Assessment and prescribed treatment for facial redness, flushing and papules, with trigger management advice.
Assessed and prescribed by a GMC-registered GP
Prescriptions sent electronically to a pharmacy
Monitoring and follow-up included where it is needed
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Rosacea is frequently mistaken for acne or simply for sensitive skin, and treated wrongly for years as a result. Getting the diagnosis right changes the treatment entirely.
Treatment usually combines a topical such as metronidazole, azelaic acid or ivermectin with trigger avoidance. Oral antibiotics are used for more inflammatory forms.
Rosacea is managed rather than cured. Treatment is usually long-term, and stopping tends to mean it returns.
Rosacea is routinely mistaken for acne or for sensitive skin, and treated wrongly for years as a result. The distinction changes everything that follows.
Metronidazole, azelaic acid or ivermectin, depending on the pattern.
Commonly alcohol, spicy food, heat, sunlight, stress and temperature change. Identifying yours matters as much as the cream.
For more inflammatory forms, a low-dose oral antibiotic used for its anti-inflammatory effect.
Topicals can cause initial stinging or dryness. Rosacea is managed rather than cured, so treatment is usually long-term.
Eye involvement, with grittiness, dryness or redness, needs ophthalmology assessment. Steroid creams generally make rosacea worse and should not be used on the face without advice.
Rosacea treatments are slow, and the papules and pustules respond before the redness does. That order matters, because people judge treatment on the redness and conclude it has failed.
Common triggers: alcohol, spicy food, hot drinks, heat, cold wind, sun, exercise and stress. Yours will be a subset, and identifying them matters as much as the cream.
The aim is not to eliminate everything — that is miserable and unnecessary. It is to know which two or three actually matter to you.
Daily SPF 30 or higher is one of the most effective things you can do, and it is where most people lose ground. Mineral sunscreens — zinc or titanium — are usually better tolerated than chemical ones on rosacea-prone skin.
Treatment is usually long term, and stopping generally means it returns. Most people continue a topical at reduced frequency once control is achieved.
Low-dose doxycycline, used for its anti-inflammatory effect rather than as an antibiotic, for inflammatory rosacea that topicals have not controlled.
This is where medication does least, and it is worth knowing before you spend months trying.
Persistent redness and visible blood vessels respond to laser and intense pulsed light, not to creams or tablets. Effective, but generally not available on the NHS and privately expensive — and worth researching the practitioner carefully rather than the price.
Topical steroids. They improve rosacea briefly and then make it markedly worse, and steroid-induced rosacea is a recognised problem. If you have been given a steroid cream for facial redness, say so — stopping causes a rebound that needs managing rather than enduring.
Also: harsh scrubs and exfoliants, alcohol-based toners, and expensive "redness relief" cosmetics that are mostly moisturiser.
Metronidazole and azelaic acid are inexpensive. Ivermectin cream costs more, though it is often the most effective. Low-dose doxycycline is cheap.
We earn nothing from what is prescribed. Ring around — prices on the topicals vary between pharmacies more than you would expect.
Rosacea is managed rather than cured, so treatment is generally long term. Budget for a maintenance topical and daily sunscreen rather than a one-off course.
Sunscreen is the running cost that matters most, and supermarket mineral sunscreens are perfectly good — there is no need for anything expensive.
Getting the diagnosis right. Rosacea is routinely mistaken for acne or for sensitive skin and treated wrongly for years — sometimes with a steroid cream, which makes it substantially worse.
That distinction changes everything that follows, and it is worth more than any individual prescription.
Persistent redness and visible blood vessels do not respond to creams or tablets. They respond to laser or IPL — which is effective, generally unavailable on the NHS, and expensive privately, usually needing several sessions.
We would rather you knew that before spending months on treatments that were never going to address it. If you pursue it, choose the practitioner on qualifications rather than price.
We sell nothing.
It is the question most often got wrong, and getting it wrong costs years.
Rosacea: background redness across cheeks, nose, chin and forehead; flushing; visible small blood vessels; often stinging or burning; no blackheads.
Acne: blackheads and whiteheads, a wider distribution including back and chest, less background redness.
