Anti-inflammatory + Healing
Rosa
3-in-1 cream targets the root causes of rosacea including Demodex mites, bacterial inflammation, and barrier dysfunction.
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Overview
Ivermectin
Metronidazole
Niacinamide
Rosacea is a chronic inflammatory condition driven by dysregulated immune response, vascular hyperreactivity, Demodex mite overpopulation, microbial imbalance, and compromised barrier function. This formula targets each mechanism simultaneously rather than masking surface symptoms.
Mechanism of Action
Ivermectin kills Demodex mites; metronidazole fights microbes and oxidative stress; niacinamide repairs the skin barrier and reduces redness.
Topical
Applied to face nightly as directed
Information presented here is for educational purposes only and not intended to replace or substitute guidance from a healthcare provider. Compounded medications are not FDA-approved nor evaluated by the FDA for safety, efficacy, or quality.
Benefits
Clears Papsules & Pustules
Reduces papules, pustules, and persistent redness by simultaneously targeting Demodex overpopulation, bacterial inflammation, reactive oxygen species, and barrier dysfunction.
Inflammation Control
Three independent anti-inflammatory mechanisms cover mite-driven innate immune activation, bacterial oxidative inflammation, and the cytokine signaling amplified by barrier compromise.
Healing
Niacinamide progressively restores the compromised epidermal barrier in rosacea-prone skin, reducing sensitivity to environmental triggers over time.
Skin Texture
Reduces rosacea-associated sebaceous overactivity and refines skin texture through its mild keratolytic activity.
Confidence
Addresses the upstream Demodex and microbial drivers that over-the-counter rosacea products cannot reach, producing results when surface-level treatments have failed.
Individual results may vary. Benefits described are based on clinical and pharmacological evidence and do not constitute a guarantee of treatment outcomes. All treatment requires evaluation and approval by a licensed provider.
Simple. Medical. Personalized.
Medical intake
Answer a few online questions about your health history, lifestyle, & goals. No clinic visits required.
Provider evaluation
A licensed medical provider reviews your intake to determine the safest, personalized treatment.
Personalized plan
Custom treatment plan built around your unique health needs, goals, medical history, & biology.
Ongoing support
Stay connected with your care team for follow-ups, adjustments, & expert answers 100% online.
What Patients Are Experiencing
"I had managed rosacea with single actives for four years. This formula cleared what none of them had by treating the Demodex component."
— Sandra F.*
"Papules reduced by about 70 percent in six weeks. The combination approach is clearly more effective than anything I tried before."
— Rachel O.*
"My skin has been calmer than it has been in ten years. Once you treat the mite burden the whole cycle breaks."
— Fiona K.*
*Individual experiences may vary. Not all patients will have the same outcomes.
FAQs
What is Rosa?
Rosa is a prescription therapy used for sensitive skin support.
Who should use Rosa?
Patients seeking support for sensitive skin support may qualify after evaluation by a licensed provider.
Does Rosa require a prescription?
Yes. Ivermectin and metronidazole are prescription-only actives. A valid prescription from a licensed provider is required after clinical evaluation of your skin condition.
What are the possible side effects?
Mild tingling, burning, or temporary redness in the first 1-2 weeks is most common as skin adjusts. A brief initial flare of redness may occur in the first week of ivermectin use as Demodex die-off triggers a transient inflammatory response. This resolves with continued use.
Who Should Not use Rosa?
Patients with known hypersensitivity to ivermectin, metronidazole, other nitroimidazoles, or niacinamide should not use this product. Do not apply to skin affected by active bacterial, viral, or fungal infection.
Are there any drug interactions?
Long-term topical corticosteroid use may worsen Demodex overpopulation and counteract ivermectin. Patients on oral metronidazole or other nitroimidazoles should disclose this to their provider. Alcohol-based topical products may interact with the metronidazole component.
Is this formula for flare-ups only or long-term use?
Both. Rosacea is a chronic condition and stopping treatment when skin looks clear often leads to rapid relapse. Your provider will assess your response and recommend an appropriate maintenance protocol, as metronidazole has well-established long-term safety profiles.
Contact Us
Start Your Journey
Ready to Calm Your Rosacea at the Source?
Physician-prescribed. Delivered to your door. No clinic visits required.
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The information and clinical services described on this website are for educational and informational purposes only and are not intended to diagnose, treat, cure, or prevent any disease. All treatments require evaluation and approval by a licensed healthcare provider through a telemedicine consultation. Treatment approval is not guaranteed. Individual results may vary, and treatments may carry risks and side effects. Certain compounded medications, wellness treatments, or off-label uses may not be evaluated by the U.S. Food and Drug Administration (FDA) for safety, effectiveness, or quality unless explicitly stated. Testosterone Shots provides telehealth consultations, clinical review, care coordination, lab-related services, membership services, and ongoing treatment management. Testosterone Shots is not a pharmacy and does not manufacture, compound, dispense, sell, handle, warehouse, ship, or collect payment for prescription medication. Testosterone Shots collects payment only for consultations, clinical review, care coordination, lab-related services, membership services, and other non-pharmacy services. If treatment is approved, your prescription may be sent to a licensed pharmacy partner. The pharmacy contacts you directly to complete medication payment and shipping. Services are provided by licensed physicians, nurse practitioners, and/or other licensed healthcare providers in states where they are authorized to practice. This service is not intended for medical emergencies. If you are experiencing an emergency, call 911 or seek immediate medical care. We take reasonable measures to protect personal health information in accordance with applicable privacy laws, including HIPAA. By using this website or its services, you agree to our Terms of Service, Privacy Policy, Notice of Privacy Practices, Telehealth Consent, and Important Safety Information. You must be 18 years of age or older to use this service.