Well I got the idea from yellowred to start a log because I have been meaning to do it for a long time, so I can track triggers and also to report things that have worked/haven't worked for other members to read.
Things I have tried over the past 12 months
I have had 3 vbeam sessions. The last one was approx 5 weeks ago and was purpuric. I think it was more effective than the previous two.
Doxycyline antibiotics: I tried these back in Nov 2008. At first everything seemed ok and my skin cleared up but then I started getting some awful gastro symptoms and had to stop.
Clarithromycin: caused me horrible nausea.
Sulphur/sulfacetamide wash: I leave this on for a few minutes and then wash off. Haven't used it for a while. It does dry out my skin and wasn't sure if it really helped with the papules. Might try it again soon.
Clonidine: I take .05mg 3-4 times a day. This has helped my flushing a lot. I take a dose before I go to the gym and have been able to start seriously weight training again
Azithromycin: I have been taking 500mg, 3 times a week. This has helped clear papules and even what I think is perioral dermatitis. My dermatitis/papules flare up badly after vbeam so this has been a god send. My face is far from clear but is looking better.
Propanolol: I have reintroduced this in the last couple of days and it does seem to help with the flushing that Clonidine doesn't control.
Mirtazapine: This helped my depression and anxiety and I sleep like a baby every night. Not sure what effect it has on flushing but have a feeling it helps somewhat.
Roaccutane: I started on 20mg and at first it was great my skin cleared up straight away and my flushing calmed down. Then I suddenly got really red, broken caps and a strange rash like breakout (which I think was /is perioral dermatitis). I ended up having the accutane reformulated into 5mg caps and took this for a few months. It was still too strong. I was never actually clear and started flushing over everything. I also had visible caps appear which I never had before (despite being a bad flusher).
So I am still trying to control the baseline redness and flushing that Accutane caused.
I will be having another vbeam session on the 25th September.