Guide

Dr. Dray, a dermatologist, has her recommended anti-redness skin care regimen in a YouTube video below which she has partnered with Walmart in using only easy to obtain products. The RRDi has found these same products at Amazon which are listed below the video if you prefer to shop at Amazon. Dr. Dray in her YouTube video above mentions also what she recommends as alternatives to the list above, which are listed for your convenience below: 💜Alternatives to albolene Clinique take the day off cleansing balm Kose softymo cleansing oil 💜Alternatives to vanicream cleanser Cerave hydrating cleanser Neutrogena ultra gentle hydrating cleanser Simple micellar facial gel wash 💜Alternatives to Bioderma sensibio AR cream Cetaphil redness relief night moisturizer PROcure rosacare Cerave PM Equate Beauty Ceramide Moisturizing facial lotion 💜Alternatives to cerave healing ointment Aveeno cracked skin relief Vaseline 💜Alternatives to Eucerin SPF30 Cotz face Blue lizard sensitive SPF 30 Coppertone Pure & Simple SPF50 Think baby Cerave AM 💜Alternatives to vanicream lip spf Cotz lip spf EltaMD UV lip Aquaphor lip 💜Alternative to Cetaphil redness relief spf 20 Physicians formula Super CC SPF30 Reply to this Topic There is a reply to this topic button somewhere on the device you are reading this post. If you never heard about this topic and you learned about it here first, wouldn't it be a gracious act on your part to show your appreciation for this topic by registering with just your email address and show your appreciation with a post? And if registering is too much to ask, could you post your appreciation for this topic by finding the START NEW TOPIC button in our guest forum where you don't have to register? We know how many have viewed this topic because our forum software shows the number of views. However, most rosaceans don't engage or show their appreciation for our website and the RRDi would simply ask that you show your appreciation, please, simply by a post.

Apurva, Might not be rosacea. Some conditions you may want to have your dermatologist rule out: Erythromelalgia Keratosis Pilaris Rubra Faceii Pityriasis rosea There are probably a number of other possibilities to rule out since the list of skin conditions that look like rosacea keeps growing. What are you treating your erythema with?

Noticed a couple of posts that nappy, [aka, diaper] (Australian English and British English), skin treatments are helpful in some cases. For example a post from Smacky at RF who reports, "I've been using Bepanthen for about a week now....So I tried Bepanthen, and within a few hours noticed the skin on my nose and cheeks had settled down a bit and looked better. I've been applying it every morning and night before bed, and every day this week I've woken up find my nose a little less red than the day before. I also haven't had a single new spot or lump. I woke up today and looked in the mirror and my nose is the same skin tone as my face. It's almost surreal. Its like looking at a different person who I'd forgotten about. I feel wonderful Anyway I really hope this will help someone else." Ingredients in Bepanthen: Aqua, Lanolin, Paraffinum liquidum, Petrolatum, Panthenol, Prunus amygdalus dulcis oil, Cera alba, Cetyl alcohol, Stearyl alcohol, Ozokerite, Glyceryl oleate, Lanolin alcohol. Rubydo1 post no 2 states about this SD/Rosacea, "To be honest if it wasn’t for sudocrem I’d have a lot more spots." Sudocrem is a product made in Ireland which is available at Walmart. The ingredients for Sudocrem: Zinc Oxide Ph. Eur., Benzyl Alcohol B.P., Benzyl Benzoate B.P., Benzyl Cinnamate, Lanolin, Purified Water, Liquid Paraffin, Paraffin wax, Beeswax, Micrcocrystalline wax, Sodium Benzoate, Linayl Acetate, Propylene Glycol, Citric Acid, Butylated Hydroxyanisole, Sorbitan Sesquioleate, Lavender fragrance Ingredients for Dermocrem are similar: A similar product that is also used to treat diaper rash is Rugby Zinc Oxide Ointment with the following ingredients: Active ingredient Zinc oxide 20% Inactive ingredients mineral oil, petrolatum

