1.	What causes acne?
2.	Can acne or rosacea be cured?
3.	What causes rosacea to get worse?
4.	How do I use Rosanil® Cleanser (sodium sulfacetamide 10% and sulfur 5%)?
5.	Is Rosanil® Cleanser enough to keep rosacea away?
6.	Should I use a moisturizer?
7.	Can sun exposure help clear up acne or the pimples from rosacea?

1. What causes acne?
There are thousands of follicles (pores) on your face. Each follicle contains a sebaceous gland, which produces an oily substance called sebum to lubricate the hair and skin. Normally, skin cells and sebum are shed out the pore. Hormones can produce excess sebum during adolescence, stress or menstruation. The sebum and skin cells form a blockage that plugs the follicle opening. A bacteria normally found on the skin, P. acnes, combines with the sebum and causes inflammation and redness in the form of pustules or papules.

2. Can acne or rosacea be cured?
There is no instant or immediate cure for acne and no known cure for rosacea. But both can be controlled, and scarring may be prevented with proper care and treatment. Correct and consistent use of your medication plus following your doctor's instructions will be your best bet.

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3. What causes rosacea to get worse?
Certain foods and conditions can trigger rosacea to worsen, such as temperature extremes (hot or cold), hot liquids, spicy foods, alcohol, sunlight or stress. However, triggers are unique for different people. What causes a flare-up in one person may not be your personal trigger. It is important to identify what your personal triggers are so you can avoid them and be sure to treat your rosacea preventively. To help you identify your triggers, try the Progress Journal.

4. How do I use Rosanil^® Cleanser?
It is recommended that Rosanil^® Cleanser is used once or twice daily during the initial treatment phase of rosacea or to help control acne or seborrheic dermatitis. Rosanil^® Cleanser should be applied to wet skin and massaged gently for 10-20 seconds. It easily turns into a lather that can be rinsed off with warm water.

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5. Is Rosanil^® Cleanser enough to keep rosacea away?
No, Rosanil^® Cleanser should be used during the initial treatment of rosacea to complement your other medications. Doctors usually prescribe a regimen that includes an oral antibiotic, as well as a topical anti-inflammatory/anti-bacterial medication such as MetroGel^® (metronidazole topical gel) Topical Gel 0.75% that can help bring the rosacea into remission. The topical metronidazole will need to be used continuously to keep rosacea controlled. Keep in mind that you may be able to call your doctor for a repeat prescription instead of having to go for another office visit.

6. Should I use a moisturizer?
Since some acne and rosacea medications can be drying, it may be helpful to use a moisturizer. Your dermatologist may recommend a mild, fragrance-free, nonirritating moisturizer that is non-comedogenic, such as Cetaphil^®.

7. Can sun exposure help clear up acne or the pimples from rosacea?
No, sun exposure can darken or redden your skin, making your blemishes seem less noticeable, but it does not clear up acne and can be a trigger for rosacea. Sun exposure can cause premature aging and increase your risk of skin cancer, so you should wear a sunscreen with SPF of 15 or greater every day.

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Although rare, local irritation has been reported with topical sodium sulfacetamide and sulfur therapy. Rosanil^® Cleanser is contraindicated for use by patients with hypersensitivity to sulfur and sulfonamides and patients with kidney disease. Avoid contact with eyes. Please see full prescribing information.

In clinical trials, patients experienced the following side effects in order of frequency with the use of MetroGel^® Topical Gel, 0.75%: skin discomfort (burning and stinging), redness, skin irritation, itching or worsening of rosacea. Individual events occurred in 3% of patients or fewer. Please see full prescribing information.