Soothe rosacea symptoms with convenient prescription treatment

  • Icon indicating video offNo video calls necessary
  • Icon of checkmark$15 consult–no membership required
  • Icon of clockMedical review within 3 hours

Red, uneven skin is a thing of the past. Dr. B’s online consultations and prescription rosacea treatments can help reduce symptoms—no office visit required.

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How Dr. B treats rosacea

1
Health assessment

Tell us about your condition with a $15 online consultation—no video call necessary.

2
Provider review

A medical provider will review your information and prescribe treatment, if appropriate.

3
Get your medication

Pick up and pay for the medication at the pharmacy of your choice. Or, get it delivered.

How much will it cost?

Dr. B offers online consultations for $15—which is less than most copays. If a rosacea prescription is appropriate, your out-of-pocket medication cost will depend on your insurance and where you decide to get your prescription filled. Dr. B offers a discount card when applicable to help get you the lowest prices for your medications.

* Prices shown for Metronidazole 500 mg (14 tablets), a popular treatment for rosacea, using a drug discount card. Prices may be lower with insurance.

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$15
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Medication*

Rosacea treatments at Dr. B

Dr. B offers over 30 treatments for rosacea. We’ve highlighted a few of our most popular and affordable options below, but you can choose other brand and generic medications if desired.

Ivermectin

Ivermectin is a generic prescription topical cream used to treat moderate-to-severe forms of rosacea. Ivermectin requires a longer treatment period than other topicals and results may require a month or two of consistent use.

Prescription length:

30 days, 1 refill

Application:

Cream, once daily

Medication prices start at
Costco Wholesale logo
$122.65
at Costco, with a drug discount card. (No Costco membership required)

Metronidazole

Metronidazole is a topical antibiotic cream used to treat rosacea. It can help reduce excess bacteria on the skin and keep the affected area clean, helping improve symptoms over the course of several weeks.

Prescription length:

30 days, 1 refill

Application:

Cream, applied daily

Medication prices start at
Costco Wholesale logo
$23.45
at Costco, with a drug discount card. (No Costco membership required)

Azelaic Acid

Azelaic acid is a prescription gel used to treat mild-to-moderate forms of rosacea. It's a naturally occurring acid that can help protect the skin from cell-damaging microorganisms. By keeping the skin clean, azelaic acid reduces pimples associated with rosacea.

Prescription length:

30 days, 1 refill

Application:

Gel, applied daily

Medication prices start at
Costco Wholesale logo
$42.00
at Costco, with a drug discount card. (No Costco membership required)

Ivermectin

Ivermectin is a generic prescription topical cream used to treat moderate-to-severe forms of rosacea. Ivermectin requires a longer treatment period than other topicals and results may require a month or two of consistent use.

Metronidazole

Metronidazole is a topical antibiotic cream used to treat rosacea. It can help reduce excess bacteria on the skin and keep the affected area clean, helping improve symptoms over the course of several weeks.

Azelaic Acid

Azelaic acid is a prescription gel used to treat mild-to-moderate forms of rosacea. It's a naturally occurring acid that can help protect the skin from cell-damaging microorganisms. By keeping the skin clean, azelaic acid reduces pimples associated with rosacea.

Prescription length:

30 days, 1 refill

Prescription length:

30 days, 1 refill

Prescription length:

30 days, 1 refill

Application:

Cream, once daily

Application:

Cream, applied daily

Application:

Gel, applied daily

Medication prices start at
Costco Wholesale logo
$122.65
at Costco, with a drug discount card. (No Costco membership required)
Medication prices start at
Costco Wholesale logo
$23.45
at Costco, with a drug discount card. (No Costco membership required)
Medication prices start at
Costco Wholesale logo
$42.00
at Costco, with a drug discount card. (No Costco membership required)

More Rosacea Prescription Treatments

Looking for a different medication? Here are some options.

Not sure which treatment may be best for you?

Complete a confidential virtual health assessment to learn more.

Start rosacea Consultation
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Meet our advisors

Guided by medical expertise

“I love direct contact with patients—it’s why I chose dermatology! With ample time together, I can use my eyes and mind to diagnose their condition, like a sleuth!”