Gerd Plewig, MD, who volunteers on the RRDi MAC recently sent a message to all the RRDi members about his fourth edition of his classic book on acne and rosacea which we feature in our store. Below is his message: On Mon, Jul 1, 2019 at 10:40 PM Plewig, Gerd Prof. Dr.med. wrote: Dear Members of the RRDi, You may be interested that the 4th completely revised and augmented edition of Acne & Rosacea is out. It is printed by Springer Milan, Italy, an can be ordered in print version, or electronically. The major chapter on rosacea has been updated in text and clinical illustrations. Also a new chapter on Demodex folliculorum mites with scanning electron microscopy images is added. Finally a new chapter on the history of acne and rosacea is provided. Best wishes, Gerd Plewig Prof. Dr. Dr. h.c. mult. Gerd Plewig, FRCP Department of Dermatology University of Munich Frauenlobstrasse 9-11 80337 Munich Germany

Permethrin 5% Cream has also been found to improve demodectic rosacea. There are a number of other treatments listed in this category.

Queta at RF has posted her regimen for demodectic rosacea: "Mix .5 TBL melted coconut oil (I put it in a the micro for a few seconds because it hardens at room temp) and 5-6 drop tea tree oil. Apply to face and leave on for 40 minutes each evening. I put some on my eyebrows and a little above my eyes but use extreme caution because tea tree oil will really burn your eyes if you get some in them. After waiting 40 minutes, wash off your face and do your usual nightly skin routine. For awhile after I was done washing my face I would use coconut oil as a moisturizer because I read that mites don't like it." Coconut Oil for Rosacea

In the UK you can get a Rx from a doctor online at this website. For example, you can get a Rx for Soolantra

It was announced by Galderma on its website on May 16, 2019, "Nestlé today announced that it has entered into exclusive negotiations with a consortium led by EQT and a wholly owned subsidiary of the Abu Dhabi Investment Authority (ADIA) for the sale of Nestlé Skin Health for a value of CHF 10.2 billion. The proposed transaction will be subject to employee consultations and approval of regulatory authorities and is expected to close in the second half of 2019."

The results of this study demonstrated that a single, high-density MFU-V treatment may be effective for treating erythematotelangiectatic rosacea. J Drugs Dermatol. 2019 Jun 01;18(6):522 Safety and Effectiveness of Microfocused Ultrasound for Treating Erythematotelangiectatic Rosacea Schlessinger J, Lupin M, McDaniel D, George R More Information on Dual-frequency Ultrasound for Rosacea

It really saddens us that Joanne Whitehead, Ph.D., has resigned from the board of directors of the RRDi. She was instrumental in obtaining and working with two educational grants we received from Galderma in 2015 and 2016. Her expertise will be missed and her volunteer spirit. The RRDi greatly appreciates all the volunteer work Dr. Whitehead performed for the RRDi.

darren1 has shared his experience not only with YouTube but also with RF in this thread and you may watch one of his videos below: Reply to this Topic There is a reply to this topic button somewhere on the device you are reading this post. If you never heard about this topic and you learned about it here first, wouldn't it be a gracious act on your part to show your appreciation for this topic by registering with just your email address and show your appreciation with a post? And if registering is too much to ask, could you post your appreciation for this topic by finding the START NEW TOPIC button in our guest forum where you don't have to register? We know how many have viewed this topic because our forum software shows the number of views. However, most rosaceans don't engage or show their appreciation for our website and the RRDi would simply ask that you show your appreciation, please, simply by a post.

Galderma has applied for a brimonidine foam patent which according to the patent is claimed to have the "advantage of remaining on the surface of the skin and of delivering a smaller amount so as to prevent undesirable effects (rebound effect) and too obtain a foam that is suitable for treating rosacea." US20190099369A1.pdf

Thanks Rory. Looking forward to your results. Did you see this paper about demodex brevis: Demodex Brevis Higher Count Than Demodex Folliculorum in Cylindrical Dandruff Patients

Actually I ran this by my dermatologist who was well aware that Rosaceans were using horse paste topically since he read about it in a journal. There are some dermatologists who are up to date with what is going on and then there are others who are in the dark. He told me that when prescribing Soolantra to his rosacea patients that about one in four patients were successful using it. He gave me a Rx for Soolantra and I tried it and I think now it was the inactive ingredients in Soolantra that irritated my skin. Galderma (or another pharmaceutical company) will probably eventually make an ivermectin gel with a very simple inactive ingredient list to compete with the horse paste that everyone is raving about. Galderma knows what is going on with rosaceans and obviously saw a slight dip in Soolantra sales due to thousands using horse paste. They know that a significant number of rosacea patients are not able to tolerate the inactive ingredients in Soolantra.

