Severe rosacea usually has more than one cause — inflammation, bacteria, and even microscopic Demodex mites can all play a role. This formula uses three actives that each target a different driver, which is what makes it effective when single-ingredient treatments fall short.
Here's what each active does:
- Azelaic acid — targets the root causes of rosacea inflammation at a therapeutic strength, reducing redness, papules, and pustules
- Ivermectin — addresses the Demodex mite activity that contributes to rosacea inflammation, helping reduce how often and how severely you flare
- Metronidazole — an antibiotic and anti-inflammatory that reduces the redness and inflammatory lesions associated with rosacea
A supporting ingredient, Centella Asiatica extract, provides deep soothing support to calm reactive skin and ease irritation from the potent actives, while ceramides help keep your barrier comfortable.