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  1. Dr. Chris Steele talks about LDN.
  2. That has been my question for a number of years when I noticed no activity here at the RRDi, even though having over 1200 members, hardly anyone posts. I have thought during this time obviously rosaceans prefer social media over the forum style posting that has been around for twenty years, which doesn't have the user experience they are accustomed to using social media platforms. I have been browsing and posting a little at Facebook, Reddit, and Twitter and found that the level of education about rosacea is paltry and mostly these groups of rosaceans are into horse paste. They feel very comfortable showing horrible photos of their rosacea which I find really ironic since I heard so many complaints about joining the RRDi and filling out contact information (so we dropped the requirement and only require an email address). The lack of knowledge about rosacea in these social media groups and the spam posts allowed for all sorts of treatment for rosacea, not to mention the advertising, to me is a sad choice rosaceans have made instead of joining together in to a non profit organization for patient advocacy. At least I know where the rosaceans have gone. Very sad.
  3. Flugs at RF has started a thread indicating that low dose Naltrexone helps with phenotype 1 (of course Flugs calls it subtype 1). If you read the entire thread Flugs also takes propranolol (10 mg 3 times daily ), uses IPL (post no 29), however, in post no 49 Flugs writes, "I’ve also dropped all the meds I have tried in the past, none of which seemed to help much anyway... at least not enough for me to want to do something to my heart in order to help my face. So all I’m taking now is LDN and a tablesppon of apple cider vinegar every day." Flugs reports at post no 80, "On the down side though - I have to confess that i have had a few (pretty minor) flushes in the past two or three weeks. Almost always for no apparent reasons. It may still be post IPL recovery, last one was a month ago.. but IPL recoveries used to be waaaayyy worse, so if this is all I get I'm fine with that. I confess I have also been dabbling with (very mild) mandelic acid of late - I think I was overdoing it - Ive dialled back." So Flugs is still trying some other treatments along with LDN. In post 99 he mentions his 12th IPL treatment. At post no 112 Flugs writes, "I am still prone to flushing a little when I get too warm - and also (oddly) when I am trying, and failing, not to fall asleep, such as late at night in front of the tv (that’s always made me flush.. does that happen with anyone else!?) when I say “flushing a little” I mean that my cheeks get red and feel warm, but I can take it down pretty much instantly by cooling them (fan, water spray etc) in some way. Even if I were to leave them be they would go down themselves within a few mins... compare that to the sometimes 12 hour long painful flushes I got when the rosacea arrived two years ago." Judworth who suffers from Neuropathic Rosacea (has lots of posts) reports in the same thread Flug started mentioned above about his experience taking LDN, "Since taking LDN I am cautiously happy to report that I haven't had any facial nerve pain, I still get the warm room flush, but my face is less reactive in general, even after a spell on the computer (which always gave me an element of activity even if it wasn't a full-blown flush)." At post no 117 Judworth writes, "LDN has been a god-send for me, not only calming the skin, stopping my facial nerve pain and halting the burning sensation in my mouth caused by lichen planus, I feel it is somehow re-booting my faulty immune system!" The low dose Naltrexone is usually starting out at 1 mg and gradually increasing to 4.5 mg. Flugs insists that taking more than this won't work (go through his thread which has many other users reporting success with what they call LDN). You may want to show your doctor this pdf: Low-dose Naltrexone (LDN) Fact Sheet 2014 LDN Research Trust LDNNow
  4. image courtesy of IMDB Canadian Egyptian actress Christine Solomon has rosacea. She is reported as stating, "I purchased acne products off the shelf, and that turned out to be a big mistake! My cheeks became inflamed because of the ingredients in those products, and my condition worsened. That’s when I consulted a dermatologist for the first time, and he diagnosed me with rosacea at the age of 14 years old." Ms Solomon is the 2018 spokesperson for the Acne and Rosacea Society of Canada’s Rosacea Awareness Campaign. Canadian Egyptian Actress On Rosacea, Acne and Rosacea Society of Canada
  5. Tom Busby, SD poster extraordinare at RF, mentioned in a post on this subject at RF, "an alternative source of ivermectin, on eBay" which is ivermectin powder. I asked Tom whether this would be a good idea since it seems a lot safer to use the horse paste than have to concoct a paste with grain alcohol and his comment is, "horse paste is fairly expensive for a really tiny amount of product.... I have to assume that someone who has some experience formulating hot emulsions (oil in water) could make a non-greasy cream with this ivermectin powder." You might prefer the horse paste for a trial run before purchasing a chemistry set to make this. And of course you would have to know the formulae to be able to take a gram of ivermectin and dilute it to 1% with grain alcohol which is 100 parts grain alcohol to 1 part ivermectin and be able to dissolve it correctly into a cream base. Most rosaceans are not into a laboratory approach to treatment preferring a pill or a topical than experimenting with such treatments in a lab coat. But, of course, this is the internet, and guess what? Watch Mr. Wizard concoct a new rosacea treatment on YouTube (maybe we will hear reports of this). Also, if you haven't heard of the new TXA treatment, it also requires concocting a rosacea treatment yourself by purchasing powder from Amazon or your local chemical store. The RRDi recommends you check with your physician before using ivermectin for rosacea.
