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Avoid triggers, such as cold wind, and wear sunscreen
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- Can prevent mild flushing, visible blood vessels and thickened skin
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- Not always practical or easy
- May not prevent moderate or severe symptoms
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Topical (rub-on) metronidazole reduces inflammation and kills bacteria
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- Effective for mild to moderate spots
- Less irritation to the skin than azelaic acid
- Suitable for sensitive skin
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- Required for several months
- You need to avoid strong sunlight and UV light
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Azelaic acid unblocks pores and kills bacteria
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- Effective for mild to moderate spots
- Does not make skin sensitive to sunlight
- May be more effective than metronidazole
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- Symptoms take a month to improve
- Can cause mild burning, stinging, dryness and itchiness of the skin
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Tetracycline or erythromycin tablets or capsules reduce inflammation
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- Effective for moderate to severe spots
- Useful if affected area is widespread and creams are difficult to use
- Effective for eye symptoms
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- Required for several months
- Makes contraceptive pill less effective, so alternative contraception should be used
- Can cause sickness, diarrhoea and mild stomach pains
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Isotretinoin, taken in capsules or tablets, is derived from vitamin A and is very powerful
|
- Effective in treating severe acne caused by rosacea
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- Can be prescribed only by a dermatologist
- High risk of causing serious birth defects, so women must use reliable contraception
- Can cause inflammation and dryness of lips, nosebleeds, headaches, inflammation of the eyelids and eyes, skin rashes, muscle, joint and bone pain, blood in urine, easy bruising and bleeding
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Aimed at the blood vessels to shrink them
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- Effective for shrinking visible vessels on the face
- Side effects are mild and last only a few days
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- Can cause bruising, swelling, redness or blisters
- May be painful
- You may need to avoid sun for few weeks before and after treatment
- Not available on the NHS in many areas of the country
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Covers up redness and marks on the skin
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- Can improve confidence and prevent embarrassment
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- You need to learn how to apply it
- Does not cure symptoms
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Surgery to reshape the nose
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- Effective for thickened skin (rhinophyma) on the nose
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- Only for severe cases
- May not be available on NHS
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