Avoid exacerbators

• Avoid harsh soaps, strong sunlight, oil-based make-up, and hot showers.
• Avoid alcohol and spicy food.

Topical treatment

• Water-based emollient.
• Metronidazole gel or cream
• Ivermectin 1% cream
• Azelaic acid
• Tacrolimus/pimecrolimus cream.

Systemic treatment

• Tetracycline antibiotics: minocycline 100 mg MR once daily (OD), lymecycline 408 mg OD.
• Low-dose isotretinoin.