  6. Evidence for a genetic component to rosacea has been hypothesized, with a retrospective study showing that rosacea patients have a greater than fourfold increased odds of having a family member with rosacea (Abram et al., 2010; Steinhoff et al., 2013), but the genes leading to this association are not known....A genome-wide association study was conducted in 22,952 individuals whose genomes showed >97% European ancestry. Because of the sample size needed for this study, cases and controls were identified by an online questionnaire in which participants responded to a survey item on whether a healthcare professional had ever diagnosed them with rosacea. Participants who answered “yes” were defined as “cases” (n=2,618), and those who answered “no” (n=20,334) were defined as “controls”.... Together, these data strongly suggest a role for antigen presentation by class II HLA in the etiology of rosacea. The data presented from this large discovery and replication group provide evidence for a genetic component of rosacea. J Invest Dermatol. 2015 Jun; 135(6): 1548–1555. Assessment of the Genetic Basis of Rosacea by Genome-Wide Association Study Anne Lynn S Chang, Inbar Raber, Jin Xu, Rui Li, Robert Spitale, Julia Chen, Amy K Kiefer, Chao Tian, Nicholas K Eriksson, David A Hinds, and Joyce Y Tung
  7. Rosacea is associated with a number of other diseases, referred to as ‘systemic comorbidities’, which one study reports, “Clinicians must be aware of the potential for systemic comorbidities in rosacea patients, which becomes more likely as disease duration and severity increase.” [1] The following is a growing list: Autoimmune conditions [2] Autosensitization dermatitis Allergies (airborne, food, etc.) Anxiety Disorder [3] Alzheimer's Disease Cancer [12] Chronic rhinosinusitis (CRS) [4] CKD Cardiovascular diseases [3] Depression/anxiety disorders [3] Dementia Dental foci of infection [13] Diabetes [3] Dyslipidemia [3] Female hormone imbalance [5] [10] Gastroesophageal Reflux Disease (GERD) and other GI disorders [1] Glioma Hair loss Helicobacter pylori infection [3] Hepatobiliary system disorders [1] Hyperlipidemia [3] Hypertension [6] Inflammatory bowel disease (IBD) HLA-DRA Locus [7] Kidney Disease [8] Low-grade inflammation Mental Health Disorders [9] Metabolic diseases [1] MetS Migraine Multiple sclerosis Obesity Parkinson's disease Psychiatric diseases [3] Respiratory diseases [1] Rheumatoid Arthritis [3] SIBO Ulcerative Colitis [3] Urogenital diseases [10] The above list keeps growing. This complicates the theories on the cause of rosacea increasing the call for further research. For example, one study it was stated, "In this large study of patients with rosacea, atopic dermatitis, and psoriasis, we did not detect an increased 1-year risk of cardiovascular disease after adjusting for confounders." [11] Confounding Factors Therefore, papers stating an association of rosacea with other diseases should all be taken with a grain of salt due to 'confounders' since another paper states, "Limitations included the accuracy of the published data, potential patient selection, and possible confounding factors. The true nature of the drawn correlations is uncertain, and causality cannot be established." [3] [bold font added for emphasis] image courtesy of WikiMedia Commons "In statistics, a confounder (also confounding variable, confounding factor or lurking variable) is a variable that influences both the dependent variable and independent variable causing a spurious association." Wikipedia End Notes [1] Int J Dermatol. 2018 Dec 21;: Systemic comorbidities associated with rosacea: a multicentric retrospective observational study. Aksoy B, Ekiz Ö, Unal E, Ozaydin Yavuz G, Gonul M, Kulcu Cakmak S, Polat M, Bilgic Ö, Baykal Selcuk L, Unal I, Karadag AS, Kilic A, Balta I, Kutlu Ö, Uzuncakmak TK, Gunduz K [2] Dermatol Clin. 2018 Apr;36(2):115-122. doi: 10.1016/j.det.2017.11.006. Epub 2017 Nov 29. Rosacea Comorbidities. Vera N, Patel NU, Seminario-Vidal L. [3] J Am Acad Dermatol. 