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Gold Standard for Rosacea Treatment

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The gold standard for rosacea treatment is Oracea and Soolantra, both Rx(s) from Galderma (yes, Galderma has sponsored three RRDi education grants).  If your physician (hopefully a dermatologist) hasn't treated you with the gold standard, then, your physician simply isn't keeping up with the latest information on rosacea treatment. If these two treatments don't improve your rosacea, then you obviously have some other rosacea variant, rosacea mimic, or some other possible co-existing condition. Also, if your physician diagnoses you with a subtype of rosacea, your physician hasn't been keeping up with the new phenotype classification of rosacea, so you may want to find one who is keeping up with the latest information on rosacea.

Once you are on the gold standard of treatment for rosacea you should improve within thirty days. Some may take longer, say sixty to ninety days, but usually you will know whether this treatment improves your rosacea within this time period. If not, you simply go back to your physician (hopefully a dermatologist) who will prescribe a different treatment if you don't respond to the gold standard. Not everyone will respond well to the gold standard, but it is worth trying since many do improve their rosacea with this treatment. 

Because the gold standard is so expensive (Oracea and Soolantra are expensive, hence the gold designation), in many social media groups, i.e., Facebook, Twitter, Reddit, there are reports that many have been trying an inexpensive horse paste and rave about the success. There are other options or alternatives  also reported using oral ivermectin and metronidazole, other prescriptionssecondary therapy, the ZZ Creamdemodex treatments,  probiotics (probiotic therapy), or when rosacea doesn't respond to standard therapies

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