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Home / Rosacea prescription online

Get prescription for rosacea online

Price Tag  Consultation price: $59

Time  Response time: 1-2 working days

Request a prescription for rosacea with an online board-certified dermatologist via Miiskin.

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treatment for rosacea online

Table of Content:
What is rosacea? | What are the signs of rosacea? | Causes of rosacea | How to get a prescription? | What medications for rosacea can you get? | Evidence-based treatments for rosacea | FAQ


Dermatologist  Dr. Amit Om
Medically reviewed by:
Dr. Amit Om
Dermatologist
rosacea explained

What is rosacea?

Rosacea is a chronic skin condition that primarily affects the face, causing redness, visible blood vessels, and sometimes acne-like bumps. It most commonly appears on the cheeks, nose, forehead, and chin, and may worsen over time if left untreated.

Rosacea often flares in cycles, with symptoms coming and going depending on various triggers such as heat, sunlight, spicy foods, alcohol, or stress. In some cases, it can also affect the eyes (ocular rosacea) or lead to thickened skin, particularly around the nose (a condition known as rhinophyma).

Although the exact cause of rosacea is unknown, it is not contagious and is more commonly seen in adults with fair skin. While there is no permanent cure, treatment can effectively control symptoms.

Rosacea affects up to 6% of the global population, making it a relatively common chronic skin condition.1

Signs and symptoms of rosacea

redness on the face

Facial redness

Rosacea often causes lasting redness, especially in cheeks, nose, forehead, and chin

blood vessels on the face

Visible blood vessels

Tiny blood vessels may become visible on the skin, commonly around the nose and cheeks

sunlight exposure

Flare-ups and triggers

Rosacea symptoms often flare up due to triggers like heat, spicy food, alcohol, or stress

acne like pimples

Bumps and pimples

You may develop small red bumps or acne-like pimples that differ from regular acne

Inflammation

Inflammation

The affected skin areas might feel hot, tender, or like they’re burning or stinging.

thick skin

Skin thickening

In some cases rosacea may cause thickened skin primarily on the nose (rhinophyma)

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Causes of rosacea

genetic predisposal

Genetic predisposition

demodex mites may cause rosacea

Demodex mites

sun exposure duration

Environmental and lifestyle triggers

modify your technique of contraception

Hormonal changes

How to get a rosacea prescription?

Do I need a prescription for rosacea?

You can easily obtain a prescription by submitting a photo-consultation through Miiskin, a virtual dermatology platform. After reviewing your submitted photos and information, a licensed dermatologist will evaluate your skin condition and, if appropriate, provide a personalized prescription for a rosacea treatment cream. Your prescription can then be filled at the pharmacy of your choice, making the process fast and convenient without the need for an in-person visit.

How can I get a prescription for rosacea treatment?

You can easily obtain a prescription by scheduling a photo-consultation through Miiskin, a virtual dermatology platform. After reviewing your submitted photos and information, a licensed dermatologist will evaluate your skin condition and, if appropriate, provide a personalized prescription for a rosacea treatment cream.

How long will it take to get a prescription for rosacea?

The photo-consultation process on Miiskin typically takes less than two business days to complete. Once your case is reviewed, a prescription will be issued if medically appropriate. The consultation starts at $59, and the cost of the rosacea treatment cream is not included—you’ll need to purchase that separately from your pharmacy.

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What prescription medicine for rosacea can I get?

Topical medications for rosacea

Ivermectin

cream Ivermectin
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Metronidazole

get Metronidazole drug prescription
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Azelaic Acid

get Azelaic Acid drug prescription
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Benzoyl peroxide

cream Benzoyl peroxide
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Brimonidine

get Brimonidine drug prescription
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Oxymetazoline

Oxymetazoline drug
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Oral medications for rosacea

Doxycycline

Doxycycline oral
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Minocycline

get Minocycline drug prescription
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Accutane (isotretinoin)

isotretinoin drug
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What patients say about Miiskin

Very happy with this service. Quick and easy. With someone with not the greatest insurance and super busy. This was perfect. Got my prescription next day and great advice for my condition.

Marcus Liniarski,
Patient Review →

10 of 10stars

I had a great experience with Miiskin – I was able to get my prescription very quickly and their app is easy to use. It was very convenient and their team is very responsive. I highly recommend them and will likely use them in the future for other skin issues.

Susie Tse,
Patient Review →

10 of 10stars

What a technology! I was very impressed by the speed of communication with a doctor using the Miiskin app. Losing my hair has been my biggest concern, but I didn’t have the courage to reveal my bald spot to a doctor in person. Miiskin solved all my issues instantly. I just took a photo in my own room, uploaded it, and wrote about my concerns. That’s it. The best part is that without insurance, the consultation fee was much lower than any health insurance. I submitted my photo at midnight and received a prescription the very next morning. The doctor at Miiskin was very professional and empathetic, which really helped ease my emotional distress. Although I’m just at the beginning stage of my treatment and haven’t seen significant results yet, I feel reassured and supported. I will definitely upload my progress in 3 to 4 months to show my appreciation for the prescription from Miiskin.

