u/sydmarie25

Looking to see if anyone else with sensitive, type 2 rosacea skin has experience with Triple Cream (15% Azelaic Acid, 1% Metro, 1% Iver).

TLDR I wrecked my skin barrier about 3 years ago and seem to have finally gotten it manageable, except I gave myself rosacea (type 2) in the process. Trigger is heat/UV/Sunlight. I do my best to keep out of the sun (I am paper white fair) but I still tend to get pustules/papules after a day outside only on my rosacea spots. They last a long time, are tender and painful, and leave pigment behind so they’re stubborn and annoying.

Derm prescribed the Triple Cream above. As someone with sensitive skin I have NEVER been able to use any acid on my face, even if it’s only a couple of times a week. I’ve only been able to use very light spot treatments on spots (tbh that barely do anything). I’m allergic to benzoyl peroxide too.

Checking if anyone with sensitive skin had reactions to the Triple Cream? My derm wants me to just jump into using it but I’m so scarred from wrecking my barrier for years.

For now I’m using it over my moisturizer on one small spot daily to test it out - but I’ve heard it can take months to be effective. I also have some Hypochlorus Acid spray on the way to try since I’ve seen sensitive skin rosacea success on here with that and it seems gentle. Open to any type 2 sensitive skin treatments too (no Vanicream, was drying for me).

Routine:
Wash face with Distilled Water (yes, I have reactions to our water even with a softener)
Cetaphil Fragrance Free Cleanser
Curology Gel Moisturizer
Hero Force Shield Sunscreen
Cocokind Eye Cream

Night - same as above except first cleans with Banila Co Balm and no sunscreen. Spot treat blemishes with Epionce Lite Lytic and/or Peach Slices Pimple Patch.

Looking for advice on starting triple cream!

Pic 1-4 - right after I woke up (trying to show my bumps and texture in the last two)
Pic 5-6 - right after skincare (wash & moisturize + spf - I workout in the morning so I need to wash)
Last pic trying to remind myself what I look like 🙃

I’ve been treated like I’ve had acne the past 3 years, but now it’s seems like I have type 2 rosacea as a result of bad barrier damage that seems to never heal. My color tends to flare when I’m anxious or in the direct sun.

My skin is super sensitive, combo but dry in my redder/irritated areas. No matter what I have a new pustule/papule at least every week. Every time I’ve tried an exfoliant, even working up to it, has made my skin worse.

I’m at my wits end with my skin and it’s been at its worst now. My marks don’t seem to fade and the texture gets enflamed and turns into lesions. I went to the derm and they gave me triple cream (azaleic acid 15%, metro 1%, iverm 1%). Even after I said I run dry and am sensitive it was recommended.

Does anyone with similar skin have experience? Should I dive in and just try it? Start from once a week and work up? I’m thinking I’m going to spot test it tonight on an irritated area to see if it provides relief.

This week I swapped my routine to barrier repair (Vanicream cleanser and facial moisturizer) to see if it helps. So far I don’t see much of a difference, but I’m not at the week mark yet.

Triple Rosacea Cream Experience? Type 2 Rosacea Treatment

Triple Cream (AA 15/Metro 1/ Iverm 1) Advice?