Dr. Nase,

I'm thinking of starting Helen Sher's system.

I am also considering using a combo of Clonidine/Remeron along with RLT, IPL and Yag.

Can you provide me with your input on Helen Sher's system? I know you were involved with her at some point.

What is the best course of action for me?

I have redness on my nose/cheeks and the flushing/blushing is absolutely brutal.

Thanks.

Hi Del,

Clonidine and Remeron are generally very good for rosacea. They act centrally in the brain to reduce flushing responses and peripherally in the facial skin to constrict facial blood vessels (mild constriction).

I also think the combination of IPL and YAG is an excellent form of treatment for hyperreaction blood vessels and skin.

Yes, I did collaborate with Helen for a while and learned quite a bit. The real secret to her system is focused on being extra gentle to the skin. Over time, this allows the skin to calm down and inflammation to regress. If I had to focus on just a couple treatments you mentioned I would use the oral medications and laser treatments first as they are the best treatments for this condition.

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Best,
Geoffrey

Dr. Geoffrey Nase
Ph.D: Neuro-Vascular Physiologist

Email: drnase1000@hotmail.com
Bibliography: http://drnase.com

All posts are for informational purposes only. Please visit our Home Page to view our Medical Disclaimer.

should you take remeron and clonidine together or use one or the other? and at what doses?

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Doug

I read that Remeron was to treat depression. How does it help with Rosacea symptoms? What is best used for pore enlargement and more sebum secretion/inflamation?

MrsMoof,

Excellent question. These are two of the top medications for rosacea redness and flushing... as well as anxiety and depression.

If you have low blood pressure you need to be monitored because both meds cause low blood pressure. If that is the case, I would take subpressor doses of both medications. Subpressor refers to its ability to work without altering blood pressure and heart rate.

(1) Remeron (Mirtazapine) works extremely well at low doses. I would start off with 15 mgs right before bedtime.

(2) I would combine Remeron with 1mg Clonidine patches (Catapres)

This is a superb treatment combo for rosacea.

Evaluate your blood pressure, heart rate and effectiveness for 8 weeks. If everything comes back normal I would work up to 30 mgs of remeron and 2 mgs of the Catapres patch.

I hope that helps.

__________________
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Best,
Geoffrey

Dr. Geoffrey Nase
Ph.D: Neuro-Vascular Physiologist

Email: drnase1000@hotmail.com
Bibliography: http://drnase.com

All posts are for informational purposes only. Please visit our Home Page to view our Medical Disclaimer.

Thank you.. would it be okay to start with Remeron and see how i do before adding in Clonidine? Any issues if you stop taking Remeron -rebound flushing, etc?

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Doug

One more question... if I am okay at 15mg should I move up to 30mg? is there an ideal dosage? ive read 30 mg seems to be the best.

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Doug

I would start with Remeron based on its anecdotal track record of suppressing some of the rosacea flushing/blushing response. The dose depends on your height, weight and your kidney function (how fast it excretes the medications). 30 mgs does seem to be the best dose but don't self medicate.

With any medication like Remeron, NEVER stop taking the medication cold turkey. Wean down each week for 4 to 6 weeks.

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__________________
_

Best,
Geoffrey

Dr. Geoffrey Nase
Ph.D: Neuro-Vascular Physiologist

Email: drnase1000@hotmail.com
Bibliography: http://drnase.com

All posts are for informational purposes only. Please visit our Home Page to view our Medical Disclaimer.

Thank you again!

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Doug

Dr. Nase,

I have found many products including the Rejuvenex you have recommended on this website and was curious to know which ones you think may help the skin and many rosacea sufferers. It seems like there are many great ones.

Melatonin Cream
Vitamin D Lotion
Vitamin C Serum
Anti-Glycation Serum with Blueberry & Pomegranate Extracts
Ultra Rejuvenex
**Enhanced Fernblock with Sendara (New form of sunblock in a pill)
Face Rejuvenating Anti-Oxidant Cream
Anti-Redness & Blemish Lotion

Quality Vitamins And Nutritional Supplements Online - Life Extension