Yes, in certain circumstances oral antibiotics are indicated to treat rosacea. Antibiotics are used in moderate to severe pustular rosacea. Often the dose of the antibiotics is a very low dose that is not effective as an antibiotic but is effective as an anti-inflammatory.
How long does it take for rosacea to go away with antibiotics?
Patients with rosacea should expect to see a significant improvement within a few weeks of commencing treatment. I would therefore recommend a review between 6 and 8 weeks after a new treatment has been started.
What antibiotics are given for rosacea?
Oral antibiotics used in papulopustular rosacea include minocycline, doxycycline, erythromycin, clarithromycin and clindamycin. Their effectiveness at sub-antimicrobial doses is mostly due to their anti-inflammatory properties rather than a direct antimicrobial mechanism.