Finacea plus Low Dose Accutane to treat Seborrheic Dermatitis + Rosacea + AK

Below is a recent paper suggesting that combining Finacea with Low Dose Accutane is a useful treatment for rosacea concomitant with seborrheic dermatitis. The patient was also suffering from Actinic Keratosis (pre-cancerous skin lesions).

The patient experienced relief from both rosacea and seborrheic dermatitis, two conditions that together sometimes prove tricky to treat.

Bear in mind, though, that this paper is a case study of just one patient.

Rational management of papulopustular rosacea with concomitant facial seborrheic dermatitis: a case report

J Clin Aesthet Dermatol. 2011 Jan;4(1):40-2., McFalda WL, Roebuck HL., Clarkston Dermatology, Clarkston, Michigan.

Objective: To report a case of papulopustular rosacea with concomitant seborrheic dermatitis and discuss how signs and symptoms were ameliorated using a rational therapeutic approach.

Design: Patient case report. Setting: Clinical practice.

Participant: One male patient with rosacea, seborrheic dermatitis, and actinic keratoses.

Measurements: Change in signs and symptoms over time.

Results: Improved skin care practices and treatment with azelaic acid 15% gel twice daily in combination with low-dosage oral isotretinoin resulted in improvement in symptoms of both rosacea and seborrheic dermatitis.

Conclusion: In patients with multiple skin disorders, use of medications with benefits for more than one of the skin conditions may, in some cases, reduce the overall number of medications needed, thus simplifying treatment.

We know from some recent research that Finacea, as well as being a recognised treatment for the papules and pustules of rosacea, has anti-fungal and anti-inflammatory properties that can help in the treatment of seborrheic dermatitis. Here from Rosacea News in Feb 2009;

Seborrheic Dermatitis: state of the art, Finacea 3 stars

The author mentions recent research that links seborrheic dermatitis with a spore known as Malassezia Globosa. He makes the point that azelaic acid, as found in Finacea contains agents that give it anti-inflammatory, antikeratinizing and antifungal properties; 3 properties felt to be important in battling seborrheic dermatitis. As finacea also helps the papules and pustules of rosacea, and some rosacea sufferers have rosacea combined with seborrheic dermatitis, it is a product worth keeping in your treatment arsenal.

Hey all you Finacea Users

If  you have used Finacea and suffer from SD, did you notice any improvement?

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About the Author

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

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2 Reader Comments

  1. Eduardo Miguel says:

    I want to know what the daily use of someone who has had good results with Finacea Plus.
    Thanks Very Much

    • Eliza says:

      (female) had treatment similar to the one prescribed above for the exact same conditions. I initially used Finacea 1x daily on affected areas with 20mg dosage of isotretinoin. Keep in mind that the other forms of treatment (3 years worth) had failed before going on this regime. The results was not strong enough so we increased the dosage slowly up to 80mg daily and completely eliminated the Finacea gel (p&p were stubborn not excessive). After we completed the accutane treatment (started to use a topical steroid to control the eczema that was induced by this new high dosage) 1 month post treatment we returned to Finacea 1x every other day and it completely controlled everything. Over all I would recommend this to anyone who has struggled with other treatments.

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