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ROSACEA CARE

Calm persistent redness

Tell us your triggers and symptoms, add photos, and get a doctor-selected topical plan for redness or spots.

€40one-off

Consultation with photo review. Medicine paid at the pharmacy.

Doctor reply
Under 2 hours on average
Photos
1 to 3
Start rosacea consultation
Photo review1 to 3 photos of your skin
Doctor-ledA treatment matched to your skin
Step 2 of your consultation

The photo review step

The doctor needs 1 to 3 clear photos to confirm the diagnosis and rule out other causes.

  • Daylight, facing a window
  • No make-up or filters
  • Front and each side of the face
Example
Front
Example
Left side
Example
Right side
What the doctor may prescribe

Treatment approach

Treatment is chosen by the doctor after the photo review.

Azelaic acid 15%

Twice-daily gel for papulopustular rosacea in adults.

Compounded redness formula

Pharmacy-compounded once-daily cream for persistent redness, 3-month course.

Compounded spot formula

Pharmacy-compounded once-daily gel for papules and pustules, 3-month course.

Timeline

What to expect over the weeks

Week 0

Photo review

The doctor confirms rosacea and chooses a treatment.

Weeks 1 to 4

Getting started

Mild stinging can happen at first and usually settles.

Weeks 4 to 12

Calmer skin

Redness and spots improve gradually with regular use.

Ongoing

Keeping it calm

Avoid your triggers; the doctor can adjust the plan in the chat.

Pricing

One consultation, one clear price

You pay for the doctor's consultation. If a prescription is issued, the medicine is paid at your own pharmacy.

  • Consultation reviewed by an EU-licensed doctor
  • Private follow-up in the in-app chat
  • Full refund if the doctor does not approve
One-off

Dermatology

One-offPhoto review included€40once
  • Consultation reviewed by an EU-licensed doctor
  • Photo review of your skin
  • Electronic prescription if approved
Start consultation

Full refund if a review is not approved

Clinical guide

What to know before your consultation

Rosacea and its treatment options

Rosacea is a long-term condition of the central face that causes flushing, persistent redness, visible blood vessels and sometimes red bumps and pustules. Treatment is chosen according to the features you have. For papules and pustules the doctor may consider azelaic acid 15% gel. For persistent redness with inflammation, or spots that need a different approach, the doctor can prescribe a pharmacy-compounded formula combining established rosacea ingredients such as metronidazole, azelaic acid or ivermectin. Oral antibiotics and oral ivermectin are not prescribed online.

Who the rosacea consultation suits

The rosacea consultation is for adults with typical facial redness, flushing or bumps whose pattern is clear from photos. Rosacea can look like acne, seborrhoeic dermatitis or lupus, so the doctor refers you in person if the diagnosis is not clear. Eye symptoms such as grittiness, burning or redness, a thickening nose, and rosacea that has not responded to previous treatment also need in-person care. If you are pregnant, planning a pregnancy or breastfeeding, the doctor reviews your case individually rather than prescribing from the standard list.

Safety of rosacea treatment

Stinging, burning, itching and dryness where the product is applied are the most common effects, usually in the first weeks. Azelaic acid can rarely worsen asthma, so mention it if you have asthma and stop if you develop wheeze. Metronidazole can make the eyes water if applied close to them, and compounded formulas follow the pharmacy's label for storage and shelf life. A painful red eye, blurred vision or sensitivity to light can signal keratitis and needs urgent same-day care, and facial swelling or breathing difficulty needs emergency help.

Beyond the prescription for rosacea

Daily sunscreen of at least SPF 30, gentle skin care for sensitive skin and avoiding your triggers help control rosacea. Common triggers include sun, heat, alcohol, spicy food, hot drinks and stress. Visible blood vessels are usually treated with laser or intense pulsed light, which is done in person. Oral treatments for more extensive rosacea are prescribed by your family doctor or a dermatologist. If the doctor decides online treatment is not appropriate, they tell you why and the consultation fee is refunded in full.

Rosacea evidence and consensus

In two 12-week trials in adults with moderate papulopustular rosacea, azelaic acid 15% gel led to treatment success in 61% and 62% of people, compared with 40% and 48% with an inactive gel. A systematic review using GRADE rated the evidence for azelaic acid as high certainty and for metronidazole as moderate. The global rosacea consensus recommends treating each feature and combining treatments when several are present. The compounded formulas have not been studied as finished products, so the doctor relies on the evidence for their ingredients.

Your rosacea consultation, step by step

You answer a rosacea questionnaire about redness, flushing, spots, eye symptoms, triggers and pregnancy. A clear photo is required, taken in daylight without make-up and with a close-up of the cheeks and nose, because the doctor needs to see the pattern. An EU-licensed doctor reviews everything and writes to you in the private chat if anything is unclear. If treatment is appropriate, you receive an electronic prescription. Azelaic acid is dispensed at your pharmacy, while a compounded formula is prepared by a pharmacy with a compounding laboratory and takes a few days, and you pay the pharmacy directly.