Rory, thanks for clearing this up that you are taking the horse paste orally. We do have a thread dedicated to taking ivermectin orally. While many may think that taking oral ivermectin isn't a good idea, the fact is that oral ivermectin has been given to millions of people worldwide and there are long term studies on oral ivermectin in children. However, the RRDi recommends you check with your physician when embarking on this form of treatment as a precaution. It would be better you post in the oral ivermectin thread since this thread is about using horse paste topically. Thanks.

The RRDi is pleased to announce that Apurva Tathe has been appointed to serve on the RRDi Board of Directors. She has a masters of science in biotechnology and is an excellent addition to the board.

What I mean is, you are using the Bimectin topically, correct?

The Bimectin is topical, correct? Does it list the inactive ingredients?

Brady's Blog If you ever wanted to start your own rosacea blog, we have the tools for you to do this. Then you can refer to your blog when posting elsewhere. It is free for members. And you can set your blog to PRIVATE so that only members you invite can view your blog. While my blog is public, so that you can see how a blog works, when setting up your own rosacea blog you simply set it to PRIVATE and only invite who you want to view your blog. The RRDi understands you may want your own private blog and we sponsor your having one which is included in your subscription! These are the steps. Need help? For More information on how to use blogs use the Invision Community help center: Types of Blogs • Introduction to Blogs Scroll below to read my first comment in my blog. You can reply to my comment if you register an account with a donation. Then scroll to bottom and find the reply button or find the 'quote' button at the bottom of any post to post your comment. You can have your own rosacea blog, included with your subscription, compliments of the RRDi. Why not? Your own rosacea blog. Think about it. Your own rosacea blog. FREE! Scroll below for comments on my blog.

We have some instructions provided by IPS on how to use our forum. For example, watch this video on how to change your display name: Where to Begin Editing your profile Sending/Receiving messages General Posting Control Previewing post content Managing followed content How to Use CLUBS Two Factor Authentication Invision Community Apps for iOS & Android Viewing Attachments Reputation & Reactions Custom Profile Fields User Ranks Post color highlighting Profile Completion Other Profile Settings

Mechanism of Action (MOA) Galderma has published three published statements about the MOA (screenshots shown below): (1) "The mechanism of action (MOA) is not confirmed." (2) "The mechanism of action (MOA) of Soolantra® (ivermectin) Cream, 1% in treating rosacea lesions is unknown." (3) "Proposed dual MOA of ivermectin ANTI-INFLAMMATORY [and] ANTIPARASITIC" Basis for the Vehicle However, we are concentrating on an investigation into the 'basis for the vehicle' statement by Galderma regarding Soolantra, which in the Soolantra News post if you scroll down to Cetaphil Base, Galderma in FOOT NOTE 4, we report about the 'basis for vehicle' which Galderma states the following: "Soolantra Cream combats inflammatory lesions of rosacea with a formulation designed for tolerability, utilizing Cetaphil® Moisturizing Cream as the basis for the vehicle." However, the original page is no longer available, but we have a screen shot of the Way Back Machine on August 21, 2018 which shows you the statement below: Soolantra mechanism of action (MOA) (Way Back Machine url) Actually after a careful search, Galderma has moved the statement that Cetaphil is the 'basis for the vehicle' statement to this page: https://www.soolantra.com/hcp/about-soolantra-cream Therefore, the latest statement [as of August 11, 2020] provided by Galderma is: "Soolantra Cream combats inflammatory lesions of rosacea with a formulation designed for tolerability, utilizing Cetaphil® Moisturizing Cream as the basis for the vehicle." SOOLANTRA (ivermectin) cream, 1% is a white to pale yellow hydrophilic cream. Each gram of SOOLANTRA cream contains 10 mg of ivermectin. It is intended for topical use. While the claim by Galderma that utilizing Cetaphil is 'basis for the vehicle' we have investigated and notice the differences with the inactive ingredients in Soolantra with the ingredients in Cetaphil below. SOOLANTRA cream contains the following inactive ingredients: carbomer copolymer type B, cetyl alcohol, citric acid monohydrate, dimethicone, edetate disodium, glycerin, isopropyl palmitate, methylparaben, oleyl alcohol, phenoxyethanol, polyoxyl 20 cetostearyl ether, propylene glycol, propylparaben, purified water, sodium hydroxide, sorbitan monostearate, and stearyl alcohol. Source Cetaphil Moisturizing Cream Ingredients: Water, Glycerin, Petrolatum, Dicaprylyl Ether, Dimethicone, Glyceryl Stearate, Cetyl Alcohol, Helianthus Annuus (Sunflower) Seed Oil, PEG-30 Stearate, Tocopheryl Acetate (Vitamin E), Dimethiconol, Acrylates/C10-30 Alkyl Acrylate Crosspolymer, Benzyl Alcohol, Phenoxyethanol, Prunus Amygdalus Dulcis (Sweet Almond) Oil, Propylene Glycol, Disodium EDTA, Carbomer, Sodium Hydroxide Source Easy to Read Comparison Sheet Compare Soolantra inactive ingredients to Cetaphil Moisturizing Cream Ingredients Google Sheet Inci Decoder has helpful information on this subject.

