
    I find soolantra, and more so Zhongzhou cream, very helpful for type 1 rosacea yes. The purpose is to kill demodex mites, which interfere with the skin in all types of rosacea, the research is now indicating. Lots of people on the forum use zhongzhou cream for type 1 for redness etc. A skin barrier cream such as Skinceuticals Epidermal Repair cream or Dermalogica Barrier Cream can also be very helpful.
    Thanks a lot, I'll look into those. Never heard of this zhongzhu cream is it some sort of Chinese medicine or just a brand name of something else?

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    Quote Originally Posted by Brady Barrows View Post
    Did you actually get a diagnosis of subtype 1 from your physician or did you self diagnose yourself? Either way, you or your physician are not keeping up with the latest classification of rosacea. Depending on the phenotype determines the treatment.

    One of the many theories on the cause of rosacea is sun damage and you should have your physician rule out photosensitivity diseases from rosacea.

    "When a patient presents with a rash on sun-exposed areas, a thorough history must be taken that includes exposure to sunlight, use of medication, and prior personal and family history of manifestations of dermatologic disease. The dermatologic examination further delineates the photosensitive dermatosis. Correctly diagnosing the specific condition associated with a photosensitive rash makes it possible to provide adequate treatment and, depending on the diagnosis, avoid future outbreaks. Clinicians must be aware of the spectrum of photosensitivity diseases because these conditions are common and can be associated with systemic diseases, although they are rarely life-threatening."


    This came about late august last year and I went to see my local gp (in UK) who specialises in dermatology. He thought it was sun damage rather than rosacea.

    Basically I did something really stupid that summer. I had a dark tan right but my face got much darker than my neck and chest so I read online about using raw lemons on skin to lighten it so for a few weeks every couple of days I applied lemon juice on my face for 30 mins. For about 3 weeks my skin lightened and looked normal to where my body was darker tone. Then I started getting red every time the sun hit me, it would fade after 2 days or so after i applied aloe Vera gel, until one very hot day I was exposed to the sun for probably an hour or so walking around. My face went red permently and has never returned back to normal, the only time it looks somewhat like it used to is when I wake up in the morning but within an hour or so its deep red again. I thought it was chemical burn at first but i guess not.

    The thing I find troubling is I have no other signs of sun damage besides the redness. No change in skin texture, wrinkles, freckles, melanoma etc. But many of the rosacea symptoms e.g. red face, burning sensation, sensitivity to spicy foods/sunlight etc. That's why I feel I have Rosacea.

    I read your articles though very interesting, what do you think?

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    Quote Originally Posted by LawrenceK View Post
    This came about late august last year and I went to see my local gp (in UK) who specialises in dermatology. He thought it was sun damage rather than rosacea.

    Basically I did something really stupid that summer. I had a dark tan right but my face got much darker than my neck and chest so I read online about using raw lemons on skin to lighten it so for a few weeks every couple of days I applied lemon juice on my face for 30 mins. For about 3 weeks my skin lightened and looked normal to where my body was darker tone. Then I started getting red every time the sun hit me, it would fade after 2 days or so after i applied aloe Vera gel, until one very hot day I was exposed to the sun for probably an hour or so walking around. My face went red permently and has never returned back to normal, the only time it looks somewhat like it used to is when I wake up in the morning but within an hour or so its deep red again. I thought it was chemical burn at first but i guess not.

    The thing I find troubling is I have no other signs of sun damage besides the redness. No change in skin texture, wrinkles, freckles, melanoma etc. But many of the rosacea symptoms e.g. red face, burning sensation, sensitivity to spicy foods/sunlight etc. That's why I feel I have Rosacea.

    I read your articles though very interesting, what do you think?
    As there are a number of photosensitive diseases, and your physician who specializes in dermatology diagnosed it was sun damage, what did your physician prescribe as the treatment? You could get a second opinion. Basically, unless you respond well to rosacea treatments, the sun damage diagnosis is the treatment protocol to follow.

    Sun damage can take some time to heal the skin since it damages deep into the skin layers. After the skin does heal, it is extremely photo sensitive. Then you apparently added to the damage using lemon juice. Sometimes, the treatments we use damage the skin further, even when one has rosacea, i.e., steroid treatments over the long haul damage the skin further. Besides lemon juice what have you been putting on your face? Some sun screens can actually make your skin worse if your skin is super sensitive. Recommend you always wear a hat and cover your face as much as possible from the sun. Obviously there is merit in why the Arabs wear turbans and cover their face with shawls.
    Last edited by Brady Barrows; 16th March 2020 at 06:39 PM.
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    Quote Originally Posted by Brady Barrows View Post
    As there are a number of photosensitive diseases, and your physician who specializes in dermatology diagnosed it was sun damage, what did your physician prescribe as the treatment? You could get a second opinion. Basically, unless you respond well to rosacea treatments, the sun damage diagnosis is the treatment protocol to follow.

    Sun damage can take some time to heal the skin since it damages deep into the skin layers. After the skin does heal, it is extremely photo sensitive. Then you apparently added to the damage using lemon juice. Sometimes, the treatments we use damage the skin further, even when one has rosacea, i.e., steroid treatments over the long haul damage the skin further. Besides lemon juice what have you been putting on your face? Some sun screens can actually make your skin worse if your skin is super sensitive. Recommend you always wear a hat and cover your face as much as possible from the sun. Obviously there is merit in why the Arabs wear turbans and cover their face with shawls.
    He prescribed me mirvaso because my face is very red with visible blood vessels on my nose; which I used once, it made my skin ghost white pale to where I looked sickly for about 12 hours, then i got a rebound afterwards that made me really dizzy/nauseous. which scared me quite a bit so I stopped using it.

