Dermatology Compounding

Rosacea Support

Also called rosacea, acne rosacea, facial redness, flushing

Rosacea is a common, long lasting skin condition with redness and bumps. FDA approved options exist. Mixwell in Chino, CA prepares topicals a prescriber orders.

Reviewed by Linda Pungpravat, Compounding Pharmacist, RPh Mixwell Compounding Pharmacy, Chino, CA

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Signs people notice

  • Flushing or blushing that comes and goes
  • Redness that does not go away, mostly in the center of the face
  • Tiny blood vessels you can see
  • Red bumps or pimples that look like acne
  • Burning or stinging of the skin
  • Red, dry, or irritated eyes

Clinical Overview

What is rosacea?

Rosacea is a common, long lasting skin condition that causes facial redness, flushing, visible blood vessels, and acne like bumps. It tends to flare up and then settle down, and doctors do not fully know why it happens [1].

What you may notice

Redness and flushing across the cheeks, nose, and forehead are common, and some people also get bumps or eye irritation [1]. On brown and Black skin, redness can be harder to see, so bumps, stinging, swelling, and dry looking skin are important signs [2]. Without treatment, the skin can thicken over time, especially on the nose [1].

What the FDA has approved

FDA approved prescription topicals for rosacea include metronidazole (gel and cream) and azelaic acid gel for the bumps and pimples, ivermectin cream for inflammatory lesions, and brimonidine gel for persistent redness [3][4][5].

How Compounding Can Help

Several FDA approved rosacea treatments exist [3][4][5]. When a prescriber wants metronidazole and niacinamide together in one topical, or a base without an ingredient a patient reacts to, a compounding pharmacy can prepare it.

  • Metronidazole and niacinamide in a PCCA base chosen by the pharmacist and prescriber: WO6, VersaBase, or XemaTop
  • Strength of each ingredient set by the prescriber

Your prescriber decides whether it fits.

Common Formulas Prescribers Order for This

Cream · TopicalMetronidazole / Niacinamide TopicalA compounded topical with metronidazole and niacinamide in a PCCA base, prepared in Chino, CA to a prescriber's order...Technical details Cream · TopicalIvermectin 1%/Metronidazole 0.75% Topical (ExoBlue™)A compounded ivermectin 1% and metronidazole 0.75% cream in PCCA's ExoBlue base, prepared in Chino, CA to a prescribe...Technical details Gel · TopicalDoxycycline 1% TopicalA compounded doxycycline 1% gel in PCCA's PermE8 or WO6 anhydrous base, prepared in Chino, CA to a prescriber's order...Technical details

Each formula is prepared only with a valid prescription. Your prescriber decides what is appropriate.

What to ask your provider

  • Do my symptoms fit rosacea, or could it be something else?
  • Which type of rosacea do I have, and which treatment fits it?
  • Which FDA approved options should I try first?
  • Should my eyes be checked?
  • What triggers should I try to avoid?
  • How long should I use a treatment before we check my progress?
Call (909) 378-7301

Common Questions

What is rosacea?

Rosacea is a common, long lasting skin condition that causes facial redness, flushing, visible blood vessels, and acne like bumps. It flares up and then settles down, and doctors do not fully know why. It can also affect the eyes.

What treatments are FDA approved for rosacea?

FDA approved prescription topicals include metronidazole gel and cream and azelaic acid gel for bumps and pimples, ivermectin cream for inflammatory lesions, and brimonidine gel for persistent redness. Your provider can tell you which one fits your type of rosacea.

Does rosacea affect the eyes?

It can. The eyes may become sore, red, itchy, watery, or dry. See a provider if you have eye symptoms, because untreated eye problems can lead to eye damage and loss of vision.

Do I need a prescription for a compounded medication?

Yes. Every compounded preparation is made for one patient with a valid prescription from a licensed prescriber, such as a physician, nurse practitioner, dentist, or veterinarian. If you do not have one yet, ask your provider whether a compounded preparation fits your situation, and they can send the order to us.

References
  1. National Institute of Arthritis and Musculoskeletal and Skin Diseases. Overview of rosacea. NIAMS
  2. Mayo Clinic. Rosacea: symptoms and causes. Mayo Clinic
  3. METROGEL (metronidazole) gel, 1%. Prescribing information. DailyMed. DailyMed
  4. FINACEA (azelaic acid) gel, 15%. Prescribing information. DailyMed. DailyMed
  5. Rosacea: diagnosis and treatment. Am Fam Physician. 2015;92(3). AAFP

Compounded in Chino, CA. Delivered across California.

  • Chino
  • Chino Hills
  • Ontario
  • Pomona
  • Diamond Bar
  • Rancho Cucamonga
  • Eastvale
Mixwell Compounding Pharmacy 13788 Roswell Ave, Ste 158, Chino, CA 91710
(909) 378-7301

Mixwell is a state licensed, non sterile compounding pharmacy and a PCCA member, preparing each formula in a lab built to USP 795 and USP 800 standards. Compounded medications are not reviewed or approved by the FDA and are dispensed only with a valid prescription. We do not prepare sterile products or injectables. Nothing here promises a specific result, and compounded preparations are not presented as superior to commercially available products. Mixwell does not accept insurance. Call for pricing.

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