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Systemic antibiotics in rosacea

Authoring team

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:

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