FACE - Acne Rosacea - Mild or Suppressive (Unknown cause)

 

 

Metronidazole Gel

MetroGel®

Pregnancy: B; Lactation: Unsafe

Topical Gel 0.75%

 

 

Children: Should not need until adolescence.

Adult: Apply twice daily. (Use sparingly.)

 

 

Clindamycin Topical

Cleocin T®

Pregnancy: B; Lactation: Unsafe

 

Topical Gel 1%: 7.5 g, 30 g

Lotion 1%: 60 mL

 

 

Children: Should not need until adolescence.

 

Adult: Apply twice daily. (Use sparingly).

 

 

Erythromycin Gel

Erygel®, EryDerm®

Pregnancy: B; Lactation: Unsafe

Topical Gel 2%

 

 

Children: Should not need until adolescence.

Adult: Apply twice daily. (Use sparingly).

 

 

 

FACE - Acne Rosacea - Moderate to Severe (Unknown cause)

 

 

Doxycycline

(Vibramycin®)

Generics available

Pregnancy: D; Lactation: Unsafe

 

Caps: 50 mg, 100 mg

Tabs: 100 mg

 

Children: Should not need until adolescence.

Adult: 100 mg PO twice daily.

 

Food: May take with food if GI upset occurs. Take 1 hour before or 2 hours after antacids, iron, milk, or other dairy products. Take with full glass of water to prevent esophagitis.

 

Important side effects: Photosensitivity (use sunscreen), esophagitis. May discolor fingernails.

 

 

 

Tetracycline

(Sumycin®, Achromycin V®)

Generics available

Pregnancy: D; Lactation: Unsafe

 

Caps: 250 mg, 500 mg

Tabs: 250 mg, 500 mg

 

Adult: 250 mg PO four times daily for 7-10 days, then taper to 250-500 mg PO daily.

 

Food: Take 1 hour before or 2 hours after meals. Take with full glass of water to minimize esophagitis. Do not take within three hours of antacids, iron, milk, or other dairy or calcium products.

 

 

 

Important side effects: Photosensitivity (use sunscreen), esophagitis. May discolor fingernails. Rash, nausea, vomiting, diarrhea, superinfection, hepatitis, renal damage.

 

 

FACE - Acne Rosacea – Resistant

 

 

Trimethoprim/Sulfamethoxazole

(Bactrim®, Septra®)

Generics available

Pregnancy: C; Lactation: Unsafe

 

Adult: 1 DS tablet PO twice daily for 10-21 days.

 

Food: May take without regard to food. Encourage fluids.

 

Important side effects: Photosensitivity, rash.

Single Strength (SS) Tabs:

80 mg/400 mg

 

Double Strength (DS) Tabs:

160 mg/800 mg

 

 

Reduce dose if renal impairment (CrCl <30 mL/min).