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Rosacea News February 2010


Hypoallergenicity, an unregulated neologism in skin care, refers to the potential of an ingredient to cause allergic or sensitizing reactions.

Allergic and sensitivity reactions may be categorized as clinical (obvious to the patient themselves or to the dermatologist treating the patient) and subclinical (invisible to the naked eye, however able to be confirmed by tests or the presence of indirect side effects).

Damage from subclinical irritation and inflammation in rosacea tends to be associated with a more insidious course of disease as the patient is unaware of the harm they are doing.

Burning, redness, stinging, itching and prickling sensations are the most common manifestations of reactions reported by rosacea patients in the course of using cleansers, serums, moisturizers and sunscreens.

Rosacea patients are astounded to find that many of their skin care concerns resolve by permanently avoiding certain ingredients.

Through extensive trials over more than a decade, The Clinic has determined the relative harm of hundreds of ubiquitous ingredients which are either useless to skin or for which superior alternatives and formulations exist.

Sodium laureth sulphate (and variations thereof including sodium lauryl sulphate and sodium pareth sulphate) top the list for their capacity to dry, irritate and compromise the barrier integrity and function of skin, potentiating environmentally-provoked rosacea symptoms as well as any side effects from subsequent skin care or rosacea medications such as azelaic acid and metronidazole.

Other ingredients best avoided include:

To avoid allergic reactions from skin care, we propose the following minimum clinically-tested and refined protocol, which meets the above criteria for extremely low hypoallergenicity in rosacea patients:


Apply a moderate quantity of Rosacea Oil-Free Purifying Gel Cleanser or De-Sensitizing Cleansing Emulsion to dry skin. Massage gently and thoroughly for 30 seconds or longer (longer for makeup removal or if skin is normal to combination/slightly oily). Rinse thoroughly with cool to tepid water. Pat skin dry, ideally by pressing soft tissues flat against skin. Apply any rosacea medication (if prescribed) followed by Rosacea Hydrating Serum applied underneath Rosacea Treatment Fluid or Rosacea Treatment Cream. Follow with sunscreen and makeup (if used).


As per AM, minus sunscreen and makeup. Rosacea Cooling Lotion is an evening/night-time alternative to Rosacea Treatment Fluid and Rosacea Treatment Cream.

For closely related topics, see (Non)Comedogenicity of Skin Care Ingredients in Rosacea Skin Care Products and New Larger Size Packaging and Formulas Eliminate Preservatives/Enhance Rosacea Treatment.

Rosacea Australia

The impact of rosacea on patients in Australia is under-appreciated.

Most Australian patients with rosacea experience discomfort, typically facial burning, itching, stinging, swelling, and even pain.

These symptoms of rosacea affect the self-esteem of Australians with rosacea, reducing their quality of life.

Patients will most typically avoid public or social contact when their condition is active.

Rosacea is typically characterised by a cycle of relapses and remissions.

A retrospective study of 48 Australian rosacea patients previously diagnosed with rosacea in Australia found that 58% still had active rosacea, with an average ongoing duration of 11 years.

Rosacea in the remaining Australians had cleared, but those rosacea patients had experienced symptoms on average for 7 years.

Accordingly, rosacea treatment regimens need to address both acute symptoms and help patients remain symptom free.

Rosacea Australia follow-up research has shown that patients with rosacea who continue therapy long term are less likely to experience a recurrence of symptoms.

Symptoms can be effectively controlled with topical and oral pharmacologic therapies, avoidance of triggers and proper skin care.

To progress further, refer Rosacea Treatment.

Author: Peter Wilson.

Reviewed: Monday, May 3, 2010.

Further Information: Rosacea News July 2017 : Rosacea News June 2017 : Rosacea News March 2017 : Rosacea News February 2017 : Rosacea News December 2016 : Rosacea News November 2016 : Rosacea News October 2016 : Rosacea News September 2016 : Rosacea News August 2016 : Rosacea News July 2016 : Rosacea News June 2016 : Rosacea News May 2016 : Rosacea News April 2016 : Rosacea News March 2016 : Rosacea News February 2016 : Rosacea News January 2016 : Rosacea News December 2015 : Rosacea News June 2014 : Rosacea News May 2014 : Rosacea News April 2014 : Rosacea News March 2014 : Rosacea News February 2014 : Rosacea News January 2014 : Rosacea News December 2013 : Rosacea News November 2013 : Rosacea News October 2013 : Rosacea News September 2013 : Rosacea News August 2013 : Rosacea News July 2013 : Rosacea News June 2013 : Rosacea News May 2013 : Rosacea News April 2013 : Rosacea News November 2012 : Rosacea News August 2012 : Rosacea News August 2011 : Rosacea News July 2011 : Rosacea News June 2011 : Rosacea News May 2011 : Rosacea News September 2010 : Rosacea News August 2010 : Rosacea News July 2010 : Rosacea News June 2010 : Rosacea News May 2010 : Rosacea News April 2010 : Rosacea News March 2010 : Rosacea News February 2010 : 2010 Rosacea News : July 2009 Rosacea News : April 2009 Rosacea News : March 2009 Rosacea News : February 2009 Rosacea News : January 2009 Rosacea News : December 2008 Rosacea News : November 2008 Rosacea News : October 2008 Rosacea News : September 2008 Rosacea News : August 2008 Rosacea News : July 2008 Rosacea News : June 2008 Rosacea News : May 2008 Rosacea News : April 2008 Rosacea News : March 2008 Rosacea News : February 2008 Rosacea News : January 2008 Rosacea News : REDLOG — The Rosacea Weblog :


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