2018 Apr;78(4):786-792.e8. doi: 10.1016/j.jaad.2017.09.016. Epub 2017 Oct 26. Comorbidities in rosacea: A systematic review and update. Haber R, El Gemayel M. [4] There may be a relationship between rosacea and chronic rhinosinusitis (CRS) as the following quote concludes: "Patients with rosacea and CRS manifested severe erythematotelangiectatic rosacea. There was enough evidence to suggest an association between rosacea and CRS. Clinical and radiological assessments of the paranasal sinuses are recommended." Med Princ Pract 2014;23:511-516 (DOI:10.1159/000364905) Rosacea and Chronic Rhinosinusitis: A Case-Controlled Study Al-Balbeesi A.O. Department of Dermatology, King Khalid University Hospital, King Saud University, Riyadh, Saudi Arabia [5] "There is no research regarding hormones and their effect on rosacea," Dr. Bergfeld said. "However, it has been widely observed that rosacea is often aggravated at menopause and sometimes during mid-cycle." Women May Need Added Therapy, Rosacea Review, NRS [6] Cardiovascular Diseases and Rosacea [7] "The HLA-DRA locus is associated with rosacea as well as with other inflammation-associated disorders, such as inflammatory bowel diseases including ulcerative colitis, Crohn’s disease, and celiac disease....Moreover, Spoendlin et al. found that an increased risk of rosacea was observed particularly during the period of increased gastrointestinal tract inflammation. Thus, the overlap in the genetic relevance of HLA-DRA between rosacea and inflammatory bowel diseases might imply a potential link between these disorders...Patients with rosacea have a higher risk of cardiovascular comorbidities including hypertension, dyslipidemia, and coronary artery disease than that seen in controls. Rosacea severity was also found to be dependent on the presence of cardiovascular comorbidities....In addition, the association between cardiovascular diseases and rosacea might also be explained by enhanced expression of the cathelicidin, which has been observed both in the course of atherosclerosis and rosacea. The GWAS by Chang et al. [20] also revealed that patients with rosacea shared a genetic locus with type 1 diabetes mellitus; this association was further confirmed by a population-based study as well....Patients with rosacea have a significantly increased risk of neurologic disorders such as migraine, depression, complex regional pain syndrome, and glioma...Recently, an increased interest has been shown in the potential associations between neurodegenerative diseases and rosacea....For example,...Parkinson’s disease...dementia, especially Alzheimer disease..." Int J Mol Sci. 2016 Sep; 17(9): 1562. Published online 2016 Sep 15. doi: 10.3390/ijms17091562, PMCID: PMC5037831 Rosacea: Molecular Mechanisms and Management of a Chronic Cutaneous Inflammatory Condition Yu Ri Woo, Ji Hong Lim, Dae Ho Cho, and Hyun Jeong Park, Chris Jackson, Academic Editor [8] Study Finds Possible Link Between Kidney Disease and Rosacea, NRS [9] Clin Exp Dermatol. 2019 Jan 31;: The mental health burden in acne vulgaris and rosacea: an analysis of the US National Inpatient Sample. Singam V, Rastogi S, Patel KR, Lee HH, Silverberg JI [10] J Am Acad Dermatol. 2015 Aug 6; Rosacea is associated with chronic systemic diseases in a skin severity-dependent manner: Results of a case-control study. Rainer BM, Fischer AH, Luz Felipe da Silva D, Kang S, Chien AL [11] Dermatol Ther (Heidelb). 2016 Dec;6(4):649-658. Epub 2016 Sep 22. Cardiovascular Disease Outcomes Associated with Three Major Inflammatory Dermatologic Diseases: A Propensity-Matched Case Control Study. Marshall VD, Moustafa F, Hawkins SD, Balkrishnan R, Feldman SR, [12] J Dermatol. 2019 May 23;: Potential association between rosacea and cancer: A study in a medical center in southern China. Long J, Li J, Yuan X, Tang Y, Deng Z, Xu S, Zhang Y, Xie H [13] Gen Dent. 2019 Nov-Dec;67(6):52-54 Association of dental foci of infection and rosacea: a case report. Sopi M, Meqa K
  8. Watch this cool video on the mechanics of demodex mites by Ungex: The RRDi has many treatments for demodex mites in the store. Ungex Products • Ovante • Cliradex • Demodex Solutions More Ungex videos
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  10. The above report was done with 'questionnaires' and was not done with placebo controlled double blind studies. Again, the above study on diet and rosacea is simply anecdotal reports. Another point to question is, does the tea consumed by the respondents to the 'questionnaire' have sugar?
