Acne Rosacea begins as person who flushes and blushes. Spicy foods, hot drinks, wine, exercise, and emotions make me flush. Over time the flushing and blushing becomes persistent. My face looks pink or red all the time. Typically over the years this becomes deeper and more intense red and large visible blood vessels appear in the area of redness. Many people go on and develop adult acne. Itchy red bumps, painful pustules that remind you of adolescent acne. Therefore the term acne rosacea. Acne occurring in a person with a pink face.
 
Location – central face and bridge of the nose. Can extend to forehead and chin.

Cause – this is usually hereditary. My father had red cheeks or my mom flushes when she has a glass of red wine
 
What happens to people over time?
Generally this is slowly progressive unless treated.

How common is it?
To a dermatologist this condition is very common. You see people with rosacea every day.(think of the red face of Santa Claus) It is that common.
 
Treatments – Several treatments are effective. Therapy in my opinion should be continuous for six months and then withdrawn. Treatment choices include low dose antibiotics ie. Tetracycline, doxycycline, minocycline, with at least 80% of people clearing well and once clear staying clear for years. Topical therapy in North America consists of a topical antibiotic metronidazole in which higher strengths are better.  These are applied generally twice per day.

Treatments are expensive probably about $200 for drugs and additionally the medical fees.

No one is ever cured.

The safety of long term antibiotics
There is a general concern that the use of oral and topical antibiotics are associated with significant long term problems for the individual taking them and for society as a whole. Issues like antibiotic resistance: immunosuppression , candida (yeast) etc
 
For these reasons Dr Telford searched for a more natural or physiological approach. His solution is topical Vitmain B3 (niacinamide)

What does Cloud offer?
There is exciting new science in the treatment of rosacea. If you take Cloud Vitamin B3 (Niacinamide) cream and apply it to the entire central face twice a day you will see the following:
-By 6 weeks the acne, the red bumps, and the persistent central face redness improves.
-By 12 weeks you see continuing improvement. If it is producing progressive improvement to 3 months, it is continued to 6 months at which point a trial of withdrawal is undertaken.

The second use of B3 or Niacinamide in acne rosacea is also new. There is a real recognition that patients with acne rosacea additionally have a disorder on the surface of their skin. The skin doesn’t feel natural and comfortable. They use different words to describe it such as ‘crazy skin’, ‘oily but dry’. Cloud Vitamin B3 (Niacinamide) corrects this by stimulating compounds which normalize the surface of clear skin. In my experience, acne rosacea patients exhibiting these symptoms love Niacinamide.
 
Topical application of vitamin B3 has other benefits in rosacea; it reduces pore size which is usually seen on the bridge of the nose and adjacent cheeks. Many people with rosacea complain of excessive skin oiliness; guess what - niacinamide cream reduces facial oiliness.  

Preventing recurrent flushes
Is it important that I give up all the ‘good stuff’? Many things precipitate the flush and blush of rosacea. We mentioned a few. It is important to realize that the flush and blush represents a chemical effect on blood vessels which typically lasts for a few hours. If you know what makes you flush and blush and if it is easy to avoid the precipitating factors, do. If it’s really hard like giving up red wine if you love it, accept the flush and try taking oral vitamin B3 prior to when you know you are going to flush. This often helps reduce it.

 

Best reference is Z Draelos