    He recommended some retinol A to try that and repair the skin from sun damage, though I'm quite apprehensive about trying it because I've read posts on here which many people say it made their redness and burning worse. Also I've tried supplementing with vitamin d and it made me very red.

    I researched myself and tried 'rosaceacare vitamin K serum'. Been trying it for about 2 weeks (because I read vitamin K helps the skin heal and thickens blood) and if anything it made my skin redder and more irritated.

    The other problem I'm having is everything I apply to my skin topically makes it irritated and worse. Maybe my skin barrier is badly damaged?

    Things I take right now orally:

    Vitamin k- 2600mcg per day
    Zinc picolinate - 22mg per day
    Hydrolysed collagen 10g per day

    My skin has got softer using these (didn't really have that problem to begin with) and more moist. But still red hue to the face.

    What medications do you know of that help skin repair itself from sun damage?

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    Senior Member Brady Barrows's Avatar
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    Quote Originally Posted by LawrenceK View Post
    He prescribed me mirvaso because my face is very red with visible blood vessels on my nose; which I used once, it made my skin ghost white pale to where I looked sickly for about 12 hours, then i got a rebound afterwards that made me really dizzy/nauseous. which scared me quite a bit so I stopped using it.
    He recommended some retinol A to try that and repair the skin from sun damage, though I'm quite apprehensive about trying it because I've read posts on here which many people say it made their redness and burning worse. Also I've tried supplementing with vitamin d and it made me very red.
    I researched myself and tried 'rosaceacare vitamin K serum'. Been trying it for about 2 weeks (because I read vitamin K helps the skin heal and thickens blood) and if anything it made my skin redder and more irritated.
    The other problem I'm having is everything I apply to my skin topically makes it irritated and worse. Maybe my skin barrier is badly damaged?
    Things I take right now orally:
    Vitamin k- 2600mcg per day
    Zinc picolinate - 22mg per day
    Hydrolysed collagen 10g per day
    My skin has got softer using these (didn't really have that problem to begin with) and more moist. But still red hue to the face.
    What medications do you know of that help skin repair itself from sun damage?
    Adding Mirvaso surely added to your issues as you discovered. Sometimes it is just best to let you skin heal for some days on its own and only apply water, some even say only use distilled water since the chlorine in water is also irritating to sensitive skin. Some have mentioned using pure aloe vera plant cuttings (the gel from the actual plant). You may want to use treatments for burns on your skin and, of course, do a small patch test to see if it irritates the area or actually improves your skin.
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    Quote Originally Posted by LawrenceK View Post
    He prescribed me mirvaso because my face is very red with visible blood vessels on my nose; which I used once, it made my skin ghost white pale to where I looked sickly for about 12 hours, then i got a rebound afterwards that made me really dizzy/nauseous. which scared me quite a bit so I stopped using it.

    He recommended some retinol A to try that and repair the skin from sun damage, though I'm quite apprehensive about trying it because I've read posts on here which many people say it made their redness and burning worse. Also I've tried supplementing with vitamin d and it made me very red.

    I researched myself and tried 'rosaceacare vitamin K serum'. Been trying it for about 2 weeks (because I read vitamin K helps the skin heal and thickens blood) and if anything it made my skin redder and more irritated.

    The other problem I'm having is everything I apply to my skin topically makes it irritated and worse. Maybe my skin barrier is badly damaged?

    Things I take right now orally:

    Vitamin k- 2600mcg per day
    Zinc picolinate - 22mg per day
    Hydrolysed collagen 10g per day

    My skin has got softer using these (didn't really have that problem to begin with) and more moist. But still red hue to the face.

    What medications do you know of that help skin repair itself from sun damage?
    I highly recommend that you don't take vitamin k - it causes clotting of the blood vessels, which is really not a good idea in type 1 rosacea. I noticed the bad effects of it just taking vitamin k for a few days. Topical vitamin k may be useful but certainly not orally.

    The medicines that are useful, if you go to a dermatologist who is expert in treating rosacea, are clonidine, moxonodine, hyroxychloroquine, gabapentin etc.

    Soolantra may be helpful too.
    Last edited by antwantsclear; 17th March 2020 at 03:08 PM.

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    Senior Member Mistica's Avatar
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    Perhaps your use of topical lemon juice, followed by sun exposure has resulted in a case of phytophotodermatitis?

    https://www.verywellfamily.com/sun-a...d-match-616635

    I realise you don't have blisters but still the connection is still worth considering.

    https://www.medicalnewstoday.com/art...d-risk-factors

    Perhaps the lemon juice+UV interaction was enough to trigger rosacea.

    Have you tried taking antihistamines?

    I second the trial of ZZ cream, heavily diluted. It has anti inflammatory properties.
    Previous Numerous IPL.
    Supplements: Niacinamide, Vit K2, low D3, Vit A. Moderate Dose Vit C, Iodine, Taurine, Magnesium. Very low dose B's. Low dose zinc (to correct deficiency).
    Skin Care: No Cleanser, ZZ cream mixed with Niacinamide gel 4% and LMW HA 2%, ethyl ascorbate 2%.

    Treating for gut dysbiosis.(This is helping).
    Previous GAPS diet. Have now introduced lots of fibre.
    Fermented Foods. Intermittent fasting -16-18 hours.
    Oral Colostrum. Helps reduce food reactions.

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