Have you had this problem diagnosed by a healthcare professional before?

    YesNoOther

    Why do you need treatment today?

    I’ve had this problem before and need a REPEAT prescriptionI’ve had this problem before but want to try a NEW medicationI’ve NOT had this problem before and want to try a medication to helpOther

    Which type(s) of Rosacea do you think you have? If you are not sure please select ‘I don’t know’

    Persistent Redness and Visible Blood VesselsRed Bumps and PimplesThickened, Bumpy SkinEye SymptomsFirm Skin BumpsMix of TypesOtherI don’t know

    Long-lasting redness and visible blood vessels on the face, often on the cheeks, nose, chin, or forehead. The skin may feel warm, tingly, or have a burning sensation

    Red skin with acne-like bumps or pus-filled spots that appear mostly on the cheeks, chin, and forehead. Skin may also feel burning or stinging

    Thickened and bumpy skin, especially on the nose (which may look enlarged), but can also affect the cheeks, forehead, ears, and chin.

    Red, itchy, watery, or dry eyes that may feel gritty, sensitive to light, or have swollen eyelids. May feel like there is something in the eyes.

    Hard, firm bumps that are red, brown, or yellow, mostly appearing on the cheeks and around the eyes or nose

    It is common to have a mixture of types. You can select multiple types above

    0%

    Do you have any of the following symptoms? Please select all that apply

    Flushing (sudden redness and warmth of the skin)Persistent rednessVisible blood vesselsSmall spots (papules)Small pus-filled spots (pustules)Stinging or BurningWarm to touch or hot skinTinglingThickened skinRoughnessSmoothnessGreasy/ Oily skinDry skinWhiteheads (small pus-filled pimples)Blackheads (small black pimples)Itchy/ flakey skin affecting the eyebrows, side of the nose or earsYellowish crusting of the skinSwellingPain or sensitivityEye symptomsThickened skinTinglingItchFeeling of TightnessDrynessScaling (Flakey)RoughnessSmoothnessCysts, bumps, and lumpinessWhiteheadsBlackheadsCrustingBlisteringDischarge or OozingBleedingRegular InfectionsScarringAltered sensation or feelingDarkening of skin (increase in colour or pigment)Lightening of skin (loss of colour or pigment)None of the aboveOtherI don’t know

    Please rate from 1-10 how painful it is (0= no pain, 10= worst imaginable):

    Grittiness, Dryness, Pain, Irritation, Sensitivity to light, Bloodshot, Discharge

    How many infections have you had in the last year?

    Altered sensation or feeling

    When did the problems start?

    How quickly did the problem start?

    Suddenly (minutes)Quickly (hours)Gradually (days)Slowly (weeks)Very slowly (months)Over several yearsOtherI don't know

    Is it getting worse?

    NoYesOtherI don’t know

    16%

    How does the problem behave?

    It's always thereIt comes and goesOtherI don’t know

    How long does it last each time?

    MinutesHoursDaysWeeksMonthsYears

    Please explain:

    Has anyone else in your family had rosacea or suffered with autoimmune conditions, such as lupus or rheumatoid arthritis?

    NoYes, other people in my family have suffered with rosacea tooYes, I have a personal or family history of autoimmune diseaseI don’t know

    Please tell us more

    Please tell us more

    Have you been unwell in any other way recently or experienced any of the following symptoms?

    No- I have been wellI have been unwell recently due to another condition, illness or circumstanceTemperatureFeverNauseaVomitingNight sweatsWeight lossExcessive tirednessJoint pain/ swellingOther concerning symptomsI don’t know

    Please tell us more

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    33%

    Does anything make it WORSE? Please select all that apply

    SunlightStressHot weather/ HeatCold weather/ ColdWindAlcoholExerciseSpicy foodsCertain foodsCaffeineSkin care products/ cosmeticsSkin care routineMedicationsOtherNone of the aboveI don’t know

    Please explain e.g which foods?

    Please explain

    Please explain

    Please explain

    Does anything make it BETTER? Please select all that apply

    Avoiding triggersManaging stressDaily use of sunscreenSkin care products/ cosmeticsSkincare routineCool compressGreen tea extractAloe vera gelNiacinamide (Vitamin B3)ProbioticsOtherNone of the aboveI don’t know

    Please explain

    Please tell us more

    50%

    Have you already tried any of the following treatments?

