The cause of rosacea is not clear, but numerous treatments are used. Use of sunscreen, sun avoidance, and cosmetic coverage can be used. Topical medications include metronidazole (most common), sulfur, azelaic acid, benzoyl peroxide, antibiotics, tacrolimus, and tretinoin. Oral medications include various antibiotics and isotretinoin (Accutane). Laser treatments can be used to improve redness and rhinophyma, a large red appearance of the nose. Impressive improvement can also be seen with circular massage for several minutes per day.
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