What are the first-line topical treatments recommended for managing mild to moderate rosacea in adults?

For mild to moderate rosacea, the first-line topical treatments include topical ivermectin applied once daily for 8–12 weeks, depending on local guidelines ¹.

Alternative topical treatments are metronidazole 0.75% applied twice daily or azelaic acid 15% applied twice daily, if ivermectin is not suitable or available ¹.