Miami Beach, FL—Although there are effective treatments for rosacea, none of the currently available topical or oral medications directly target the persistent generalized facial erythema (ie, redness) that is a primary characteristic of the condition, according to Diane S. Berson, MD, Dermatologist at the Iris Cantor Women’s Health Center, NewYork-Presbyterian/Weill Cornell Medical Center.

Miami Beach, FL—Rosacea remains underdiagnosed and is “certainly undertreated,” according to Richard G. Fried, MD, PhD, Clinical Director of Yardley Dermatology Associates, PA, and past president of the Association of Psychocutaneous Medicine of North America.

The obstacles to reimbursement of therapies for rosacea prevent many patients with this condition from receiving the most effective treatments, according to 2 dermatologists who spoke with American Health & Drug Benefits.

Rosacea is a chronic skin disorder characterized by facial redness and flare-ups that can be especially troubling and distressing to affected individuals. According to the National Institutes of Health, an estimated 14 million Americans (or 5% of the US population) are affected by rosacea. The condition can vary substantially from one patient to another, and it is sometimes confused with acne. Although there is no cure for rosacea and the cause remains unclear, medical therapy can control or reverse its signs and symptoms.

Doxycycline 40-mg modified-release capsules administered once daily is the first and only oral medication that is approved by the US Food and Drug Administration for papulopustular rosacea, which is characterized by persistent redness with transient bumps and pimples. A recent large, community-based trial evaluated the drug’s efficacy and its side effects according to sex, and found that approximately 75% of each sex cohort achieved treatment success after 12 weeks (Del Rosso JQ, et al. J Drugs Dermatol. 2012;11:703-707).

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