  11. "We found that high-frequency intake of fatty food and tea presented a positive correlation with rosacea, while high-frequency dairy product intake showed significant negative correlation with rosacea. Sweet food, coffee and spicy food appeared to be independent of any subset of rosacea in our study. However, high-frequency dairy product intake showed a borderline beneficial effect on rosacea severity. We further analyzed the correlation between diet and the subtype of rosacea. We found that high-frequency fatty intake was associated with erythematotelangiectatic rosacea (ETR) and phymatous rosacea, while high-frequency tea intake was only associated with ETR. In addition, high-frequency dairy product intake showed negative correlations with ETR and papulopustular rosacea. Rosacea is associated with some dietary factors, and our study is valuable in establishing dietary guidelines to prevent and improve rosacea." J Dermatol. 2019 Jan 18. doi: 10.1111/1346-8138.14771. Relationship between rosacea and dietary factors: A multicenter retrospective case-control survey. Yuan X, Huang X, Wang B, Huang YX, Zhang YY, Tang Y, Yang JY, Chen Q, Jian D, Xie HF, Shi W, Li J.
  12. A post by johny at RF recommends a trial diet using the principles of the 'carnivore diet' and states, " if you have decades long skin problems, you probably have issues with plant material. The best evidence is to trial the diet and see for yourself, if you give it an honest effort and don't like it no harm done." A thirty to ninety day trial diet cannot do any permanent damage no matter what proof you come up with, you can always go back to the way you were eating before the trial, and as johny points out, 'no harm done.' There is a huge number of links in a google search on 'carnivore diet' and after reading several articles on this subject, I liked the one by Dave Asprey, Carnivore Diet Results: Why It Works for Some People But Didn’t for Me, who tried eating the carnivore diet for three months, and did notice some improvement which is noted in his article (no mention of rosacea, his improvements included "felt great for the first month") and then explains why modifying the carnivore diet with some tweaks to improve it. Sugar and Carbohydrate are rosacea triggers and any diet that reduces these two items will improve rosacea. Maybe the carnivore diet is something you can at least try and report in this thread your results.
  13. Medical News Today has an article by Christian Nordqvist on rosacea [1] that is fairly comprehensive and takes about five minutes to read but isn't keeping up with the phenotype classification of rosacea, refers to 14 million Americans having rosacea (current estimates are 16 million Americans or 415 million worldwide), doesn't get into the many theories on the cause of rosacea, instead discusses five 'factors' that are thought to contribute to rosacea. The article should be updated and I give it a grade C for reporting and keeping up with rosacea. End Notes What is rosacea? Last updated Fri 15 December 2017 By Christian Nordqvist, Reviewed by Cynthia Cobb, APRN, Medical News Today
  14. Steroid Rosacea image credit: Corinna Kennedy own work 2017 https://upload.wikimedia.org/wikipedia/commons/d/d9/Steroid_Rosacea.jpg
