Spotlight on brimonidine topical gel 0.33% for facial erythema of rosacea: safety, efficacy, and patient acceptability

Michael S Anderson,1 Anish Nadkarni,1 Leah A Cardwell,1 Hossein Alinia,1 Steven R Feldman1–3 1Department of Dermatology, Center for Dermatology Research, 2Department of Pathology, 3Department of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA Background: Br...

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Main Authors: Anderson MS, Nadkarni A, Cardwell LA, Alinia H, Feldman SR
Format: Article
Language:English
Published: Dove Medical Press 2017-07-01
Series:Patient Preference and Adherence
Subjects:
Online Access:https://www.dovepress.com/spotlight-on-brimonidine-topical-gel-033-for-facial-erythema-of-rosace-peer-reviewed-article-PPA
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author Anderson MS
Nadkarni A
Cardwell LA
Alinia H
Feldman SR
author_facet Anderson MS
Nadkarni A
Cardwell LA
Alinia H
Feldman SR
author_sort Anderson MS
collection DOAJ
description Michael S Anderson,1 Anish Nadkarni,1 Leah A Cardwell,1 Hossein Alinia,1 Steven R Feldman1–3 1Department of Dermatology, Center for Dermatology Research, 2Department of Pathology, 3Department of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA Background: Brimonidine tartrate is a highly selective alpha 2 agonist that induces direct vasoconstriction of small arteries and veins, thereby reducing vasodilation and edema. Objective: To review the current literature regarding the safety, efficacy, and patient acceptability of brimonidine 0.33% gel.Methods: A PubMed search was performed using the terms brimonidine 0.33% gel, rosacea, safety, efficacy, and acceptability. Peer-reviewed clinical trials and case reports from 2012 to 2016 were screened for inclusion of safety, efficacy, and/or patient acceptability data.Results: Brimonidine topical gel 0.33% is associated with mild, transient skin-related adverse reactions. Efficacy may be achieved within 30 minutes of administration with maximal reductions in erythema 3–6 hours after administration. Patient satisfaction with use of brimonidine topical gel is superior to vehicle gel for facial appearance, treatment effect, facial redness, and daily control of facial redness.Limitations: Studies were typically limited to 1-year follow-up. Only one study has examined the use of brimonidine topical gel in combination with other rosacea and acne medications.Discussion: Brimonidine topical gel 0.33% is a safe, effective, and patient-accepted treatment for facial erythema of rosacea. Keywords: patient satisfaction, adverse reactions, side effects 
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spelling doaj.art-db0f679c903d411681b066f074ad93e32022-12-21T17:33:19ZengDove Medical PressPatient Preference and Adherence1177-889X2017-07-01Volume 111143115033628Spotlight on brimonidine topical gel 0.33% for facial erythema of rosacea: safety, efficacy, and patient acceptabilityAnderson MSNadkarni ACardwell LAAlinia HFeldman SRMichael S Anderson,1 Anish Nadkarni,1 Leah A Cardwell,1 Hossein Alinia,1 Steven R Feldman1–3 1Department of Dermatology, Center for Dermatology Research, 2Department of Pathology, 3Department of Public Health Sciences, Wake Forest School of Medicine, Winston-Salem, NC, USA Background: Brimonidine tartrate is a highly selective alpha 2 agonist that induces direct vasoconstriction of small arteries and veins, thereby reducing vasodilation and edema. Objective: To review the current literature regarding the safety, efficacy, and patient acceptability of brimonidine 0.33% gel.Methods: A PubMed search was performed using the terms brimonidine 0.33% gel, rosacea, safety, efficacy, and acceptability. Peer-reviewed clinical trials and case reports from 2012 to 2016 were screened for inclusion of safety, efficacy, and/or patient acceptability data.Results: Brimonidine topical gel 0.33% is associated with mild, transient skin-related adverse reactions. Efficacy may be achieved within 30 minutes of administration with maximal reductions in erythema 3–6 hours after administration. Patient satisfaction with use of brimonidine topical gel is superior to vehicle gel for facial appearance, treatment effect, facial redness, and daily control of facial redness.Limitations: Studies were typically limited to 1-year follow-up. Only one study has examined the use of brimonidine topical gel in combination with other rosacea and acne medications.Discussion: Brimonidine topical gel 0.33% is a safe, effective, and patient-accepted treatment for facial erythema of rosacea. Keywords: patient satisfaction, adverse reactions, side effects https://www.dovepress.com/spotlight-on-brimonidine-topical-gel-033-for-facial-erythema-of-rosace-peer-reviewed-article-PPAbrimonidinerosaceaefficacypatient satisfactionsafetyadverse reactionsside effectsacceptability
spellingShingle Anderson MS
Nadkarni A
Cardwell LA
Alinia H
Feldman SR
Spotlight on brimonidine topical gel 0.33% for facial erythema of rosacea: safety, efficacy, and patient acceptability
Patient Preference and Adherence
brimonidine
rosacea
efficacy
patient satisfaction
safety
adverse reactions
side effects
acceptability
title Spotlight on brimonidine topical gel 0.33% for facial erythema of rosacea: safety, efficacy, and patient acceptability
title_full Spotlight on brimonidine topical gel 0.33% for facial erythema of rosacea: safety, efficacy, and patient acceptability
title_fullStr Spotlight on brimonidine topical gel 0.33% for facial erythema of rosacea: safety, efficacy, and patient acceptability
title_full_unstemmed Spotlight on brimonidine topical gel 0.33% for facial erythema of rosacea: safety, efficacy, and patient acceptability
title_short Spotlight on brimonidine topical gel 0.33% for facial erythema of rosacea: safety, efficacy, and patient acceptability
title_sort spotlight on brimonidine topical gel 0 33 for facial erythema of rosacea safety efficacy and patient acceptability
topic brimonidine
rosacea
efficacy
patient satisfaction
safety
adverse reactions
side effects
acceptability
url https://www.dovepress.com/spotlight-on-brimonidine-topical-gel-033-for-facial-erythema-of-rosace-peer-reviewed-article-PPA
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