Mirvaso Gel 30g
- Topical gel containing Brimonidine
- Reduces redness and flushing of the skin
- Long-term daily treatment
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What is Mirvaso Gel?
Mirvaso gel contains the active ingredient Brimonidine, which is indicated in the treatment of facial erythema of Rosacea. It is very fast acting and can reduce symptoms over a sustained 12-hour period once applied to the skin.
Brimonidine belongs to a group of medicines known as alpha adrenergic agonists, specifically targeting the alpha 2 receptor. It possesses highly effective vasoconstriction properties which causes visible blood vessels on the face to constrict and reduce, suppressing some of the main symptoms of Rosacea.
Brimonidine (Mirvaso Gel) when used alongside lifestyle changes, such as avoiding rosacea triggers, can be highly effective at managing the symptoms of facial erythema of rosacea.
It can be used by adults over the age of 18 years old.
What is Facial Erythema of Rosacea?
Facial erythema is a subtype of rosacea and can cause the following symptoms:
- Facial flushing
- Dilated or broken blood vessels
- Burning or stinging
- Papules or pustules
Historically, treatment for facial erythema of rosacea consisted of a number of lifestyle changes including the application of high factor sunscreen, avoiding triggers such as extreme weather stress, exercise, spicy food, alcohol and hot drinks.
Brimonidine is the first medicine to be approved for the treatment of facial erythema of rosacea.
How does Mirvaso Gel work?
Brimonidine works to reduce the appearance of blood vessels visible on the upper dermis layer of the skin. It does this by restricting them, causing them to dilate and reduce in size. Mirvaso gel also possesses anti-inflammatory properties, redness and swelling of the skin is also visibly reduced as a result.
In summary, when applied to the skin, Mirvaso works to narrow the blood vessels back to their normal size, reducing visible redness and inflammation of the skin surrounding the affected area.
How do you apply Mivaso Gel?
Mirvaso gel should only be applied once every 24 hours.
Begin by applying a pea-sized amount of gel to the five key areas of the face:
- both cheeks
Avoid contact with the eyes, eyelids, and lips.
Spread a thin layer of the gel smoothly and evenly across the skin. Do not exceed the daily dose of 1 gram, which is the equivalent to five pea-sized amounts applied to the entire face.
You should use your fingertips to apply the cream, once you have applied Mirvaso to the skin, wash your hands immediately.
Always use Mirvaso Gel exactly as instructed by your doctor or pharmacist. Read the patient information leaflet thoroughly and ask your doctor or pharmacist for further instructions if you are still unsure how to use it.
Do not apply any other skin treatments or cosmetics directly before applying Mirvaso Gel. Only apply other skin products once this gel has dried.
Who should not use Mirvaso Gel?
Mirvaso Gel is not suitable for everyone to use. Before using this medicine, we recommend thoroughly reading the patient information leaflet for advice on who this treatment is suitable for.
Do not use this medicine if:
- You are allergic to brimonidine or any of the other ingredients contained in the gel (please refer to the ingredients tab for a comprehensive list)
- You are taking certain medications for Parkinson's disease or depression (please refer to the Warnings tab for further information)
This medicine is not suitable for people under 18 years old. This is particularly important in children under the age of 2; they may be at larger risks of side effects from any medicine that is absorbed through the skin.
You should make sure you talk to your doctor or pharmacist before using Mirvaso Gel if:
- You have any circulation or heart problems
- You have depression, a decreased blood flow to the brain or heart, a fall in blood pressure when you stand up, decreased blood flowing to the skin, hands, or feet, or Sjogren's syndrome
- You have or have ever had any liver or kidney problems
- You have had or are planning to have any laser procedure on the surface of the skin on your face
- Your face's skin is irritated or has any open wounds
Common Mirvaso Gel side effects
Like all medicines, Mirvaso Gel does come with the risk of side effects, although not everyone will suffer from them.
Common side effects of Mirvaso Gel include:
- Skin redness or a burning/itching feeling
Uncommon side effects may include:
- Nasal congestion
- Cold feeling in the hands and feet
- Swelling of the eyelid
- Dry mouth
- Feeling hot
Speak to your doctor if any of these reactions bother you or do not go away.
These lists are not exhaustive. Please refer to the Side Effects tab for more information. For a full, exhaustive list, please thoroughly read the patient information leaflet before using this medicine.
Mirvaso gel is cosidered safe to use in the long term treatment of facial erythema of rosacea. It continues to provide long term relief of symptoms when used consistently and applied as instructed.
Should you experience any side effects, it is important that you speak to your pharmacist or doctorwho may advise you to persist with your treatment plan, or discontinue depending on the severity of your side effects.
Mirvaso gel alternatives
There are a number of rosacea treatments available to help reduce some of the visible symptoms. However, when it comes to facial erythema of rosacea, Mirvaso gel is the first and only indicated treatment.
