I got steroid rosacea after a long-term misuse of topical steroids on the face. Please help.

Hi doctor,

I have developed steroid rosacea after a long-term misuse of topical steroids on the face to treat occasional pimples. After a few years, I realized that my skin was addicted to the topical as I would develop lots of small bumps and pimples after stopping. I took Doxycycline 100 mg twice a day for three months, and Clindamycin phosphate gel for the first six weeks, but then stopped the gel because of a bad reaction. After three months, I saw some results, but my skin was not clear, and my skin started feeling like sandpaper, so I suspected Demodex. The local doctor could not test for Demodex and gave me antifungal cream and oral Fluconazole after a tape sample microscope test. That did not help, and I have just started Soolantra now (on my own, as the doctors here are not familiar with rosacea). I am wondering if I should keep taking Doxycycline as it has been three months already. But it is often prescribed with Soolantra, and I am worried if I stop that my skin will worsen. I could use some guidance. There are no doctors, let alone specialists, in the area I live. Thank you so much.

Hi doctor,

Thank you for your reply. I am sending you the pictures taken one week ago. I started Soolantra (Ivermectin) after these pictures were taken. My skin purged when I started using Soolantra, and now it is slowly calming down. I understand that this is normal for using Ivermectin or Soolantra. I am at the same time worried about the microscope findings (doctor just said "it is a fungus") and that I sometimes get small red spots on my face (one or two at a time) that disappear within 30 to 60 minutes, but sometimes leave a tiny whitehead.