systemic antibiotics in rosacea
Last edited 12/2018
Examples of adult antibiotic regimes include:
- oxytetracycline/tetracycline 500mg bd (should be taken on an empty stomach and patient should be warned not to eat for 1h afterwards); or
- erythromycin 500mg bd (patient advice as above) - an option for pregnant or breastfeeding women, and other groups in whom tetracyclines are contraindicated
Notes:
- courses usually last 6-12 weeks and are repeated intermittently
- full doses are given initially but gradually reduced once the condition has been controlled - usually after 1-3 months. Antibiotics should not be stopped suddenly because this may result in rebound rosacea
Reference:
- (1) Clinical Knowledge Summaries (2018). Rosacea.
- (2) Primary Care Dermatological Society. Rosacea (Accessed 5/12/2018)