Extina is a new product released by Stiefel for the treatment of seborrheic dermatitis. Because many rosacea sufferers have some degree of seborrheic dermatitis due to facial inflammation (which allows seb. derm to set in quite easily through alterations in the skin's immune system), it seems smart to address rosacea and seb. derm.

Extina - Buyer Beware - Do not try on Rosacea Skin:

This Rosacea Skin Care Review is intended to educate rosacea sufferers and throw up a major Red Flag so that people are aware of the dangers of this product. The odds are great that you will get worse if you use this product.This is not meant for rosacea and is completely contraindicated for anyone with rosacea or sensitive skin -plus- it was developed for plaque seborrheic dermatitis (the thick yellow plaques of severe seb derm) and not the mild seb. derm that is found in rosacea sufferers.

While trying to be as constructive as possible I must comment on David Pascoe (Digital Davo) and his Rosacea Blog Editorials. Most of his "editorials" are not accurate, include major flaws in theory, and many are downright dangerous.

If I went through all his Blog posts, I could easily find major flaws in over 70% of his editorials... but, I have tried to stay away from these critiques because it puts the entire rosacea community into disharmony. David Pascoe does not feel the same way as he continues to be the primary Admin and publisher of the debunking site (but will not admit to it, nor put his name by his vindictive site). That is simply because he must try to discredit me so that he does not have to answer for his numerous debaucles with the Rosacea Research Foundation, his dumbfounding support of the NRS (which goes against the heart and core of our Mission Statement) and the dissapearance of almost $3,000..... which has never been accounted for. No one else accepted a single dime, but Pascoe must feel entitled to some form of payout.

For the record, David Pascoe has no education in Biology, research, medicine or rosacea. He is simply a rosacea sufferer. He does try to pass himself off as the President of the Rosacea Research Foundation -- which means absolutely nothing and should actually count against any advice or knowledge he may seem to perceive. He deceives people into thinking that he has knowledge in the rosacea field.

Extina:

David Pascoe just published an editorial on Extina on August 27, 2010. It's a bad editorial and a dangerous one. His editorials may not always recommend a product, but it is published news that indicates it is a viable rosacea treatment. This is far from the truth and no dermatologist would ever use this on rosacea skin. This is irresponsible.

The entire base of Extina is a literal who's who of dangerous rosacea ingredients and will eat through rosacea-thin skin and directly aggravate blood vessels and nerves:

1. Ouch -- Pure ethanol at a whopping 58% -- ethanol (denatured with tert-butyl alcohol and brucine sulfate) 58% -- this is at the top of the dangerous rosacea ingredients, even at 1% to 3%.... let alone 58%

2. Ouch - Citric Acid which is at the top of the rosacea ingredients to avoid

3. Emulsifying Wax -- Cetyl and Stearyl Alcohol were designed to "eat away" at plaque, but with rosacea skin, it just rips holes open throughout the epidermis.

4. Propylene Glycol -- All rosacea sufferers are aware of the dangers of this product on rosacea skin and that is why Galderm basically discontinued their old Metrogel with Propylene Glycol for their new Metrogel without propylene glycol

5. Hydrocarbon (propane and butane) -- this is not recommended for sensitive skin, let alone rosacea skin. It propels the foam onto the face and then dissolves in the skin - triggering the release of countless inflammatory dilators

Here is the Extina list of ingredients as it shows up on the container:

Active ingredients: ketoconazole

Inactive Ingredients: cetyl alcohol, citric acid, ethanol (denatured with tert-butyl alcohol and brucine sulfate) 58%, polysorbate 60, potassium citrate, propylene glycol, purified water, and stearyl alcohol pressurized with a hydrocarbon (propane/butane)


While its great to get rosacea support, make sure that it is actually supportive and not detrimental. This is dangerous information relayed by David Pascoe without a single warning.... and this is one of the many "editorial" blogs that are "RED ALERTS" and dangerous to rosacea sufferers

If all else fails, go with your instincts and simple common sense.

Good luck

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__________________
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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 for the updates Geoffrey.

I follow Pascoe's blog every once in a while, but it is now clear that he will post anything just to toot his own horn.

........... Not helpful to us at all.


Izzy

Dr. Nase,

Thank you for keeping it real!

Out of the three rosacea forums, you're forum is the only one that presents novel information and warns rosacea sufferers about potentially dangerous products.

David Pascoe's editorial is beyond pathetic. If he can't find information on the Internet to post that is not a reason to post dangerous information such as he did.

All of those ingredients would be a death sentence to me.

Chris.

Chris,

This is, indeed, a terrible editorial by David Pascoe. Careless and dangerous. He only researches via the Internet so he does not post anything new or exciting and he has no science background so he can't interpret articles. He should stick to photos of his new bike -- It looks to cost around $3,000 - compliments of the Rosacea Research Foundation!!!!!! If he starts a new, fake "non-profit" organization he can upgrade his bike and his speedo suit.

Izzy

I just purchased Metrogel about 2 weeks ago and it still states that it contains this product. Where and when can the new one be found? Thanks!

This is a lousy article by Pascoe. He should stop writing blog editorials as they are misleading and often harmful.

jenny