Probiotics and Oracea for Scalp Rosacea


This paper details a rosacea sufferer who suffered from rosacea lesions on his scalp, and was successfully treated with 8 weeks of Oracea and twice daily probiotics. The rosacea extended to a lesser extent to his cheeks and nose, and he also suffered from blepharitis and conjuctivitis.

The patient ceased Oracea, but continuted with the probiotics and had experienced no flareups of symptoms in the 6 months following. Only a mild redness remained.

The doctors chose to include probiotics in the treatment regime because of the potential role of `intestinal dysbiosis’ in the pathogenesis of rosacea. See SIBO Eradication Clears Rosacea (Rifaximin/Xifaxan) for more information on small intestinal bacterial overgrowth.


The probiotics used were Bifidobacterium breve BR03, and Lactobacillus salivarius LS01 1 x 109 UFC/dose.

The inclusions of probiotics in a rosacea regime leads to the question of what is the role of probiotics in rosacea relief – should it be a part of everyone’s armanent? Let us know what you think.

Article Abstract

A case of Scalp Rosacea treated with low dose doxycycline and probiotic therapy and literature review on therapeutic options

Dermatologic Therapy, Volume 29, Issue 4, pages 249–251, July/August 2016

M. C. Fortuna, V. Garelli, G. Pranteda, F. Romaniello, M. Cardone, M. Carlesimo & A. Rossi

Rosacea is a common chronic inflammatory disorder showing a wide range of clinical features such as telangiectasia, erythema, papules, and pustules primarily involving the central part of face (forehead, cheeks and nose) although extra facial manifestation have been described.

We describe a case of rosacea with predominant scalp involvement successfully treated with a 8-week course of doxycycline 40 mg once a day and probiotic therapy twice a day (Bifidobacterium breve BR03, Lactobacillus salivarius LS01 1 x 109 UFC/dose).

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

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2 Reader Comments

  1. Aurora says:

    I think milk kefir helps as well since its full of probiotics. I have been making and consuming 2 cups of kefir daily for last 2 months. No flare ups no red bumps no itch. I start kefir for my overall health but I am very pleased with its help on my rosacea.

  2. Comment via email.

    “Dear David,

    I’ve been receiving your newsletter for some time now and find your sharing of information very helpful.

    I’ve been taking doxycycline for about 20 years and it did a fairly good job of controlling my rosacea. About 2 years ago my skin went crazy and I had bumps and pustules like never before. I panicked and tried several things, nothing helped. Until…. probiotics. The improvement was swift and dramatic. I still take the doxycycline and my face turns red under certain conditions but I am thrilled that the other symptoms are under control. I wanted to share this news in case it helps other rosacea sufferers. Have you ever heard of this before?

    Kind regards,


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