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PERBETE

Skincare ingredients for rosacea

Our research data links 23 ingredients to rosacea. Strongest evidence comes first, each with the studies behind it.

A research list, not medical advice. If a skin condition worries you, see a dermatologist.

Which ingredients have the most evidence for rosacea?

In our data, the strongest evidence for rosacea is behind Azelaic acid, Dexpanthenol, and White Petrolatum.

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Top 5 at a glance
IngredientEvidenceStudied atRating
Azelaic acid🧪 Clinical evidencemelasma 20%; papulopustular rosacea 15%Moderate concern
Dexpanthenol🧪 Clinical evidenceclinical 5%Low concern
White Petrolatum📄 Literature evidencepure base tested; universal range N/ALow concern
Niacinamide🧪 Clinical evidenceclinical 2-5%; Korean notice whitening 2-5%Low concern
Ectoine🧪 Clinical evidenceclinical 7% creamLow concern
  1. Azelaic acidModerate concern

    Studied at melasma 20%; papulopustular rosacea 15%

    For papulopustular rosacea at 15%. The effect on persistent erythema without lesions alone is not assessed on the label.

    • Reference: Balina and Graupe, 1991
    • Reference: DailyMed drug label, 2020

    Pregnancy: not advised against on skin · Listed in 86 products

  2. DexpanthenolLow concern

    Studied at clinical 5%

    • Reference: Proksch and Nissen, 2002

    Pregnancy: not advised against on skin · Listed in 51 products

  3. White PetrolatumLow concern

    Petrolatum

    Studied at pure base tested; universal range N/A

    • Reference: Ghadially et al., 1992

    Pregnancy: not rated yet · Listed in 264 products

  4. NiacinamideLow concern

    Studied at clinical 2-5%; Korean notice whitening 2-5%

    • Reference: Bissett et al., 2004
    • Reference: Draelos et al., 2006
    • Reference: Kimball et al., 2010
    • Reference: Korea Ministry of Government Legislation, 2023

    Pregnancy: not rated yet · Listed in 8,542 products

  5. EctoineLow concern

    Ectoin

    Studied at clinical 7% cream

    • Reference: Marini et al., 2014
    • Reference: Bitop AG, 2010

    Pregnancy: not rated yet · Listed in 596 products

  6. Ceramide APLow concern

    Studied at N/A; a stand-alone % cannot be fixed from finished-product mixed-lipid evidence alone

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: CIR, 2015

    Pregnancy: not rated yet · Listed in 747 products

  7. Ceramide ASLow concern

    Studied at N/A; a stand-alone % cannot be fixed from finished-product mixed-lipid evidence alone

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: CIR, 2015

    Pregnancy: not rated yet · Listed in 422 products

  8. Ceramide EOPLow concern

    Studied at N/A; a stand-alone % cannot be fixed from finished-product mixed-lipid evidence alone

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: CIR, 2015

    Pregnancy: not rated yet · Listed in 722 products

  9. Ceramide NPLow concern

    Studied at N/A; a stand-alone % cannot be fixed from finished-product mixed-lipid evidence alone

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: CIR, 2015

    Pregnancy: not rated yet · Listed in 5,243 products

  10. Ceramide NSLow concern

    Studied at N/A; a stand-alone % cannot be fixed from finished-product mixed-lipid evidence alone

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: CIR, 2015

    Pregnancy: not rated yet · Listed in 485 products

  11. GlycerolLow concern

    Glycerin

    Studied at combination clinical 20%; general stand-alone range N/A

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: Danby et al., 2022

    Pregnancy: not advised against on skin · Listed in 21,696 products

  12. alpha-BisabololLow concern

    Bisabolol

    Studied at Korean notice whitening 0.5%; soothing stand-alone N/A

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: Korea Ministry of Government Legislation, 2023

    Pregnancy: not rated yet · Listed in 1,027 products

  13. Studied at N/A

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: Cameli et al., 2020

    Listed in 71 products

  14. Studied at clinical 0.1%

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: Pavicic et al., 2011

    Not in our product list yet

  15. MadecassosideLow concern

    Studied at combination clinical 0.1% + LAA 5%; stand-alone N/A

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: Haftek et al., 2008

    Pregnancy: not rated yet · Listed in 2,284 products

  16. AllantoinLow concern

    Studied at N/A

    • Reference: Xu et al., 2025

    Pregnancy: not rated yet · Listed in 6,122 products

  17. PhytosphingosineLow concern

    Studied at N/A

    Indirect evidence for a barrier-support purpose. The clinical effective % of this single molecule for treating chronic inflammation in rosacea is N/A.

    • Reference: Pavicic et al., 2007
    • Reference: CIR, 2015

    Pregnancy: not rated yet · Listed in 1,214 products

Which ingredients for rosacea need a doctor?

6 ingredients here are prescription-only or for in-clinic use in the US. We list them so you can look them up; they never go into a PERBETE routine.

  1. 22,23-Dihydroavermectin B1aHigh concernPrescription only (US)

    Studied at mixed drug ivermectin 1%; stand-alone N/A

    The 9.0 is attributed to the papulopustular effect of the approved ivermectin 1% mixed cream. The stand-alone clinical efficacy and concentration of this homologue are N/A.

    • Reference: DailyMed drug label, 2024

    Not in our product list yet

  2. 22,23-Dihydroavermectin B1bHigh concernPrescription only (US)

    Studied at mixed drug ivermectin 1%; stand-alone N/A

    The 9.0 is attributed to the papulopustular effect of the approved ivermectin 1% mixed cream. The stand-alone clinical efficacy and concentration of this homologue are N/A.

    • Reference: DailyMed drug label, 2024

    Not in our product list yet

  3. BrimonidineHigh concernPrescription only (US)

    Studied at drug, equivalent 0.33%

    Temporary vasoconstriction of persistent erythema. Different from treating papulopustular, barrier or ocular rosacea; follow the product label and doctor's prescription.

    • Reference: DailyMed drug label, 2024

    Not in our product list yet

  4. Brimonidine tartrateHigh concernPrescription only (US)

    Studied at drug 0.5% = free base 0.33%

    Temporary vasoconstriction of persistent erythema. Different from treating papulopustular, barrier or ocular rosacea; follow the product label and doctor's prescription.

    • Reference: DailyMed drug label, 2024

    Not in our product list yet

  5. MetronidazoleHigh concernPrescription only (US)

    Studied at drug 0.75%, 1%

    • Reference: DailyMed, 2025

    Not in our product list yet

  6. Oxymetazoline hydrochlorideHigh concernPrescription only (US)

    Studied at drug 1% = free base 0.88%

    Temporary vasoconstriction of persistent erythema. Different from treating papulopustular, barrier or ocular rosacea; follow the product label and doctor's prescription.

    • Reference: DailyMed drug label, 2025

    Not in our product list yet

Which ingredients for rosacea are advised against in pregnancy?

None of the 23 ingredients here carries an 'advised to avoid' verdict for pregnancy in our data.

Pregnant or breastfeeding? Check new products with your doctor or midwife.

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