Rosacea Ocular

Select one agent, in addition to warm compresses, lid hygiene, and artificial tears. For oral agents, treat for 2-6 weeks, then decrease dosing frequency by half (e.g., BID —> QD) and continue for several months. After several months, the dose can be cut in half again in many patients.

Drug

Trade

Dose

Notes

doxycycline

Vibramycin

lOOmg PO BID

Not for children or pregnancy

erythromycin

E-mycin

250mg PO QID

If unable to take doxycycline or tetracycline

metronidazole

MetroGel

Gel, 0.75%, apply BID

Periocular use for rosacea

Not for use in the eye

tetracycline

Achromycin

250mg PO QID

Not for children or pregnancy

cyclosporin

Re stasis

oil emulsion, 0.05% BID

May take weeks to months to have a significant effect

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