  15. Dr. Eric Berg explains why MSM and Grapefruit Seed Extract Oil are beneficial for rosacea.
  16. The RRDi recommends you discuss with your physician any questions before using a veterinary treatment for horses on your rosacea. However, the positive reports of using horse paste are growing exponentially and we would be remiss if we didn't discuss it in this thread. Please read through every post in this thread to be up to date on this subject. Add your experience using horse paste in this thread or complete our poll. "Rosacea appears to be the first human skin disease to be treated with a veterinary medication....Doctors and researchers have growing concerns about the widespread use of this homegrown treatment." [1] First and foremost is to understand that you apply the horse paste TOPICALLY on your face at night just before bed and leave it on all night and wash it off in the am. During the day you can apply your favorite moisturizer if you have dry skin or use nothing if you have oily skin. Even though this horse paste is to be used for horses orally, just remember it is for a 1250 pound horse, so it would probably be a terrible idea to ingest the horse paste in a human, so please apply treatment topically. We have a post about taking oral ivermectin, so this thread is about using the horse paste topically. There is one published paper that compares the treatment of using oral ivermectin alone with taking oral ivermectin and oral metronidazole for rosacea which you may not know about. Ivermectin is one of the 'wonder drugs' and a Nobel Prize was awarded for this discovery. Many report topical horse paste improves Phenotype 2 and Phenotype 4. Why Horse Paste Rather than Soolantra The chief reasons Rosaceans are using horse paste are the following; (1) cheaper, a gram of horse paste cost approximately $1.16/gram while Soolantra costs approximately $13/gram (Six doses of Durvet Horse Paste at Amazon costs about $20 [six doses include 36 grams which is only 55 cents per gram] and lasts approximately six weeks which should be enough to know if it works better than Soolantra), (2) Horse paste is stronger than Soolantra, horse paste is 1.87% ivermectin while Soolantra is 1% ivermectin, (3) the inactive ingredients in certain brands of horse paste are generally more tolerated than the inactive ingredients in Soolantra (some complain of the 'Cetaphil' base ingredients of Soolantra called the 'basis for the vehicle') and, (4) there are way more positive reports using horse paste that the positive reports of using Soolantra, but, of course, no real data on this, just a cursory overall view of the reports indicate that horse paste is working better than Sooantra. Galderma may see this success and make an ivermectin gel similar to horse paste with fewer inactive ingredients than Soolantra. History The first reports of using horse paste for rosacea may have occurred in 2017 or 2018, but an investigation into this hasn't found any earlier references. A typical example is a post at Facebook, who writes, "I did a full 12 week course of horse paste and yes if you don't dilute it with moisturizer, some do experience headaches. I did not. I also took it by the recommendation of my primary care and dermatologist. My dermatologist recommends it to all of his patients that can not afford Soolantra or have health insurance. He has had many patients that have had success stories with it. And says that horse paste and Soolantra are basically the same thing except hp is a tad stronger and the base ingredients are not as toxic as Soolantra. If you want to try it, I suggest doing a test spot first for a couple days." A Reddit a poster writes, "I called my dermatologist to ask about switching from metronidazole to ivermectin and she actually brought up the idea of trying horse paste before I even mentioned anything! She said she doesn't like to prescribe Soolantra because it's so expensive and recommends the horse paste to patients very often. So relieved to have dermatologist approval on this and thought I'd share because I know there are a lot of folks who are skeptical about trying this method since it isn't 'pharmaceutical grade.' " A poster at Facebook posts, "So I went for my routine Botox session and the staff was amazed at how clear my face was from 3 months ago. My doc was so intrigued by me telling her it was horse paste. She was in shock by the results. She took me around the office showing everyone that this horse paste had cleared my skin. She said she is going to tell a few of her patients about it on the down low! She very excited for me!" You can read about all this in a Reddit group r/rosacea or in the Facebook Group Rosacea (English) and this is spreading in other groups. Therefore, the rosaceans who are trying this over-the-counter treatment for horses on their rosacea while reporting success will be the first guinea pigs in this group who have valiantly gone where no rosaceans have gone before and will eventually in the future report back any of the side effects and long term results or risks associated with using a veterinary oral medication for horses on their rosacea topically. It would be ironic that using a horse paste for rosacea that costs a few dollars is just as valid as using Soolantra which has cost millions of dollars for Galderma to go through the hoops to get FDA approval for human use topically. The results are speaking for themselves, horse paste is improving rosacea and the news is spreading like wildfire. Topical Application This post is about topical horse paste for rosacea, NOT oral ivermectin. Brands There are many brands of horse paste and many who report using HP don't mention which brand they are using. Some of more popular brands are Durvet (on the box it says 'paste' but is appears to be a gel), Agri-Mectin, Zimecterin, Noromectin, Horse Health, Durmectin, Bimectin and the list keeps growing. Inactive Ingredients As Tom Busby, mentions in a post at RF referred to in the next comment in this thread (scroll to the next comment) that