Well I previously made a post about using 1% hydrocortisone on my face for two years. In addition to steroid induced rosacea I have acne vulgaris. I have read various sites that state that any acne topical that I am aware of will only worsen the rosacea. So I am left with an extremely flushed face with several pimples. I was given a sample of 1% metronidazole topical for the redness, by my doctor, but I doubt this will help with the several whiteheads that I also have if not make them worse. This is extremely frustrating to me and I was wondering if anyone had any suggestions on how to treat this problem. Thanks!

Edit: I was also wondering if I should worry about any eye damage considering the hydrocortisone was applied quite close to my eyes for such a long peroid of time.

I know two people who have used microdermx for their acne rosacea and it has taken it away. If you order it, you need to ask for specific rosacea directions.

Steroid-induced acne is a complication of systemic corticosteroids, which is characterized by abrupt onset of pruritic monomorphous papules or pustules affecting primarily the upper trunk, 2 to 6 weeks after initiating the drug. Comedones are generally absent from steroid-induced acne. The condition resolves with discontinuation of the steroids. Treatment with topical or systemic retinoids may be helpful even if the steroids are continued, whereas topical antibiotics and benzoyl peroxide may provide less benefit.

Acne vulgaris is a common skin disease that affects 85-100% of people at some time during their lives. It is characterized by noninflammatory follicular papules or comedones and by inflammatory papules, pustules, and nodules in its more severe forms. Acne treatment depends on whether you have a mild, moderate or severe form. Sometimes your doctor will combine treatments to get the best results and to avoid developing drug resistant bacteria. Treatment could include lotions or gels you put on blemishes or sometimes entire areas of skin, such as the chest or back (topical medications). You might also take medications by mouth (oral medications). Since you're under the supervision of your doctor, ask him/her to give you a medication for the whiteheads and acne that you are experiencing on your face.

I was initially given retin a for my acne. Even though it did clear it up it only worsened my already flushed cheeks. I do know redness is a side effect of the retin a but it worries me that by using it on already flushed cheeks it will cause me even more damage. So I am left unsure what exactly I should do.