Sustained Use of Oxymetazoline Cream Efficacious for Rosacea

Findings based on year-long evaluation of safety and efficacy for moderate-to-severe symptoms.
Findings based on year-long evaluation of safety and efficacy for moderate-to-severe symptoms.

HealthDay News — Oxymetazoline is safe and effective for the treatment of moderate-to-severe persistent erythema of rosacea, according to a study published in the June issue of the Journal of the American Academy of Dermatology.

Zoe Diana Draelos, MD, from Dermatology Consulting Services in High Point, Tennessee, and colleagues examined the long-term safety (1 year) and efficacy of oxymetazoline cream 1.0% in 440 patients with rosacea with moderate-to-severe persistent facial erythema. Assessments were conducted at 3 and 6 hours after the dose on day 1, and at weeks 4, 26, and 52. 

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The researchers found that 8.2% of patients reported treatment-emergent adverse events (TEAEs), the most common were application site dermatitis, paresthesia, pain, and pruritus. The rate of discontinuation mostly due to application-site TEAEs was 3.2%. There was no clinically meaningful skin blanching, inflammatory lesions, or telangiectasia. At week 52, a 2-grade or greater composite improvement from baseline in both Clinician Erythema Assessment and Subject Self-Assessment 3 and 6 hours after a dose was seen in 36.7 and 43.4% of patients, respectively. Following treatment cessation, less than 1% of patients experienced a rebound effect.

"This long-term study demonstrated sustained safety, tolerability, and efficacy of oxymetazoline for moderate-to-severe persistent erythema of rosacea," the authors write.

Several authors disclosed financial ties to Allergan, which is a manufacturer of oxymetazoline and funded the study.

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