a valid point is, "The biggest problem with horse paste is that no one knows what the other 98.13% of the ingredients are." The MSDS lists from some brands of horse paste usually do not list the inactive ingredients but some do. We have been investigating and found two brands that actually publish the inactive ingredients, Agri-Mectin and Eqvalan. AGRI-MECTIN (ivermectin) Paste 1.87% Inactive Ingredients The MSDS sheet for AGRI-MECTIN (ivermectin) Paste 1.87% are the following: Corn Oil, Polysorbate 80, Apple Flavor, and Aerosil. Durvet Inactive Ingredients The box on Durvet clearly says the active ingredient is 1.87% Ivermectin. The MSDS sheet for Durvet Ivermectin Paste does NOT list the inactive ingredients, nor does the detail sheet provided by Durvet. This sheet provided by Bimeda, the parent company of Durvet, simply says the inactive ingredients are Proprietary Component A (80.98%), Proprietary Component B (7.65%), and Proprietary Component C (7.5%). At least we know there are three inactive ingredients but what these ingredients are exactly is still a mystery. Horse Health Equine Ivermectin Paste 1.87% The MSDS sheet for Horse Health Equine Ivermectin Paste 1.87% doesn't show the inactive ingredients. Eqvalan However, in the third post in this thread we now have the inactive ingredient list for another horse paste, Eqvalan which are listed below: Eqvalan Oral Paste for Horses Ingredients: Ivermectin: 1.87% w/w. Titanium Dioxide (E171) 2.0% w/w.HyproloseHydrogenated Castor OilPropylene Glycol Bimectin The inactive ingredients are listed as Proprietary Component A (80.98%), Proprietary Component B (7.65%), and Proprietary Component C (7.5%) on this data sheet. Bimectin-Paste_Bimeda_112015_SDS.pdf Duramectin The data sheet for Durvet DuraMectin Ivermectin Paste 1.87% does NOT list the inactive ingredients: duramectinMSDS.pdf Zimecterin The inactive ingredients are not known. First Companion Iverchoice Equine Paste The inactive ingredients are not known. Farnam IverCare (ivermectin paste) The inactive ingredients are not known. Vetrimec Paste (Ivermectin 1.87%) The inactive ingredients are not known. Noromectin (available in the UK) Noromectin is available in the UK (the inactive ingredients are not available) Do It Yourself ElaineA has a Homemade Ivermectin Cream Recipe. End Notes [1] Articles on the internet from reputable sources are publishing news on this subject. The quote is from the first article below. People are turning to medication made for horses to treat rosacea, and dermatologists are concerned, J.K. Trotter, Insider Br J Dermatol. 2018 Dec 30. doi: 10.1111/bjd.17540. Misuse of veterinary wormers in self-medication of rosacea and scabies. Hellen R, Ní Raghallaigh S. Here are other articles mentioning this subject from other reputable sources: "In a recent bulletin in the peer-reviewed British Journal of Dermatology, two Irish dermatologists, Rebecca Hellen and Siona Ni Raghallaigh, described a patient who 'enquired about the use of horse wormer as a cheaper alternative.' " People are turning to medication made for horses to treat rosacea, and dermatologists are concerned, J.K. TROTTER, Business Insider Two dermatologists are quoted as concerned about using horse paste in the following article: People are treating their rosacea with cheap horse medicine, and dermatologists are saying, 'Whoa!', by Bailey King, FEBRUARY 06, 2019. Philly Voice "Physicians are growing concerned about horse paste’s rising popularity. Although it’s cheaper, it hasn’t been tested on humans, and it contains almost double the dosage of ivermectin (1.87 percent versus Soolantra’s 1 percent). Margo Weishar, MD, a cosmetic dermatologist based outside of Philadelphia, says that horse paste “may be irritating, cause allergy, or worse when applied to skin.” People are Using Horse Paste to Treat Rosacea, Julie Morse on February 8, 2019, dermRounds, Dermatology Network "Dermatologists are alarmed with the growing popularity of the inexpensive horse medicine. People cannot be blamed because healthcare is becoming very expensive." Instead Of Makeup, People Are Treating Rosacea With Horse Medicine, Christopher Levay, MiseryWatch Can You Use $5 Horse Paste to Treat Rosacea?, Blog, Leslie Baumann, MD, Cosmetic Dermatologist [2] Clin Cosmet Investig Dermatol. 2016; 9: 71–77. New developments in the treatment of rosacea – role of once-daily ivermectin cream Leah A Cardwell, Hossein Alinia, Sara Moradi Tuchayi, and Steven R Feldman Cost Durvet Ivermectin costs less than $7 for 6 grams ($1.16/gram) while Soolantra costs $390 for 30 grams ($13/gram). Horse Paste brand price varies but typically between $5 and $12 per 6 gram dose. You can save money if you purchase multiple doses (see pricing on three, six and twelve doses by scrolling to the bottom of this post and looking for the Amazon banners). For example, six doses of Durvet costs about $20 which includes 36 grams which is a cost per gram of about 55 cents per gram (a fifty percent savings over buying one dose). The cost savings over Soolantra is one of the principle reasons rosaceans are reporting using horse paste, not to mention the reports that is works better or just as good as Soolantra. Here are the links: Save on Multiple Doses Three Doses Six Doses 12 Doses
  17. Beauty blogger Stephanie Lange has a YouTube channel with a lot of followers has rosacea. She posted on Facebook, "I had a bad flare up of rosacea so I thought instead of hiding - what better way to test out the new @deciem The Ordinary Coverage Foundation!" She has a video, How to Cover Redness / Rosecea / Acne / Inflammation with Makeup you can watch below:
  18. Beauty blogger Casey Holmes has rosacea according to Devon Abelman, allure, in an article, Casey Holmes Shares the Inside Scoop on Her Smashbox Spotlight Palettes, where Casey is quoted as saying, "Since I have a lot of texture and pretty big pores because I have rosacea, I wanted a formula that was very smooth...." Casey has a lot of followers in her YouTube channel and she has a Vlog.
