Rosacea is a skin condition that is a long-term issue for people who suffer from it. It mainly affects facial skin and is more likely to affect women and people with lighter skin; however, the symptoms of rosacea can often be worse in men. Currently, there is no cure for rosacea, but there are a number of treatments available to control the symptoms. Medicine Direct stocks various medicines to help with this facial skin condition. Browse the range of treatments we have available, below.


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  1. Soolantra (Ivermectin) Cream  30g
    Soolantra (Ivermectin) Cream 30g
    From As low as £32.99
    • Reduces redness and inflammation of the skin
    • Visibly reduces the physical symptoms of Rosacea
    • Contains Ivermectin as the active ingredient
  2. Rozex 0.75% (Metronidazole Gel) 30g
    Rozex 0.75% Gel
    From As low as £21.99
    • Topical Metronidazole antibiotic gel
    • Treats mild to moderate rosacea
    • Reduces inflammation
  3. Mirvaso Gel 30g
    Mirvaso Gel 30g
    From As low as £44.99
    • Topical gel containing Brimonidine
    • Reduces redness and flushing of the skin
    • Long-term daily treatment
  4. Finacea 15% Azelaic Acid Gel - Medicine Direct UK Online Pharmacy
    Finacea 15% (Azelaic Acid) Gel 30g
    From As low as £20.99
    • Contains Azelaic Acid
    • Reduces redness and irritation of the skin
    • Unblocks skin pores preventing spots and flare ups

    Please note brand received may vary

  5. Erythromycin 250mg
    Erythromycin 250mg
    From As low as £32.99
    • Treats Rosacea
    • Reduces symptoms within just a few days
    • Available as a 6 or 12 week course

    Please note brand received may vary

  6. Efracea Modified Release Capsules 40mg Rosacea Treatment - Medicine Direct
    Efracea Modified Release Capsules - 40mg
    From As low as £21.99
    • Effectively treats Rosacea
    • Provide long term relief of Rosacea symptoms
    • Reduces redness and irritation

What is Rosacea?

Rosacea is a chronic inflammatory skin condition that affects the surface of the skin. The symptoms of rosacea often get mistaken for other problems, including acne, eczema or an allergic reaction.

While rosacea symptoms are sometimes mistaken for another condition, it is not an uncommon problem. There is currently no cure for this problem but several topical creams and medications, such as oral antibiotics, are available to lessen the physical signs and symptoms of rosacea.

Rosacea is more common in women, particularly when they are over the age of 30. However, men who get this rosacea may suffer from it more severely.

The cause of rosacea is unknown, but certain types of food and drink (such as spicy food or alcohol) can exacerbate the problem. Being exposed to the sun can also make this condition worse.

You can buy treatment for the symptoms of rosacea from Medicine Direct following an online consultation with one of our registered doctors. They will assess your symptoms and prescribe the most appropriate medication for you.

Place your order with our online pharmacy by 2pm and we can offer you next day delivery on your medicine.

Rosacea Symptoms

The initial signs and symptoms of rosacea include:

  • Facial redness (flushing) across the nose, cheeks, forehead and chin that comes and goes
  • A burning or stinging sensation when you wash your face with water or use any skincare products

The skin redness may be more difficult to see if you have darker skin.

As the condition gets worse, the physical symptoms will remain on the surface of the skin all the time.

You may also have the below symptoms:

  • Tiny broken blood vessels that do not go away
  • Small red bumps which may be pus-filled
  • Dry skin
  • Yellow-orange patches on the skin
  • Swelling, particularly around the eyes
  • Thickened skin, particularly around the nose
  • Sore eyelids or crust around the eyelashes

Types of rosacea

There are four different types of rosacea: rosacea ETR, acne rosacea, thickening skin and ocular rosacea. Each of these subtypes have different symptoms.

Symptoms of rosacea ETR

  • Sensitive skin
  • Swollen skin
  • Dry, rough, scaly skin
  • Broken blood vessels, which you can see on the skin's surface
  • Flushing/redness in the centre of the face
  • Stinging and burning sensation of the skin

Symptoms of papulopustular (acne) rosacea:

  • Oily skin
  • Sensitive skin
  • Broken blood vessels you can see on the skin's surface
  • Raised patches of skin
  • Acne-like breakouts with very red skin

Signs hymatous rosacea (thickening of the skin)

  • Visible broken blood vessels
  • Thick skin on nose
  • Large pores
  • Skin has a bumpy texture
  • Thick skin on your forehead, ears, chin and cheeks

Signs of ocular rosacea:

  • Eyes feeling gritty
  • Bloodshot, watery eyes
  • Cysts on the eyes
  • Decline in vision
  • Dry, itchy eyes
  • Eyes becoming sensitive to light
  • Broken blood vessels on the eyelids
  • Burning or stinging of the eyes

Rosacea Causes

The exact cause of rosacea is unknown, but it is known that there are certain elements that can trigger rosacea to flare up on the face.