Jiyeon Kang,
Patient Review →

10 of 10stars

My dermatologist was extremely quick, reviewed my consultation request within 2hrs and I had my Rx the next day! The Miiskin team also responds within minutes and are very polite and communicated concisely. I’ll never make a in person appointment again after experiencing this outstanding and affordable telehealth service!

Dion H,
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10 of 10stars

Quick response from the dermatologist — I wanted a fast turnaround for a skin concern that would be more immediate than going through health insurance, making an appointment, traveling to the doctor.

Timothy C.
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10 of 10stars
Dermatologist-recommended evidence-based treatment for rosacea flare-ups

Evidence-based rosacea treatment

Included Some studies show that 76% of patients with papulopustular rosacea using ivermectin 1% cream once daily for 12 weeks saw a significant reduction in inflammatory lesions2 3.



Included Studies show that patients using metronidazole 0.75% gel twice daily experienced up to a 65% reduction in lesion count after 8 weeks4 5.



Included Studies show that azelaic acid 15% gel applied twice daily led to marked improvements in redness and pustules over a 12-week period6 7.



Included Studies show that 90% of patients with treatment-resistant rosacea who used low-dose isotretinoin achieved clear or almost clear skin after 4 months, with sustained remission in many cases8 9.



Frequently asked questions about rosacea treatment

What is the most effective treatment for rosacea?

Dr. Om says that the most effective treatment depends on the type of rosacea you have. For inflammatory rosacea with red bumps or pustules, topical ivermectin, azelaic acid, or oral doxycycline are highly effective and commonly prescribed. For persistent redness and visible blood vessels, laser or light-based therapies or vascular lasers can produce dramatic improvements. A dermatologist can help tailor the best approach based on your symptoms and skin type.

What is the best thing to reduce rosacea?

Dr. Om says that to reduce rosacea, it’s important to combine daily sun protection, gentle skin care, and consistent use of anti-inflammatory medications. A simple, non-irritating skincare routine with a sunscreen (SPF 50 or higher) helps protect your skin and prevent flare-ups. Prescription creams like ivermectin or azelaic acid, along with avoiding triggers, often lead to noticeable improvement in both redness and bumps.

How do I get rid of rosacea ASAP?

Dr. Om says that there is no instant cure, but you can calm a flare-up quickly by using dermatologist-prescribed treatments, avoiding known triggers, and protecting your skin from irritation. Oral medications like low-dose doxycycline can reduce inflammation quickly, while topical treatments like ivermectin or metronidazole can calm the skin over a few weeks. Supporting your skin with a hydrating, fragrance-free moisturizer and avoiding harsh products will speed up recovery.

What can trigger rosacea?

Dr. Om says that rosacea triggers vary from person to person, but common ones include sun exposure, hot weather, spicy foods, alcohol (especially red wine), emotional stress, and harsh skin care products. Temperature extremes, hot drinks, and exercise can also cause flare-ups. Keeping a trigger journal can help identify what makes your symptoms worse, so you can avoid them more effectively.
Tretinoin can also potentially flare rosacea. If you are already using it, it should be used with caution during rosacea flares as it could exacerbate the condition.

What foods can trigger rosacea?

Dr. Om says that certain foods are known to cause flare-ups in many rosacea sufferers. These include:

    • Spicy foods (like chili peppers and hot sauces)
    • Alcohol, especially red wine and hard liquor
    • Hot beverages, such as coffee or tea
    • Aged cheeses and fermented foods
    • Chocolate
    • In some people, citrus fruits can also be problematic

Avoiding or moderating these foods can help keep symptoms under control.

Does rosacea ever go away?

Rosacea is a chronic condition, which means it doesn’t go away permanently. However, Dr. Om says that with consistent treatment and good skincare habits, symptoms can be effectively managed. Many people experience long periods of clear skin or mild symptoms. The key is long-term management through treatment, trigger avoidance, and sun protection.

What not to put on rosacea?

Dr. Om recommends avoiding skin care products that contain alcohol, fragrance, menthol, witch hazel, eucalyptus, or harsh exfoliants. These can irritate the skin and worsen redness. He also added that you should stay away from abrasive scrubs or acne products unless specifically prescribed for rosacea. Look for products labeled “gentle,” “non-comedogenic,” and “fragrance-free” that are designed for sensitive or rosacea-prone skin.

Is it OK to leave rosacea untreated?

Dr. Om says that he does not recommend leaving rosacea untreated as it can lead to progressive worsening, including permanent redness, visible blood vessels, thickened skin (especially on the nose), and increased sensitivity. Early treatment helps minimize long-term damage, improves your skin’s appearance, and boosts comfort and confidence.

What is the best cream for rosacea?

Dr. Om says that there’s no one-size-fits-all answer, but top picks include:

  • Ivermectin for inflammatory bumps
  • Azelaic acid for redness and texture
  • Metronidazole for long-term maintenance
  • Brimonidine or oxymetazoline for temporary relief of facial redness

The best cream depends on your rosacea subtype, sensitivity, and lifestyle. A dermatologist can guide you to the right choice.

Can stress cause rosacea?

