The Medical Letter on Drugs and Therapeutics
Brimonidine Gel (Mirvaso) for Rosacea
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The FDA has approved the selective alpha2-adrenergic receptor agonist brimonidine as a 0.33% gel (Mirvaso – Galderma) for topical treatment of adults with persistent facial erythema of rosacea. Brimonidine is also available in ophthalmic formulations for treatment of glaucoma.1,2

MECHANISM OF ACTION — Taken systemically, selective alpha2 agonists lower blood pressure by decreasing sympathetic outflow from the brain. Applied to the eye, they decrease production of aqueous humor. Applied to the skin, they cause vasoconstriction and can reduce erythema.

TREATMENT OF ROSACEA — Rosacea is a common, chronic inflammatory facial eruption of unknown cause characterized by erythema, telangiectasia, and recurrent, progressive crops of acneiform papules and pustules, usually on the central part of the face. ... more      

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Title: Brimonidine Gel (Mirvaso) for Rosacea
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