The common triggers of rosacea:

  • Hot drinks
  • Spicy foods
  • Emotion
  • Aerobic exercise, such as running
  • Environmental factors, such as extreme temperatures
  • Exposure to sunlight or wind
  • Cosmetic and skin care products
  • Alcohol
  • Drugs that dilate blood vessels, such as medications for blood pressure

Often, you are more likely to develop rosacea if any of the below apply to you:

  • You are a woman
  • You are over the age of 30
  • You have a family history of rosacea
  • You smoke
  • You have light skin, especially if it has been damaged by the sun

Rosacea Diagnosis

No diagnostic test exists for rosacea. Your doctor will diagnose you with this problem based on an examination of your skin and asking you some questions about the history of your symptoms.

They may conduct some tests to rule out any skin diseases or other conditions you may be suffering from, such as eczema, psoriasis or lupus. Rosacea can sometimes be mistaken for a different condition, so doing this will help to rule out a false diagnosis or treatment method that will not be appropriate.

If you have any eye symptoms (ocular rosacea), you may be referred for an evaluation by an eye specialist.

Rosacea Treatment

Unfortunately, a cure for rosacea does not currently exist. However, there are various topical treatments and anti-inflammatory medications available to ease rosacea symptoms. In most cases, these symptoms can be controlled by using a combination of quality skin care products and prescription medicine.

Often, rosacea symptoms may reoccur, so how long you will need treatment for will depend on the type of rosacea you have and the severity of your case. Severe cases may require prolonged treatment. Your doctor will provide you comprehensive medical advice on the duration of your treatment.

Prescription treatments

Various prescription treatments for people with rosacea are available:

  • Topical creams and gels to reduce the redness may be prescribed, such as Finacea gel which contains azelaic acid that can help to improve redness and pimples of milder cases over the course of weeks. Other topical medicines can work to reduce red facial skin by constricting the blood vessels. This type of medicine only constricts the blood vessels temporarily, so you will need to regularly apply the topical treatment in the long-term to prevent flare ups.
  • Your doctor may prescribe oral antibiotics to help with the acne-like symptoms of rosacea, such as the bumps and pimples. In severe cases of rosacea, where you have tried other treatments and they have not reduced the flushing and pimples, your doctor may prescribe you oral antibiotics for acne, such as isotretinoin. This powerful medicine has anti-inflammatory properties, meaning it can help to clear up the acne-like symptoms that come with rosacea, particularly in acne rosacea.

Therapy options

Certain light-based therapies, such as laser treatment, are may also help to ease the flushing (redness) of enlarged blood vessels that occurs in cases of rosacea.

To maintain the benefits of this type of treatment, you may need to repeat the procedure in the future.

Light0based therapies like laser treatment should never be done by anyone other than a certified medical professional.

Does rosacea go away?

Many people with rosacea will find that their symptoms flare up in cycles. As a result, you may experience symptoms for weeks or even months at a time. Then, the symptoms may go away for just as long, before returning again. There is currently no permanent cure for rosacea symptoms, but various antibiotics and topical treatments with anti-inflammatory properties are available on prescription to help ease the facial redness across the cheeks, nose, forehead and chin.

How do I know if I have rosacea?

The most common signs that you are suffering with this condition are:Facial redness (flushing) across the nose, cheeks, forehead and chin that comes and goes; A burning or stinging sensation when you wash your face with water or use any skincare products. Other rosacea symptoms include: Tiny broken blood vessels that stay on the face; Small red bumps which may be pus-filled; Dry skin; Yell0w-orange patches on the skin; Swelling, particularly around the eyes; Thickened skin, particularly around the nose; Sore eyelids or crust around the eyelashes. It is important to note that there are four different types of rosacea, each with varying symptoms. Information on the differing symptoms of each subtype of rosacea can be found on the main page.

How do you clear up rosacea?

Currently, rosacea has no permanent cure, but you can control the facial symptoms of this condition with prescription medicines and topical treatments. Most of these medications are only available to buy on prescription, so you should seek medical advice from a doctor or pharmacist about the most appropriate treatment for you. Medicine Direct stocks various treatment methods for rosacea, including antibiotics and topical medications. After completing a simple online consultation with one of our registered doctors, you will be given a prescription for the most suitable medicine for your condition. You can then use this prescription to buy your medicine from our registered online pharmacy. We offer next day delivery on all orders placed by 2pm. Aside from medication, you can also avoid triggers that cause flare ups of rosacea. Common triggers of rosacea that can lead to facial flushing include: Hot drinks; Spicy foods; Emotion; Aerobic exercise, such as running; Extreme temperature; Exposure to sunlight or wind; Cosmetic and skin care products; Alcohol; Drugs that dilate blood vessels, such as medications for blood pressure

What is the main cause of rosacea?