  19. Cæcilie Johansen, MD, who has rosacea explains in details makeup and medicine for rosacea. Zoe Draelos, MD, volunteers for the RRDi MAC, is also the editor of Cosmetic Dermatology and has advice on cosmetics for rosacea. Dr. Sherry Shieh has some advice on what should be in your cosmetic medicine cabinet. Jamie Kern Lima, the co-founder and CEO of IT Cosmetics has rosacea. Beauty bloggers Casey Holmes and Stephanie Lange both have rosacea. There are a number of cosmetic posts for rosacea for your consideration that may prove helpful to you, not to mention our affiliate store has a whole cosmetic category (our non profit organization for rosacea receives a small fee if you purchase a cosmetic for your rosacea which keeps our web site going). We have a informative article about cosmetics and rosacea. Green is the color concealer of choice for rosacea. "Compared with control subjects, rosacea patients were statistically more likely to have positive patch tests. The most common allergens giving positive results were octyl gallate (10.68%), dodecyl gallate (8.74%), tert-Butylhydroquinone (7.77%), thimerosal (6.80%), euxyl K400 (6.80%), cocamidopropyl betaine (5.83%), and 2,6-Di-tert-butyl-4-cresol (4.85%)....This study shows that rosacea patients show a strikingly high prevalence of contact sensitization to cosmetic allergens. We recommend the additional use of cosmetic series for patch testing, and the careful use of cosmetics in rosacea patients if cosmetic contact sensitivity is suspected." Source The RRDi has collected a number of cosmetics to consider in your search by using our affiliate store.
  20. TXA crystals are available at Amazon in this post (scroll through to find banners)
  21. W.C. Fields is the rosacea poster boy with his huge bulbous nose having been linked with excessive drinking, however, we now know Fields suffered from rosacea, Phenotype 5. Fields is quoted as saying, "I never drink water; that is the stuff that rusts pipes." Excessive alcohol consumption causing rosacea has now been debunked. - 12 rosacea myths debunked by a skincare expert, Carla Challis, BT Amelia Fais Harnas, an artist who suffers from rosacea, ironically uses wine as the medium for her art. While excessive alcohol consumption is not the cause of rosacea, alcohol is always mentioned as a factor in rosacea. Asking about rosacea and alcohol is a FAQ that results in clinical papers on this subject. For example, "Importantly, this study adds to the growing body of evidence in implicating alcohol consumption as a factor in the development of rosacea." [1] The vast majority of articles on this subject conclude that red wine is the worst alcohol for rosacea. [2] Another report says, "Although this isn't the first time alcohol has been linked to bringing on rosacea, it was previously thought that red wine was the culprit," and points to white wine instead. [2] Zoe Weiner reports that using red wine as a face mask "totally dried out my skin, but it still looked (and felt) pretty freaking amazing." Zoe doesn't recommend using red wine as a face mask. [2] Anna Blomefield in a Vogue article ponders whether drinking wine is a friend or a foe for rosacea. [2] Wine Spectator has an article on why red wine may be the single most reported rosacea trigger out of all alcohols. [2] Alcohol is just about on every rosacea trigger list and is sometimes listed first. [2] This is the latest information on the subject (if you have the full text, please reply to this post and give the link). [3] Physicians may advise, limiting alcohol consumption over short periods of time." [4] One study concluded, "Alcohol intake was significantly associated with an increased risk of rosacea in women." [5] In another study, researchers quizzed nearly 83,000 people on their alcohol intake every four years. They discovered that the more total alcohol they drank, the more likely they were to develop rosacea over the 14-year follow up. [6] Usually this leads to the following FAQs: Which Alcohol is Your Rosacea Trigger? Which Alcohol Best for Rosacea? End Notes [1] Does Alcohol Intake Lead to an Increased Rate of Rosacea? [2] 5 Boring But Real Effects Alcohol Has On Your Skin White wine may increase risk for rosacea in women, study says Is Red Wine Good For Your Skin? I Used It As A Face Mask & My Pores Definitely Felt Tighter, By ZOE WEINER, Bustle Is Wine Your Skin's Deadliest Foe, Or Its Secret Weapon?, Anna Blomefield, Vogue Are Mystery Triggers Causing Your Rosacea Flare-ups? Why does red wine make my rosacea flare up?, Wine Spectator [3] Rosacea and alcohol intake. [4] Rosacea Triggers: Alcohol and Smoking. [5] Alcohol intake and risk of rosacea in US women. [6] How Booze Can Make Your Face Red, Flushed, and Swollen
