Red nose flusher journey

[Rtstar]

I am just posting the start of this thread to document my journey for those who share the same symptoms as me. I found other posts like this helpful but the symptoms weren't exactly the same, or it was the same but wasn't updated so I will start another to help others.

My symptom is nose flushing. I do not have pimples or postules, but I do have some spider veins developing. I have a persistent baseline redness on my nose and upper cheeks. I've had rosacea for around five years and have been using metronidazole topical two times a day since two years ago. I don't think it improved my symptoms but I can say that it hasn't gotten worse since I started it. I don't know if this is worth noting but I have dry skin, but my T zone (where my rosacea symptoms are ) is very oily.

(I might have neurogenic rosacea but am not sure yet, I do have undiagnosed Erythromelalgia)

Triggers: initially just indoor heat. Now flushing happens at night regardless of what temperature it is (always indoors)

Since joining this forum I have read about many different treatments. I decided to start with the first line of treatment recommended here using zz cream. Since it is delayed shipment because of the virus I started Claritin as suggested in these posts to see if it helps nose flushers. It is day 10 and 2 days ago I noticed I stopped flushing at night. Baseline redness still there.
Will continue to keep you all posted.

[Denni]

Following

[SaySomething]

Keep us updated. I am struggling with the same problem as yours.

[Rtstar]

Hi all I have no update on zz yet but I thought I should mention I stopped taking claritin 7 days ago. I have not flushed since. My baseline redness is still there throughout the day but not as bad as I was before Claritin. I also have not let hot water touch my face either during this time.

[Brady Barrows]

Have you investigated tranexamic acid solution? It has been discussed here at RF. It is for phenotype 2 and phenotype 3.

[Rtstar]

Have you investigated tranexamic acid solution? It has been discussed here at RF. It is for phenotype 2 and phenotype 3.

This is my first time reading about tranexamic acid. I just read about the studies and the products in that link and i couldn't figure out which percentage of tranexamic acid is recommended. The only time it was referenced was 10% used in a study, and another mentioned 10% is too strong for rosacea patients. I did a quick search and saw that Sephora has a couple products with tranexamic acid but it is only 2-3%. What percentage do you recommend? A brand called the inky list has 3%, and it is sold at sephora

[Brady Barrows]

This is my first time reading about tranexamic acid. I just read about the studies and the products in that link and i couldn't figure out which percentage of tranexamic acid is recommended. The only time it was referenced was 10% used in a study, and another mentioned 10% is too strong for rosacea patients. I did a quick search and saw that Sephora has a couple products with tranexamic acid but it is only 2-3%. What percentage do you recommend? A brand called the inky list has 3%, and it is sold at sephora

I have never used it or done much research on it other than the post I mentioned. There are several posts at RF on this subject. Just type in 'tranexamic' and spend a half hour browsing through the results.

One paper uses a Topical 10% Tranexamic acid for erythematotelangiectatic steriod induced rosacea. Most of the topicals that has TXA in the ingredients usually are 2-3%. One post by dryad points to a page on the web Trick of the Trade: Topical Tranexamic Acid Paste for Hemostasis, which you would have to be careful figuring out how to make this paste.

Since there is the following paper:

J Cosmet Dermatol. 2018 Aug 11;:
The new therapeutic choice of tranexamic acid solution in treatment of erythematotelangiectatic rosacea.
Bageorgou F, Vasalou V, Tzanetakou V, Kontochristopoulos G

It might be prudent to refer to the above paper and ask your physician about this treatment.

red devil at RF [Post no 55] found another treatment using TXA, DERMO PHARMA DNA CREAM TRANEXAMIC ACID + COLLAGEN, by Dermapharma (Switzerland)

TRANX_Cream_Desc-408x450.jpg.cd22b8dfc1714ffc86d568896c176dae.jpg
Another one:
Belo Essentials Tranexamic +Kojic acid

[Rtstar]

I have never used it or done much research on it other than the post I mentioned. There are several posts at RF on this subject. Just type in 'tranexamic' and spend a half hour browsing through the results.

One paper uses a Topical 10% Tranexamic acid for erythematotelangiectatic steriod induced rosacea. Most of the topicals that has TXA in the ingredients usually are 2-3%. One post by dryad points to a page on the web Trick of the Trade: Topical Tranexamic Acid Paste for Hemostasis, which you would have to careful figuring out how to make this paste.

Since there is the following paper:

J Cosmet Dermatol. 2018 Aug 11;:
The new therapeutic choice of tranexamic acid solution in treatment of erythematotelangiectatic rosacea.
Bageorgou F, Vasalou V, Tzanetakou V, Kontochristopoulos G

It might be prudent to refer to the above paper and ask your physician about this treatment.

red devil at RF [Post no 55] found another treatment using TXA, DERMO PHARMA DNA CREAM TRANEXAMIC ACID + COLLAGEN, by Dermapharma (Switzerland)

TRANX_Cream_Desc-408x450.jpg.cd22b8dfc1714ffc86d568896c176dae.jpg
Another one:
Belo Essentials Tranexamic +Kojic acid

I have decided to go ahead and try the tranexamic acid treatment if I still do not hear back about zz cream by June. I was a little hesitant because of the micro needling and the very little research behind it but I decided to try it anyway with a 3% solution. I did read that one case of topical tranexamic acid resulted in blood clot for someone and that does scare me since I have poor blood circulation and EM already. That study didn't say what percentage of tranexamic acid was used, but it did say topical tranexamic acid. I do think its worth noting that I still haven't flushed in a couple weeks even though i stopped taking claritin. I just ordered a probiotic that a couple users recommended for those with histamine intolerance. I'm not sure if that applies to me but I will update if i notice improvement.

[Rtstar]

Update: about 4 days ago i started flushing at night again. Last night I used an air purifier in my room and i have been leaving it on all night and day. My skin hasn't looked this good in awhile. I have noticed that because I haven't been flushing as much as before my baseline redness is a little better as well. Obviously the redness gets better without flushing but I didn't realize that staying away from a flushing episode helps baseline redness overall. i haven't added any skincare to my routine either. This is simply just from avoiding heat and my indoor allergies.

[przemek]

I also had a nose problem, the laser made it worse.
I have recently used the SUMAMED/ Azithromycin antibiotic (macrolide antibiotics))
I think it was an inflammatory condition of the subcutaneous tissue from Staphylococcus aureus.
Yes, I think it is a staph that got deeper in the skin due to too strong laser treatment that greatly weakened the skin's immune system. This antibiotic helped me a lot and what surprised me a lot was the positive effect after 3 hours of use.

Consider whether you have cellulitis / subcutaneous tissue inflammation. Because it is possible from staph or other bacteria.
Right now my inflammation has changed a lot and my skin is the best I've had since a nose problem