What is interesting is that Galderma claims Soolantra's base is Cetaphil. However, we did an investigation and compared Cetaphil's ingredients with the list shown in Soolantra and discovered there is a difference. For more information: Soolantra mechanism of action (MOA) SOOLANTRA (ivermectin) cream, 1% is a white to pale yellow hydrophilic cream. Each gram of SOOLANTRA cream contains 10 mg of ivermectin. It is intended for topical use. SOOLANTRA cream contains the following inactive ingredients: carbomer copolymer type B, cetyl alcohol, citric acid monohydrate, dimethicone, edetate disodium, glycerin, isopropyl palmitate, methylparaben, oleyl alcohol, phenoxyethanol, polyoxyl 20 cetostearyl ether, propylene glycol, propylparaben, purified water, sodium hydroxide, sorbitan monostearate, and stearyl alcohol. Source Cetaphil Moisturizing Cream Ingredients: Water, Glycerin, Petrolatum, Dicaprylyl Ether, Dimethicone, Glyceryl Stearate, Cetyl Alcohol, Prunus Amygdalus Dulcis (Sweet Almond) Oil, PEG-30 Stearate, Tocopheryl Acetate, Acrylates/C10-30 Alkyl Acrylate Crosspolymer, Dimethiconol, Benzyl Alcohol, Phenoxyethanol, Glyceryl Acrylate/Acrylic Acid Copolymer, Propylene Glycol, Disodium EDTA, Sodium Hydroxide Source Compare Soolantra inactive ingredients to Cetaphil Moisturizing Cream Ingredients Google Sheet

With regard to flushing, it would be good to read this post. There are a number of drugs used to avoid flushing. There are also a number of other non prescription treatments to avoid flushing which are found here.

Apurva, You may be interested in reading this post, Liver, Yogurt, Sour Cream, Cheese, Eggplant, and Spinach, in the research articles section of our website to get an understanding between the difference of a rosacea flareup trigger vs a flushing trigger.

"In 2016, the definition of sensitive skin (SS) was established by a special interest group from the International Forum for the Study of Itch. SS is defined as a syndrome defined by the appearance of unpleasant sensations (stinging, burning, pain, pruritus, and tingling sensations) in response to stimuli that would not normally cause such sensations.....To our knowledge, only 2 transcriptomic studies have been performed for SS. ...As previously done with rosacea, these two studies provide very interesting data allowing, orientating and suggesting further research. Transcriptomic studies on larger populations are needed but these studies give key data to focus on some pathogenic mechanisms." Front Med (Lausanne). 2019; 6: 115. Sensitive Skin: Lessons From Transcriptomic Studies Adeline Bataille, Christelle Le Gall-Ianotto, Emmanuelle Genin, and Laurent Misery What if a non profit organization for rosacea gathered together 10,000 members, and each member donated one dollar and everyone agreed that a study on transcriptomic research be conducted? Could that be done? It is all up to you whether you think this would be worth investigating. Sensitive Skin vs Rosacea Reply to this Topic There is a reply to this topic button somewhere on the device you are reading this post. More Information on Burning and Stinging in Rosacea