Dr. Alison Gruen
Dr. Alison Gruen, M.D.Dermatology Advisor

Rosacea Questions

About Rosacea

What is rosacea?

Rosacea is a skin condition that affects skin on the face. On light skin tones, it can appear as dry, tight skin with patches of redness or an overall blush. On dark skin tones, it can look like areas of darker skin or a dusky brown coloring. In moderate-to-severe cases, pimples and visible blood vessels on the face and under the skin may appear. These can look red and feel sensitive to the touch. Other affected areas include the nose, cheeks, eyes, chin, ears and neck.

There’s no cure for rosacea. But Dr. B can help you manage symptoms with an online consultation for prescription treatment.

What causes rosacea?

Rosacea is a genetic condition—but additional factors can affect the odds of developing it. Those generally most affected include:

  • People assigned female at birth (AFAB)
  • Those over 30
  • Smokers
  • People with light skin tones
  • Those with a history of severe acne

Less common causes include bacteria and exposure to mites that can irritate skin. While those assigned male at birth (AMAB) are less likely to develop rosacea, men and those AMAB can develop it, too. Some environmental triggers can flare symptoms of rosacea: alcohol consumption, temperature extremes, stress and eating spicy foods can all play a part. Some skincare products may also trigger symptoms.

How long does rosacea last?

Symptoms often flare up for a period of weeks to months before improving. Rosacea is a lifelong condition with no cure—but the right treatment can help improve symptoms.

Do I have rosacea or acne?

Both conditions can cause bumps or pimples on the face or red, inflamed, sensitive skin—so they’re sometimes mistaken for one another. Here are some differences to look for:

  • Acne commonly appears as individual whiteheads or blackheads, while rosacea causes large patches of facial redness.
  • Rosacea symptoms are usually confined to the facial area, and acne can affect other areas like the chest, shoulders and back.
  • While acne is most common in teenagers and young adults, rosacea most commonly  affects adults over 30.
What are the prescription treatments available for rosacea?

A range of topical prescription treatments are available as creams, gels, lotions and foams.  (Right now, Dr. B does not offer a rosacea pill treatment option.) Standard topical medications include antibiotics like Brimonidine, Oxymetazoline, Azelaic acid, Metronidazole, Ivermectin, Zilxi, Plexion and Rhofade (among others). These help restrict bacterial growth and reduce redness.

How do rosacea treatments work?

Apply a thin layer of topical treatments to the skin. While some treatments provide relief quickly, it takes most medications anywhere from 2-6 weeks to show noticeable improvement on the skin.

What are common rosacea treatment side effects?

Common side effects include redness, dryness and the common cold (nasopharyngitis). In most cases, these improve with time as the body adjusts to the medication. Seek medical attention if side effects get worse.

How can I get a rosacea prescription online?

Getting a prescription treatment like Tretinoin for rosacea or Ivermectin cream online doesn't have to be complicated. Start a Dr. B online consultation, sharing your health history and current symptoms. A licensed medical provider will review your assessment. If they find a prescription rosacea treatment appropriate, they'll send the prescription to the pharmacy of your choice. With 30+ brand and generic options to choose from, you'll soon be on your way to cooler, clearer skin.

How much does rosacea treatment cost?

Consultation: A virtual medical consultation for rosacea costs $15, which is lower than most doctor copays. Currently, we don’t submit medical consultation claims to insurance companies. But you can use insurance for any resulting prescription at your pharmacy.

Medication: Dr. B only charges for the medical consultation. When medications are prescribed, we let you choose the most affordable or convenient pharmacy to fill the prescription. Your medication prices will vary depending on your insurance coverage and whether the drug is a brand or generic.

Do you accept insurance?

Right now, we don’t submit medical consultation claims to health insurance companies. But you can use insurance for any resulting prescriptions at your pharmacy.

How do refills work?

We’ll send you a reminder for an online assessment when it’s time for your next refill.

More Specialties

Dr. B articles about rosacea