Tetracyclines for Rosacea

By Dr Magnus Lynch
MA(Cantab) DPhil(Oxon) MRCS FRCP
Consultant Dermatologist & Dermatological Surgeon

Oral tetracyclines are one of the most effective treatment for the inflammatory bumps and pustules of rosacea. I will generally prescribe lymecycline as it has less side effects than older tetracyclines such as doxycycline.

Which doses work best?

For rosacea, the standard dose of lymecycline is 408mg once daily. This dose has been shown to be effective at reducing papules and pustules.

Does long-term use lose effectiveness?

The goal is usually to use oral medication to gain initial control, and then maintain the results with topical treatments alone if possible. Lymecycline is usually prescribed for a 3 month course sometimes extended up to 6 months but is not continued long term.

Dr. Magnus Lynch, Consultant Dermatologist

About Dr Magnus Lynch

I am a London-based Consultant Dermatologist and Dermatological Surgeon. I am highly experienced in skin cancer diagnosis, Mohs micrographic surgery, acne, rosacea, acne scarring and laser treatments. I studied at the Universities of Cambridge and Oxford, and completed my dermatology training and Mohs fellowship at the prestigious St John’s Institute of Dermatology. I graduated from medical school in 2003 and have worked exclusively in Dermatology since 2012.

I lead a research team at King’s College London investigating the molecular biology of skin cancer. In recent years I have been involved in Media Appearances, including the Channel 5 series 'Skin A&E', where I perform skin surgeries and treat various skin conditions. Filming for the next series has recently completed and the series will be released later in 2025.

My NHS practice is at Guy's Hospital. I consult with private patients at the London Bridge Hospital, OneWelbeck (near to Bond Street station) and on Harley Street. A new consultation is £250. Book A Consultation.

I am the founder of Revessa Health which provides online consultations for acne and rosacea across the UK (see below).

Tetracyclines for Rosacea

Which doses work best?

Does long-term use lose effectiveness?

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About Dr Magnus Lynch

The Online Acne & Rosacea Specialists