The primary cause of rosacea remains unknown, but various triggers can cause the condition to flare up in people who have it. The most common triggers for people who have rosacea include: Hot drinks; Spicy foods; Emotion; Aerobic exercise, such as running; Environmental factors, such as extreme temperatures; Exposure to sunlight or wind; Cosmetic and skin care products; Alcohol; Drugs that dilate blood vessels, such as medications for blood pressure. You are also at a greater risk of developing rosacea if any of the below apply to you: You are a woman, You are over the age of 30; You have a family history of rosacea; You smoke; You have light skin, especially if it has been damaged by the sun.

Is it safe to buy rosacea treatments online?

It is perfectly safe to buy medication for rosacea online from Medicine Direct. We are a fully registered UK pharmacy that is regulated by the General Pharmaceutical Council (GPhC). This means that we can guarantee all of our customers that they are ordering nothing but genuine and safe versions of the medicines they require.

What can I do to reduce the chance of a rosacea flare up?

Firstly, you should avoid the most common triggers of rosacea, including alcohol, cosmetic products, exposure to extreme temperatures and excessive sunlight. The following precautions may also help to reduce the risk of your face becoming red: Wear sunscreen when you go outside; Try not to rub or touch your face; Protect your face with a scarf if you need to go out in the cold weather; Wash your face using a gentle cleanser and avoid any products that may cause facial irritation; Keep your skin hydrated by using a gentle moisturiser. Wait for any topical medicines to dry before applying a moisturiser.

What are the four types of rosacea?

The four different types of rosacea are: Erythematotelangiectatic Rosacea (ETR); Papulopustular Rosacea; Phymatous Rosacea and Ocular Rosacea

Can rosacea be prevented?

Sadly, there is no known way to prevent rosacea from occurring as the exact cause of this condition is unknown. Nonetheless, it is possible to prevent flare-ups of the problem by avoiding the major triggers of rosacea. A list of known rosacea triggers can be found on the main page.

Is rosacea contagious?

No, rosacea may not currently have a known cure, but it cannot be passed on from one person to another. By the same token, it is not infectious either.

How is rosacea diagnosed?

There is no formal diagnostic test for this condition. Your doctor will diagnose you with rosacea based on the appearance of your skin and the regularity of the flare-ups you are experiencing. If you are exhibiting eye symptoms, they may refer you to an eye specialist for diagnosis or treatment.

Can rosacea be diagnosed before you have a major flare-up?

In some cases, "prerosacea" can be identified in teenagers and adults in their early 20s. Younger people who show early signs of rosacea often visit the doctor because they have acne or red skin (flushing) which lasts for a prolonged period of time. Young people who are exhibiting early signs of rosacea may also find that topical acne medications and skin products irritate their skin.

How long does rosacea last?

Rosacea is a chronic condition, but people who continue their treatment in the long-term are less likely to suffer from recurring symptoms.

Can rosacea occur in children?

Although it is rare, rosacea can occur in children. This condition is passed down through the family in many cases, so parents who suffer from rosacea would be wise to keep an eye out for early signs and symptoms in their children. If they notice anything worrying, speak to a doctor.

How do I determine what causes a flare up?

Rosacea flare ups can be triggered by a range of causes, which include environmental factors, types of food and drink and stress. Different people will have different triggers, so it can initially be difficult to pinpoint the exact cause of your flare up. It is best to keep a diary of when you have had a flare up of symptoms. This will help you to pinpoint what can cause your rosacea symptoms to get worse.

Doctor Notes

Medicine Direct have an experienced clinical team of doctors, pharmacists and dispensers, all of whom are based in the UK. All are fully trained and qualified to provide appropriate and considered care across all areas of treatment we have available at our online pharmacy.

This means that no matter which member of our team is assigned to your case, you can rest assured that you are in the hands of a highly skilled medical professional, who possesses the compassion and clinical expertise to properly advise you on the best course of treatment.

We are fully regulated

All of our doctors and pharmacists are fully registered with both the General Medical Council (GMC), MHRA and the General Pharmaceutical Council (GPhC). Each member of our team has also worked in various clinic settings in the past, such as community pharmacies and NHS hospitals.

Hussain Abdeh Superintendent Pharmacist at Medicine Direct

Hussain Abdeh
MPharm: 2211840

Superintendent Pharmacist

This content has been written by our Superintendent Pharmacist Hussain Abdeh and has been medically reviewed by our Pharmacist Sonia Khan

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