Not sure whether to post here or in the IPL section, but here will do.
I have had lots of IPL in the past with no increase in symptoms. In fact it worked wonders for me.
Around Xmas, my rosacea flared terribly and I have been battling ever since to get it under control.
Because oral Eythromycin was no longer working for me, I was switched to Clarithromycin.
This cleared up the P&P's fast.
Ok, here are my problems and questions.
Post Xmas, IPL caused bad reactions for me. It is thought I have become resistant to the vasculight and possibly to all forms of IPL. Scary thought.
IPL started to cause a bad sunburn type reaction, which caused terrible redness and flushing.
I was initially in a very bad state, so I thought, ok, well it is going to take a number of treatments to get this under control again.
It took several months to get any improvement at all.
I took a break and then had another IPL treatment. Same problem again, that intense sunburn type reaction even with lower energies, although after this passed, the severity of my rosacea did decrease.
I also experience facial swelling. Mostly the left cheek. Usually I wake up with it and it is very red and hot.
In May I started using topical Rosex, which is the USA equivalent to Metrogel.
I felt this was helping intially, but after a while it made my face red, so I would cut back a few days to let things settle. This worked moderately for a while.
All moisturisers irritated, until recently, when I tried jojoba oil. I found it calming and the odd outbreaks I was still having stopped, so I discontinued the rosex. My face felt far more comfortable. The best it had in ages.
But I still get swelling.
* I would like to know if anyone has experience with any antibiotic, particularly Clarithromycin, which has caused an adverse reaction when undergoing IPL?
If, so, was a sunburn effect included in this?
* Has anyone taken Clarithromycin and experienced facial swelling? Not necessarily continually, but also intermittantly?
My pharmacist told me that it is possible to get facial swelling from Clarithroymcin, but the severity could vary from day to day based on several reasons. She said this was considered a side effect, but not an allergic reaction. Not a good side effect for a rosacean though, seeing swelling is part of the disease.
She felt this was something I should consider as a problematic factor. She does not know anything about IPL, so she couldn't advise on that, but again, suggested I do consider this.
Thus, I am here today, wondering if anyone else has had the same or similar experiences?
I am allergic to tetracylines, which also cause facial swelling, but it is a different kind. Dramatic and involves the lips. I did not experience an increase with rosacea symptoms with these. ( I became photosensitive though).
The kind I have now is 'generally' more subtle and increases redness, flushing and pain.
My brain never stops ticking over trying to find answers as to why I am now so bad, and why IPL started hindering instead of helping. Not doing anything is one thing, but it making me worse is awful.
The antibiotic questioning is something I have not really considered before, but needs to be followed through.
I could try stopping the drug and see what happens, but I am afraid to do this without more information at this stage, as I know the P&P's will return with a vengence.
Another worrying thing is, that I have probably run out of options with antibiotics
I have read many postings about people whose seb derm flares after IPL, but after studying photos and symptoms, I don't feel my case is the same. I am happy to receive imput on this aspect as well though.
Even if anyone hasn't experienced any of the above, but has thoughts on the subject, I would still appreciate hearing them.