Rosacea and melasma
Rosacea and melasma are different conditions that show up on the same telehealth skin menus. Rosacea is redness, flushing, and sometimes bumps. Melasma is patches of pigment, more often in women. Treatment is not interchangeable. DoctorsHome does not diagnose either one.
- Rosacea medicines people ask about include metronidazole, azelaic acid, and ivermectin cream.
- Melasma conversations often include tretinoin, azelaic acid, and sometimes hydroquinone.
- Sun protection matters for both. A webpage cannot confirm which condition you have.
Rosacea
Clinicians may discuss topical metronidazole, azelaic acid, or ivermectin. Some people also need oral medicine. Triggers such as heat and alcohol are part of the history. Eye symptoms need a clinician, because ocular rosacea is not a cream-only problem.
Melasma
Pigment on the cheeks, forehead, or upper lip is what people notice. Hormones, pregnancy, and sun are common parts of the story. Hydroquinone, when a clinician uses it, is time-limited. It is not a bleach-and-repeat plan from the internet.
Safety notes
Hydroquinone and retinoids have pregnancy considerations. Steroid creams used without a plan can worsen rosacea. If a spot is changing, bleeding, or new, that needs an in-person skin exam.
Related topics
DoctorsHome publishes educational information about telehealth treatments. It is not a medical practice, clinic, pharmacy, or telehealth service. It does not diagnose, prescribe, or sell medication, and it is not a substitute for care from a licensed clinician.
Medication names on this site are examples clinicians may discuss. They are not recommendations. Availability varies by state. Nothing here is for emergencies. Call 911 for a medical emergency. If you are in a mental-health crisis, call or text 988.