They can coexist, and the treatments differ substantially — which is what the photographs and the consultation are for.
Because topical steroids improve rosacea briefly and then make it considerably worse. Steroid-induced rosacea is a recognised problem and a common reason people arrive with skin far worse than when they started.
Tell us if you have been using one. Stopping causes a rebound flare, which needs managing rather than simply enduring — and it does settle.
Eight to twelve weeks, and the spots improve before the redness does.
That order catches people out. Judging treatment on the background redness at six weeks will make you conclude it has failed when it has not.
Honestly, often not with creams and tablets. They treat the inflammatory spots and reduce flushing; persistent redness and visible blood vessels generally need laser or IPL.
That is worth knowing at the start rather than after a year of expecting more from a cream than it can deliver.
Alcohol, spicy food, hot drinks, heat, cold wind, sun, exercise and stress — though yours will be a subset.
The aim is not to avoid everything. A trigger diary for a few weeks usually identifies two or three that genuinely matter, and the rest can be left alone.
Yes — it is treatment rather than general advice, and it is where most people lose ground. Sun is among the most consistent triggers.
SPF 30 or higher, and mineral sunscreens (zinc or titanium) are usually better tolerated on rosacea-prone skin than chemical ones.
Very possibly — ocular rosacea is common and badly under-recognised. Grittiness, dryness, redness, a foreign-body sensation or recurrent styes all count.
It needs ophthalmology assessment, because untreated it can affect the cornea. Please mention it rather than assuming it is unrelated.
No, and it is an unfair and persistent assumption. Alcohol is a trigger for some people, but rosacea is a common inflammatory skin condition that affects people who drink nothing at all.
The social sting of that assumption is one of the reasons rosacea affects confidence as much as it does.
Rhinophyma affects a minority, mostly men, and is not an inevitable progression.
Early treatment and early referral give much better results, and it is treatable with surgery or laser. Mention any thickening early rather than waiting.
Yes, and it helps a great deal for many people. Green-tinted primers and colour-correcting products neutralise redness effectively.
Choose fragrance-free, and remove it gently — no scrubbing or wipes.
It is managed rather than cured, and treatment is usually long term. Stopping generally means it returns.
Well-managed rosacea is largely unnoticeable, which is a realistic and achievable goal.
Clinically reviewed by Dr Mohammad Zubair Khan, GMC 7563469
Last reviewed
August 23, 2026
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Yes. Care is led personally by Dr Mohammad Khan, so you are not passed between clinicians. Continuity is the point of a small practice: someone who knows your history and is listening attentively rather than working through a checklist.
Yes, with your consent. We can access your Summary Care Record during the consultation, so your current medications, allergies and significant history are in the room. That means fewer questions you have already answered elsewhere, and safer prescribing.
No. We are not here to replace GPs, only to support them. Your NHS practice remains responsible for your ongoing care, and with your consent we write to them after the consultation. We are useful when you need to be seen sooner, or want more time than a standard appointment allows.
Twenty unhurried minutes and a comprehensive assessment. A written treatment plan is included, along with any prescription, sick note or referral letter arising from the consultation, at no extra charge.
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It means the diagnosis can usually be made from your history and photographs, and that treatment can be arranged safely without examining you. Where a condition is not marked treatable online, it is because examination is the diagnosis — listening to a chest, feeling an abdomen, examining an ear or a joint — or because a procedure or device is needed.
Yes, where there is a genuine bacterial infection — cellulitis, impetigo, bacterial urine infections, confirmed strep throat. We will also frequently tell you that you do not need one. Most sore throats, coughs, colds and earaches are viral, and an antibiotic gives you the side effects with none of the benefit.
If your problem turns out to be genuinely outside what we can do remotely, the doctor will tell you straight away, point you to the right service, and refund your fee in full. We would rather do that than fill twenty minutes to justify the charge.
Call 999 or go to A&E — do not book an online appointment and do not wait for a reply to an email. For urgent problems that are not emergencies, NHS 111 is available 24 hours a day, online or by phone, and can direct you to the right service.
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