    Cleansers/ Moisturisers
    e.g. Cetaphil, La Roche Posay, Cetraben, Doublebase, Aveeno, Eucerin

    Azelaic acid creams/gels
    e.g. Skinoren, Finacea

    Antibiotic creams/ gels/ lotions
    e.g. Duac, Zineryt, Dalacin-T, Rozex, Metrogel

    Antibiotic tablets/capsules
    e.g. Lymecycline, Doxycycline, Clarithromycin, Erythromycin, Trimethoprim

    Specialist Rosacea treatments
    e.g. Soolantra (Ivermectin) cream, Mirvaso (Brimonidine) gel

    Immune Suppressing tablets/injections
    e.g. Methotrexate, Azathioprine, Hydroxychloroquine, Mycophenolate, Ciclosporin

    Biologics
    e.g Humira injection, Remicade injection

    Cosmetic procedures
    e.g. Chemical peels, Micro-needling, Dermal fillers, Botox

    Laser/ Light/UV therapy

    Herbal/ Supplements/ Alternative treatments
    e.g tea tree oil, zinc, vitamins

    Surgical Procedures

    Other

    None - I haven't tried any treatments.

    Is there anything else you feel is important for us to know that would prevent us from safely prescribing for you?

    NoYes

    66%

    Photo Upload

    • If this is a new problem then we require at least one photo of it (max 6 photos) using your phone or digital camera.

    • Take a "far away photo" (from 1 meter away) to show the location and size of the problem.

    • Take a close-up photo (10-12 cm away) to show the details.

    • If appropriate please include a size reference (e.g. a coin or ruler) in your photo for scale.

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    83%

    Do you understand and agree with the following?

    You are aware gels and creams for rosacea should not be applied close to the eyes or lips or to open sores.

    You are aware that if you have sensitive skin, it is important to start applying topical treatments such as azelaic acid every other day or once daily to allow your skin time to adjust and minimise irritation. A "purge" reaction, where breakouts temporarily worsen, can be normal and sometimes expected in the early stages of treatment. You can increase to twice daily if tolerated. If severe skin irritation occurs, you should reduce the amount or frequency of application, or temporarily stop using the product. Avoid contact with the eyes, mouth, and mucous membranes during application.

    If you are taking warfarin or other coumarin type blood thinning medications, or have a blood disorder, you should not use Metronidazole (e.g.Rozex), Ivermectin (e.g Soolantra) or Doxycycline (e.g Efracea) or Minocycline.

    You should not use Doxycycline (e.g. Efracea), Minocycline, Lymecycline (e.g. Tetralysal), or Oxytetracycline antibiotics if you are pregnant, breastfeeding, have a history of liver or kidney disease, taking antacids or have issues with stomach acidity or esophageal irritation or if you use sunbeds or expose your skin to strong sunlight (these antibiotics can increase the risk of skin reactions, and strong sunlight or sunbeds can also worsen conditions like rosacea)

    You are aware that Mirvaso helps improve symptoms for about 70% of people, but it may not work for everyone. You are aware that Mirvaso can make symptoms worse for up to 16% of people and redness may get worse right after applying Mirvaso or when it starts to wear off (8-12 hours later). You are aware that to avoid worsening rosacea you should start using it gradually. You are aware to stop using it if your symptoms get worse—most people recover once they stop.You should not use Mirvaso if you have been diagnosed with a medical condition that causes significant low blood pressure.

    You are aware that Soolantra cream may worsen symptoms in the first week but if they do not settle after the first week you should stop using it and seek medical help. You should not take Levamisole (to treat roundworm infection) if you are using Soolantra as there is a potentially dangerous interaction.

    You are aware that if your symptoms are not responding to treatment, you develop any worsening, new or severe symptoms, or you have any concerns or psychological distress then you should see your GP or seek urgent care as soon as possible.

    You will read the patient information leaflet supplied with any medication we send you and if you have any allergies to any of the ingredients or any contraindications, you will not take the medication and contact a DigiDerm clinician for further advice. You have informed us of any allergies you have by completing the general health questions.

    You have informed us of any current or previous medical conditions you have by completing the general health questions.

    You are not pregnant.

    You agree that if needed, a DigiDerm clinician may contact you via email, whatsapp or telephone in response to this consultation form to offer advice and suggest treatments where necessary, or if they feel they need more information to make an accurate diagnosis or assessment of your condition.

    You agree that if after reviewing your consultation, your skin problem is something we cannot treat or is not suitable for our service, then we will give you a full refund and suggest you visit your registered NHS GP for further advice.

    You are at least 16 years old and currently resident in the UK at the time of this consultation. This treatment is to be used only by you.

    You take responsibility to inform your own regular doctor/ NHS GP of this online consultation and any treatments supplied, or any changes in your circumstances.

    The answers provided to the above questions are true and accurate to the best of your knowledge.

    100%

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