Other commonly prescribed rosacea treatments include:
- Rozex (Metronidazole) Gel which is a topical treatment for rosacea.
- Finacea (azelaic acid) gel which reduces the swelling and redness of the skin caused by rosacea
- Soolantra (Ivermectin) cream which visibly reduces pimples and spots associated with rosacea
Mirvaso Gel and Lifestyle changes
Whilst mirvaso gel can help to reduce some of the visible symptoms caused by rosacea, it should be considered as a treatment rather than a cure.
In order to successfully manage the symptoms of rosacea, certain lifestyle changes need to be adopted in conjunction with applying Mirvaso gel. Avoiding common trigger factors such as the below can help to manage rosacea symptoms more effectively:
- Spicy foods
- Hot drinks
- Extreme weather
- Strenuous exercise
How to apply Mirvaso Gel
Our pharmacists and prescribers follow NICE prescribing guidelines when prescribing Mirvaso Gel.
Storage and disposal
Keep Mirvaso Gel out of the sight and reach of children.
This medicine does not require any special storage conditions, but do not freeze it.
Do not use past the expiry date, which can be found on the packaging.
Do not dispose via wastewater or household waste. Speak to your doctor or pharmacist about how to safely dispose of any excess gel. This will help to protect the environment.
What is Mirvaso Gel used for?
How does Mirvaso gel work?
Can mirvaso make my Rosacea worse?
How long does it take for Mirvaso to work?
Is Mirvaso gel safe to use for a long time?
When should I stop using Mirvaso?
Will my rosacea return if I stop using it?
When should I use Mirvaso?
Will mirvaso completely clear my Rosacea?
Can I buy Mivaso over the counter in the UK?
Can I buy Mirvaso Gel online in the UK?
Mirvaso Gel Side Effects
Rare side effects of Mirvaso Gel can include:
- A slow heart rate
Serious allergic reaction
In rare cases, it is possible that you might suffer a serious allergic reaction to Mirvaso.
You must either go to A&E or call 999 straight away if you get any of the following symptoms:
- You are finding it hard to breathe or speak
- You develop a skin rash that may include red, itchy, swollen, blistered or peeling skin
- Your mouth, tongue, throat, lips or face starts to swell
- You are wheezing
- You have tightness in your chest or throat
You could be having a serious allergic reaction and require treatment in hospital immediately.
Always read the patient information leaflet for full details on side effects and how to cope with them. If you have any questions or concerns at all, please do not hesitate to talk to your doctor or pharmacist.
Mirvaso Gel Warnings
Seek medical attention immediately if anyone swallows any of this gel.
This medicine is not suitable for anyone under 18.
Mirvaso with other medicines
Before you start using Mirvaso Gel, please tell your doctor or pharmacist if you are already using any other form medicine, whether it is to treat rosacea or a different condition. This includes prescription and non-prescription medication, herbal remedies, vitamins and supplements.
Particularly, tell them if you are taking any of the following:
- Medicines used for pain, sleep disorders or anxiety disorders
- Any other alpha agonist medicines, alpha antagonists or alpha blockers
- Medicines used to lower blood pressure, such as beta blockers
- Medicines used for psychiatric disorders, high blood pressure or hyperactivity
- Cardiac glycoside medicines
Do not use any of the following medicines alongside Mirvaso Gel:
For more information on medicicines that interact with Mirvaso Gel.
Alcohol and driving
Please ensure you inform your doctor if you drink alcohol on a regular basis. This may affect your treatment with Mirvaso Gel.
Mirvaso will not directly impair your ability to drive. However, one of the side effects of this medicine is dizziness; if you experience this while using Mirvaso Gel, you should not drive, cycle or operate machinery until you feel better.
Always read the patient information leaflet for complete details on warnings and drug interactions. Speak to your doctor or pharmacist before using Mirvaso Gel if you have any questions or concerns.
Pregnancy and breastfeeding
Mirvaso is not recommended for use by pregnant women, as the effects on the unborn baby are unknown.
It is also not known whether this medicine passes into your breast milk, so you are advised not to use Mirvaso Gel while breastfeeding, too.
Always read the patient information leaflet for full details on who may not be suitable to use this medicine.
Mirvaso Gel Ingredients
The main active ingredient within this medicine is: Brimonidine tartrate
For a full list of the inactive ingredients, please read the Summary of Product Characteristics
How it works - get your medicine in 3 simple steps
- 1 Choose your treatment Select the treatment or medication you need and answer a few questions online regarding your condition.
- 2 Online consultation Our Independent Prescribers will review your questions and assess your suitability for the medication.
- 3 Receive your delivery Your medication is dispensed and delivered directly to you from our UK based Pharmacy.