Difference in vasoconstrictors: oxymetazoline vs. brimonidine

Objective Topical oxymetazoline and brimonidine are the only medications approved for treating persistent facial erythema of rosacea. This review aims to investigate the efficacy, safety, pharmacodynamics, and pharmacokinetic properties of oxymetazoline and brimonidine. Methods and materials Phase I...

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Main Authors: Nwanneka Okwundu, Abigail Cline, Steven R. Feldman
Format: Article
Language:English
Published: Taylor & Francis Group 2021-02-01
Series:Journal of Dermatological Treatment
Subjects:
Online Access:http://dx.doi.org/10.1080/09546634.2019.1639606
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author Nwanneka Okwundu
Abigail Cline
Steven R. Feldman
author_facet Nwanneka Okwundu
Abigail Cline
Steven R. Feldman
author_sort Nwanneka Okwundu
collection DOAJ
description Objective Topical oxymetazoline and brimonidine are the only medications approved for treating persistent facial erythema of rosacea. This review aims to investigate the efficacy, safety, pharmacodynamics, and pharmacokinetic properties of oxymetazoline and brimonidine. Methods and materials Phase II and phase III clinical studies evaluating oxymetazoline and brimonidine were assessed to compare their efficacy and safety. Results In their respective phase III trials, both oxymetazoline and brimonidine met the primary efficacy outcome of having at least a 2-grade decrease from baseline on both the Clinician Erythema Assessment (CEA) and the Subject Self-Assessment (SSA) Scales compared to the vehicle control. Treatment related adverse events of oxymetazoline and brimonidine are most often mild and localized. Conclusions Topical oxymetazoline and brimonidine are effective for the management of persistent facial erythema associated with rosacea with a few mild and localized adverse effects. Further long-term research is imperative to further understand their long-term effects.
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spelling doaj.art-0a821b6df4cc4b1bb448846a7d3fc3ca2023-09-15T14:23:03ZengTaylor & Francis GroupJournal of Dermatological Treatment0954-66341471-17532021-02-0132213714310.1080/09546634.2019.16396061639606Difference in vasoconstrictors: oxymetazoline vs. brimonidineNwanneka Okwundu0Abigail Cline1Steven R. Feldman2Department of Dermatology, Center for Dermatology Research, Wake Forest School of MedicineDepartment of Dermatology, Center for Dermatology Research, Wake Forest School of MedicineDepartment of Dermatology, Center for Dermatology Research, Wake Forest School of MedicineObjective Topical oxymetazoline and brimonidine are the only medications approved for treating persistent facial erythema of rosacea. This review aims to investigate the efficacy, safety, pharmacodynamics, and pharmacokinetic properties of oxymetazoline and brimonidine. Methods and materials Phase II and phase III clinical studies evaluating oxymetazoline and brimonidine were assessed to compare their efficacy and safety. Results In their respective phase III trials, both oxymetazoline and brimonidine met the primary efficacy outcome of having at least a 2-grade decrease from baseline on both the Clinician Erythema Assessment (CEA) and the Subject Self-Assessment (SSA) Scales compared to the vehicle control. Treatment related adverse events of oxymetazoline and brimonidine are most often mild and localized. Conclusions Topical oxymetazoline and brimonidine are effective for the management of persistent facial erythema associated with rosacea with a few mild and localized adverse effects. Further long-term research is imperative to further understand their long-term effects.http://dx.doi.org/10.1080/09546634.2019.1639606adrenergicrosaceaerythemabrimonidineoxymetazoline
spellingShingle Nwanneka Okwundu
Abigail Cline
Steven R. Feldman
Difference in vasoconstrictors: oxymetazoline vs. brimonidine
Journal of Dermatological Treatment
adrenergic
rosacea
erythema
brimonidine
oxymetazoline
title Difference in vasoconstrictors: oxymetazoline vs. brimonidine
title_full Difference in vasoconstrictors: oxymetazoline vs. brimonidine
title_fullStr Difference in vasoconstrictors: oxymetazoline vs. brimonidine
title_full_unstemmed Difference in vasoconstrictors: oxymetazoline vs. brimonidine
title_short Difference in vasoconstrictors: oxymetazoline vs. brimonidine
title_sort difference in vasoconstrictors oxymetazoline vs brimonidine
topic adrenergic
rosacea
erythema
brimonidine
oxymetazoline
url http://dx.doi.org/10.1080/09546634.2019.1639606
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