Living with rosacea long term

Rosacea cannot be cured, but treatment can control it, and it can get worse if left untreated. The doctor sets a review point in your plan, and at the end of the course a follow-up consultation with new photos decides whether to continue, switch or step down to maintenance. Flares can return after treatment stops, so many people keep up sun protection and trigger avoidance long term. Write to the doctor in the chat if redness worsens, spots do not improve or any eye symptoms appear.

Sources

  1. electronic medicines compendium (emc), regulator-approved SmPC. Finacea 15% gel (azelaic acid): Summary of Product Characteristics (2024)
  2. Journal of the American Academy of Dermatology (PubMed 12789172). Azelaic acid 15% gel for papulopustular rosacea: two vehicle-controlled randomised phase III studies (Thiboutot D et al., J Am Acad Dermatol 2003;48(6):836-845) (2003)
  3. NHS (nhs.uk). Rosacea (2026)
  4. British Journal of Dermatology (PubMed 31392722). Recommendations for rosacea diagnosis, classification and management: update from the global ROSacea COnsensus 2019 panel (Schaller M et al., Br J Dermatol 2020;182(5):1269-1276) (2020)
  5. electronic medicines compendium (emc), regulator-approved SmPC. Rozex 0.75% w/w cream (metronidazole): Summary of Product Characteristics (2024)
  6. British Journal of Dermatology (PubMed 30585305). Interventions for rosacea based on the phenotype approach: updated systematic review including GRADE assessments (van Zuuren EJ et al., Br J Dermatol 2019) (2019)
  7. J Eur Acad Dermatol Venereol (PubMed 26691278). Maintenance of remission after ivermectin 1% vs metronidazole 0.75% cream: 36-week extension of the ATTRACT randomised study (Taieb A et al., J Eur Acad Dermatol Venereol 2016) (2016)

Sources checked on September 29, 2026

FAQs

Your questions answered

Rosacea11 questions
Who is the rosacea consultation for?
Adults with persistent central facial redness, flushing, visible vessels, or red bumps and pustules typical of rosacea. If you have eye symptoms such as gritty, burning or red eyes, a thickened nose, or a diagnosis that is not clear from photos, the doctor refers you to in-person care instead.
Azelaic acid 15% gel, twice daily, is the first-line option for papules and pustules. For persistent redness, or for spots that need something different, the doctor can prescribe a pharmacy-compounded formula: one aimed at redness and one at papules and pustules, each used once daily for about three months. Oral antibiotics and oral ivermectin are not prescribed online.
Yes, for rosacea a clear photo is part of the assessment. Redness and pustules can look like acne, seborrhoeic dermatitis or lupus, so the doctor needs to see the pattern. Take it in daylight without make-up, and include a close-up of the cheeks and nose.
Most topical rosacea treatments are reviewed after 8 to 12 weeks; papules and pustules usually improve before the background redness does. Rosacea is a chronic condition, so the aim is control rather than cure, and flares can return when treatment stops. The doctor sets the review point in your plan.
Daily broad-spectrum SPF 50 sunscreen, a fragrance-free cleanser and moisturiser, and avoiding your personal triggers: sun, heat, alcohol, spicy food and hot drinks are the common ones. Keeping a simple trigger diary for a few weeks often shows which ones matter for you.
If you are pregnant, planning a pregnancy or breastfeeding, the doctor reviews your case individually rather than prescribing from the standard list. Some compounded formulas are not suitable in pregnancy. Say so in the questionnaire and the doctor will tell you what is safe.
The consultation is €40, one-off, refunded in full if the doctor cannot treat you online. Azelaic acid is dispensed at any EU pharmacy. A compounded formula is prepared by a pharmacy with a compounding laboratory, or ordered by your local pharmacy from one, and takes a few days; the pharmacy prices it separately.
Stinging, burning, itching or dryness in the first weeks is common and usually settles. With the spot formula, a brief flare of spots can happen early on. Stop and contact the doctor in the chat if you get a spreading rash, facial swelling or blistering, wheeze or worse asthma control, or redness that keeps getting worse.
Yes. Apply the treatment first and let it dry, then use make-up; a green-tinted primer can tone down redness. Choose fragrance-free, non-comedogenic products and remove them gently. Toners with alcohol, menthol or exfoliating acids often sting rosacea skin, so it is best to avoid them.
Creams help redness and spots but do little for visible, fixed blood vessels. Vascular laser or intense pulsed light, done in a clinic, is the usual option for these, and it is not part of this online pathway. The doctor can tell you when seeing an in-person dermatologist is worthwhile.
Rosacea is long-term, so many people need a maintenance plan once their skin is calm. At the review, a follow-up consultation with new photos lets the doctor decide whether to continue, reduce, change or stop treatment. If it flares, message the doctor rather than restarting an old product on your own.

Calmer skin starts here

A doctor reviews your photos and replies in under 2 hours on average.

Start rosacea consultationNo charge unless a doctor approves your treatment.
All content on this page has been medically reviewed by: Dr. Alejandro Infante, General medicine, on 27 July 2026. Registration: 080869277 View profile

Pay nothing if a doctor doesn't approve your treatment. Every consultation is fully refundable. How refunds work