  22. "Rosacea patients may be susceptible to rely on peer-generated information. Forums can have detrimental outcomes, primarily due to lack of monitoring and the potential for misplaced trust between fellow sufferers, encouraging others to try potentially harmful alternative remedies. Lack of monitoring allows the spread of inaccurate information, which can result in harm. Medical practitioners should be aware of trending online dialogue and self-treatment remedies to facilitate patient safety." [1] While Ms Riddoch didn't mention the RRDi in her article, the article does have valid points which is why we have solid rules and enforcement on RRDi members who may post. [2] End Notes [1] It takes one to know one: exploring patient dialogue on rosacea web-based platforms and their potential for significant harm Laura H. Riddoch School of Medicine, University of Dundee, Dundee, Scotland [2] RRDi Rules Forum Guidelines Mission Statement Conflict of Interest Policy Privacy Policy Legal Disclaimer
  23. In the OP, smart2005ct mentions in Chapter 8 of Dr. Bowe's book, Beauty of Dirty Skin, that Dr. Bowe recommends "exfoliating the skin with Alpha hydroxy acids" which are a "class of chemical compounds that consist of a carboxylic acid substituted with a hydroxyl group on the adjacent carbon...commonly used in cosmetic applications [that] are typically derived from food products including glycolic acid (from sugar cane), lactic acid (from sour milk), malic acid (from apples), citric acid (from citrus fruits) and tartaric acid (from grape wine)." Wikipedia As you can see from Dr. Bowe's reply to smart2005ct OP question number 1, that she recommends "salicylic acid peels in [her] office, under controlled circumstances." You may want to read Dr. Bowe's book, chapter 8, to see what she says about AHA.
  24. So it really depends on whether you are trying to prevent a flush or a flare up. "For many people, a bright red face during or after exercise is as normal of a reaction as sweating. Some people experience it more often than others, and fair-skinned individuals may be more susceptible. In some cases, rosacea may be the culprit, as exercise is one of the most common triggers for a rosacea flare-up." [1] Cosmopolitan has a article about this subject. Flushing Avoidance Usually when exercising it is not unusual for anyone to get all heated up and flush since you are pumping your heart and this can cause blood to flow to the face and some do indeed experience a flush. (See Is Flushing Rosacea?) For rosaceans this can exacerbate a rosacea flareup (What's the difference between a flush or a flare up?). There really is a difference between a flush and a flare up. A rosacean can have a flush and not exacerbate a rosacea flare up and simply cool down and the skin goes back to normal. But for many, many rosaceans, this simply is not the case, the flush exacerbates a rosacea flareup which means usually a hot flushed, redness that continues for a long period, possibly hours, and is extremely painful and debilitating. These types of flushes are what constitutes flushing/blushing trigger avoidance treatment. The list is massive of how rosaceans who exercise control an exercise trigger which is listed here: Forum Home > Articles > Rosacea Articles > Triggers > Rosacea Trigger Factor List > Physiological > Exercise Treatment for Flushing Avoidance Due to Exercise Prescription and Non Prescription Flushing Avoidance Ice packs, gel packs. cold shower, air conditioning, Ice Roller (Recommended after flushing/flareup by rainbowshummingbird at Reddit in this post [scroll through comments]), Chillow. Flare up Avoidance Basically treating a rosacea flare up due to exercise is whatever you are doing to control rosacea whether a treatment offered by a physician or alternative (non prescription over the counter) treatments. What If I Don't Want To Lose Weight Or I Need Carbohydrate For Athletics? End Notes [1] Exercise may trigger a rosacea flareup
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