Yes, stress is a known trigger for rosacea flare-ups. Dr. Om says that emotional stress can cause your blood vessels to dilate, leading to facial flushing and increased inflammation. Managing stress through breathing techniques, exercise, adequate sleep, or mindfulness can help reduce symptom severity and flare frequency.

Can magnesium help with rosacea?

Dr. Om explains that while many individuals with rosacea report symptom relief from using milk of magnesia and some online sources promote it as a home remedy, there is no scientific research or clinical evidence supporting its safety or effectiveness for treating rosacea. Although it may temporarily reduce shine or redness due to its oil-absorbing properties, milk of magnesia has a very high pH (around 10.5), which is far more alkaline than the skin’s natural pH of 4.5 to 5.5. This disrupts the skin’s protective acid mantle, potentially weakening the barrier, increasing dryness, and triggering irritation—especially in rosacea-prone skin, which is already sensitive. As an astringent, it can also strip natural oils and worsen flakiness or inflammation. Since it’s not formulated for topical facial use, Dr. Om advises caution and recommends sticking with dermatologist-approved, evidence-based treatments designed for rosacea.

Is the sun good or bad for rosacea?

Dr Om says that sun exposure is one of the most common rosacea triggers. UV rays can worsen redness, cause flare-ups, and increase inflammation. That’s why daily use of a mineral-based sunscreen (SPF 50 or higher) is essential—even on cloudy days. Physical sunscreens with zinc oxide or titanium dioxide are gentler on sensitive skin.

Is vitamin C serum bad for rosacea?

It depends. Dr. Om says that some people with rosacea can tolerate vitamin C serums, especially those formulated for sensitive skin. However, others may find them irritating, especially if the concentration is too high or if the product contains alcohol or fragrance. If you want to try one, look for a low-concentration, fragrance-free formula and do a patch test first.

Is rosacea related to gut health?

Dr. Om says that emerging research suggests a connection between gut health and rosacea. People with rosacea are more likely to have digestive conditions such as irritable bowel syndrome, inflammatory bowel disease, celiac disease, and infections like Helicobacter pylori. Research also suggests that an imbalance in gut bacteria can lead to increased inflammation in the body, which may make rosacea worse. In some cases, treating gut issues like bacterial overgrowth in the small intestine has led to clearer skin. However, there is not enough scientific evidence to say that digestive problems directly cause rosacea. While these connections are interesting and may help guide treatment in some people, more research is needed to fully understand how the gut and skin are connected. 10

What is the new treatment for rosacea?

Dr. Om says there are a few newer treatments for rosacea such as Epsolay (benzoyl peroxide 5% in a sol-gel) and topical minocycline (Amzeeq) is also being used in some cases. However these medications tend to be quite expensive that is why he usually prescribes medications that are clinically proven, are widely available and are more affordable to patients.

What kills rosacea bacteria?

Dr. Om says that rosacea isn’t caused by a single bacteria, but topical and oral antibiotics like metronidazole, doxycycline, and ivermectin reduce inflammation and may help control certain microorganisms (like Demodex mites or related bacteria) linked to rosacea. Low-dose oral doxycycline works mainly through its anti-inflammatory—not antibacterial—effects.

What happens if you ignore rosacea?

Dr. Om says that if you leave rosacea untreated, it can progress and become more difficult to manage. Redness can become permanent, blood vessels may become more visible, and in some cases, the skin can thicken (especially on the nose, known as rhinophyma). Early treatment helps minimize long-term damage and keeps symptoms under control.

EXPLORE ARTICLES

Effective treatments to reduce and manage rosacea symptoms long-term
how to deal with a rosacea flare-up
topical metronidazole for rosacea
the use tretinoin for rosacea
get soolantra cream prescription
rhinophyma treatment options

References:
1https://pubmed.ncbi.nlm.nih.gov/29478264/
2https://pmc.ncbi.nlm.nih.gov/articles/PMC6109029/
3https://www.researchgate.net/publication/305394287_Superior_Efficacy_with_Ivermectin_1_Cream_Compared_to_Metronidazole_075_Cream_Contributes_to_a_Better_Quality_of_Life_in_Patients_with_Severe_Papulopustular_Rosacea_A_Subanalysis_of_the_Randomized_Inv
4https://jamanetwork.com/journals/jamadermatology/fullarticle/189144
5https://www.researchgate.net/publication/13638401_Topical_Metronidazole_Maintains_Remissions_of_Rosacea
6https://www.eurekalert.org/news-releases/889449
7https://www.researchgate.net/publication/10723586_Efficacy_and_safety_of_azelaic_acid_15_gel_as_a_new_treatment_for_papulopustular_rosacea_Results_from_two_vehicle-controlled_randomized_phase_III_studies
8https://pmc.ncbi.nlm.nih.gov/articles/PMC11052926/
9https://pmc.ncbi.nlm.nih.gov/articles/PMC11052926/
10https://pmc.ncbi.nlm.nih.gov/articles/PMC7932979/

Teledermatology Clinic Online Do you want a prescription for rosacea?
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Teledermatology Clinic Online Learn more about the most efficient rosacea treatment.
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