AARS publish their Rosacea Treatment Guidelines

Written by on July 15, 2008 in research foundation, Rosacea Fact Sheets with 3 Comments

aars-header The American Acne & Rosacea Society have published a PDF containing their Rosacea Medical Management Guidelines. The aim of the guidelines is  “to provide an overview of the fundamental disease state of rosacea and quality of life implications and outline available pharmacological treatments for rosacea with reference to supporting research and literature. The pharmacological agents discussed are inclusive of those that are FDA-approved based on phase 3 pivotal trials, commonly used agents based on extensive clinical experience, and less commonly used alternatives reported in peer-reviewed literature.”

So reading that aim you will understand that the AARS will promote and discuss the well established and proven mainstream treatment options for rosacea.

These guidelines have also been published as American Acne & Rosacea Society rosacea medical management guidelines, J Drugs Dermatol. 2008 Jun;7(6):531-3

The AARS have a distinguished group of professionals listed as their Officers, Directors and Chairmen. Their stated overall aim is to provide information about the quality of life of rosacea sufferers and to promote the available research-supported treatments.

An interesting quote from their Disease State Fundamentals: “There is no definitive evidence that rosacea is caused by a microbial pathogen, such as a bacterium, parasite or virus.”

The topical treatment listing contains the usual suspects: sulfacetamide/sulfur, metronidazole, azelaic acid – but also mentions benzoyl peroxide/clindamycin 1% as well as the controversial topical permethrin as a treatment for rosacea that was diagnosed as demodex folliciulitis based.

The discussed oral treatments mention the well known agents anti-inflammatory dose doxycycline, the tetracycline family, and accutane. Skin care such as a gentle cleanser and moisturizer along with a sunscreen also gets a mention.

So the guidelines are a good description of what the published research supports as rosacea treatments. Whilst many rosacea suffers may want to look outside the standard regime for rosacea treatments, this management guideline will be useful for establishing a baseline to educate sufferers and practitioners.

There are plenty of other rosacea treatment regimes that do show promise such as IPL and laser. Given that the AARS will only promote treatments that FDA approved (and based on phase 3 trials), I think it is unlikely that we will see these sorts of alternative therapies discussed by the AARS.

More Standard Treatment Regimes

The Expert Committee from the (unrelated) National Rosacea Society have also published standard or “official” treatments for rosacea.

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About the Author

About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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3 Reader Comments

  1. Can't say says:

    I cleared mine up by using a very mild pesticide used on Rabbits. It has to be mild for them. Overnight my skin was almost clear, and in 3 days it was totally clear.

  2. Mathilda says:

    I live in Venezuela and most recommended treatments are not available here. I would like to know the active ingredient on rabbits pesticide that works almost miraculously

  3. I’m guessing that they are talking about something like Permethrin which is used to kill demodex mites. There are lots of pages here that talk about demodex mites, how to kill them and also discussions about any possible links between demodex mites and rosacea symptoms. Take the link in the left hand topics column to demodex mites for a heap more info.


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