Oral And Topical Antibiotics To Treat Rosacea

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Oral And Topical Antibiotics To Treat Rosacea

Antibiotics may reduce overall inflammation of your skin. Antibiotics also reduce the number of pimples and the amount of redness around pimples.

Antibiotics can be applied directly to the skin (topically) or taken by mouth (orally). Topical antibiotics kill bacteria that are on the skin. Oral antibiotics kill bacteria in the skin pores, and work best if started at high doses. When symptoms improve, the dose is then tapered off and a topical antibiotic is used.

Antibiotics are used to reduce the symptoms of rosacea, including redness, pimples, and red lines on the face (telangiectasia), and thick bumps on the nose (rhinophyma), and to reduce the symptoms that accompany eye involvement in rosacea.

People with mild rosacea may only need topical antibiotics. Moderate or severe symptoms usually require oral antibiotics.

To treat rosacea, a typical course of antibiotics would begin with an oral antibiotic, such as tetracycline. Oral antibiotics are usually tapered off after symptoms improve because long-term use of oral antibiotics is associated with side effects. Bacteria build immunity to topical and oral antibiotics within 3 to 5 months, therefore they lose their effectiveness. A topical antibiotic is then used, such as metronidazole. Studies have found that if red, raised bumps have developed, topical metronidazole (1%) is safe and effective. Metronidazole gel (.75%) is effective in preventing or minimizing recurrences of rosacea.

With antibiotic treatment, symptoms usually improve in 3 to 4 weeks, with greater improvement seen in 2 months.

Oral antibiotics, such as tetracycline, are often used with good results to treat eye involvement in rosacea.

Common side effects of antibiotics include:

·	Nausea or vomiting

Diarrhea

·	Photosensitivity

·	Allergic reaction

·	Vaginal yeast infection

Diarrhoea and vaginal yeast infections may occur when oral antibiotics destroy some of the normal and necessary bacteria that live in the body. Eating yogurt may help prevent some of these side effects.

Many public health experts are concerned about antibiotic resistance, a problem that can develop when antibiotics are overused. Over time, bacteria develop new defenses against antibiotics that once were effective against them. Bacteria reproduce so quickly, these defenses can be rapidly passed on through generations of bacteria until almost all are immune to the effects of a particular antibiotic. The process happens faster than new antibiotics can be developed. To help control the problem, many experts advise people to use antibiotics only for short periods, and only as directed. An antibiotic that works for one person with rosacea may not work for another. Over time, antibiotics can stop being effective. When this occurs, a different antibiotic may be used.

Some of the more common topical and oral antibiotics prescribed to treat symptoms related to rosacea are listed below.

Erymax

Erygel

A/T/S

Staticin

Erycette

Ery-Sol

·	Erythra-Derm

T-Stat

Eryderm

You should not use this medicine if you have ever had an allergic reaction to erythromycin.

Warnings:
If you are pregnant or breastfeeding, talk to your doctor before using this medicine.

Side effects:
If you have problems with these less serious side effects, tell your doctor.

·	Skin rash, redness, swelling or itching

·	Dry or peeling skin

·	Tenderness, stinging or burning

·	Eye irritation

Metronidazole (Topical)
Description: Treats skin redness and pimples caused by a skin condition called rosacea (adult acne, or acne rosacea).
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Metrogel

·	Metrocream

Noritate

You should not use this medicine if you have had an allergic reaction to metronidazole.
Use this medicine on your skin only. You should not use the medicine in or near your eyes. The medicine may make your eyes water if it is put on areas around your eyes. If you do get the medicine in your eyes, rinse them well with cool water. Tell your doctor if redness or eye pain does not go away.

Clindamycin (Topical)
Description: Treats acne and skin infections. Belongs to a class of drugs called antibiotics.
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·	Cleocin-T Lotion (Topical)

·	Cleocin-T Topical Solution (Topical)

·	Cleocin-T Gel (Topical)

You should not use this medicine if you have had an allergic reaction to Cleocin or Lincocin or if you have had an intestinal or stomach disease.

Ask your doctor or pharmacist before taking any other medicine, including over-the-counter medicines, vitamins, and herbal products.

If your doctor has prescribed other medicines to be used on your skin, use them at a different time than clindamycin.

Some cosmetics or make-ups may cause your acne to get worse. They may also cause clindamycin to irritate your skin. Use water-based cosmetics.

Warnings:
If you are pregnant or breastfeeding, talk to your doctor before using this medicine.

Side effects:
Call your doctor right away if you have any of these side effects:

·	Hives or rash

·	Swelling of the face, throat, or lips

·	Severe diarrhea (watery or bloody)

·	If you have problems with these less serious side effects, talk with your doctor.

·	Dryness or peeling of skin

·	Irritation or burning of skin

Sulfacetamide (Ophthalmic)
Description: Treats eye infections. Belongs to a class of drugs called sulfonamide antibiotics.
Sold under the Brand Name(s):

·	Isopto-Cetamide

Sulfair

Ak-Sulf

Ophthacet

Cetamide

Sulf-10

·	Sulfair Forte

·	Sodium Sulamyd

Sulten-10

You should not use this medicine if you have had an allergic reaction to sulfacetamide or other sulfa medicines.

Ask your doctor or pharmacist before using any other medicine, including over-the-counter medicines, vitamins, and herbal products.

Warnings:
If you are pregnant or breastfeeding, talk to your doctor before using this medicine.

Side effects:
Call your doctor right away if you have any of these side effects:

·	Vision changes

·	Severe eye irritation that was not there before using this medicine

If you have problems with these less serious side effects, talk with your doctor.

·	Watery eyes

·	Redness, itching, burning, or stinging of the eyes

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Diprolene AF : This medication is used to treat swelling, inflammation, or itching of skin conditions such as eczema, dermatitis, rashes, insect bites, poison ivy, allergies and other irritations.

Dovonex : This medication is a form of vitamin D. It is used on the skin to treat psoriasis.

Elidel : Pimecrolimus is used to treat certain skin conditions such as eczema (atopic dermatitis), in people who have not responded well to, or who should not use other eczema medications (e.g., topical steroids). Atopic dermatitis is an allergic-type condition that causes red, irritated, and itchy skin.

Kenalog : This medication is used to treat swelling, inflammation, or itching of skin conditions such as eczema, dermatitis, rashes, insect bites, poison ivy, allergies and other irritations.

Lamisil : This medication is an antifungal used on the skin to treat skin infections such as athlete's foot, jock itch or ringworm.

Protopic : This medicine is an immunosuppressant used topically to treat itching and swelling associated with a certain skin condition (atopic dermatitis).

Selsun : This medication is used to treat dandruff; a certain scalp infection (seborrheic dermatitis); and for a condition that discolors the skin (tinea versicolor).

Synalar : This medication is used to treat swelling, inflammation, or itching of skin conditions such as eczema, dermatitis, rashes, insect bites, poison ivy, allergies and other irritations.

Ultravate : This medication is used to treat swelling, inflammation, or itching of skin conditions such as eczema, dermatitis, rashes, insect bites, poison ivy, allergies and other irritations.

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