The Independent Pharmacy
Mirvaso Gel

Mirvaso Gel

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Mirvaso Gel - Rosacea Treatment

Mirvaso topical gel is one of the most popular forms of prescription-only rosacea treatment. It is used once daily to reduce the redness associated with rosacea. Mirvaso rosacea treatment can be bought from the Independent Pharmacy following a simple medical questionnaire being approved by our doctors and can be delivered quickly and discreetly to a location of your choice.

Suitable for age: 18 Years +
Maximum per order:3
Consultation required?Yes

This treatment requires an online consultation for review by our medical team. The decision to supply the specific treatment and quantity requested will be based on whether our medical team are satisfied that it will be safe, appropriate, and effective.

Type of medicine
Alpha agonist
Works by
Reduces the redness of the skin by decreasing the blood flow to the area.
Active ingredient
Brimonidine tartrate
Effective within
1-2 months
Pack size
30g
Strength
0.33%
Common side effects
Redness, Itching, Flushing
Manufacturer
Galderma
Generic
No
Use with alcohol
Use with caution

Mirvaso Gel Information

What is Mirvaso gel and what is it used for?

Mirvaso gel has been specially designed to reduce increased redness of the face due to the skin condition rosacea. The active ingredient in Mirvaso rosacea gel, brimonidine tartrate, belongs to a group of medicines called alpha agonists that reduce the redness of the skin by decreasing the blood flow to the area.

Mirvaso gel is a prescription-only treatment for rosacea suitable for adults over the age of 18 years. For this treatment to be effective, it needs to be applied every day to the affected areas. Topical Mirvaso gel is manufactured by Galderma and comes in a 30g tube.

What is rosacea?

Rosacea is a chronic condition characterised by recurrent episodes of facial flushing, redness and spots. The areas of the face commonly affected are the cheeks, nose, forehead and chin. Rosacea occurs when the blood flow to the facial skin increases. This is due to the small blood vessels in the skin dilating, allowing for an increase in blood flow.

There’s no set cure for rosacea: it all depends on the severity of your symptoms. Those with more severe symptoms may be prescribed an oral antibiotic to reduce inflammation. The antibiotics commonly used to treat rosacea include tetracycline, oxytetracycline, doxycycline and erythromycin.

Triggers that can make symptoms of rosacea worse include:

  • direct sunlight
  • wearing too much makeup
  • harsh skincare products
  • emotional stress
  • alcohol
  • spicy foods
  • hot baths
  • extreme weather
  • caffeine withdrawal

How does Mirvaso gel work?

The active ingredient brimonidine is an alpha agonist. These medicines work by stimulating the alpha receptors found in the muscle walls of the blood vessels. When applied topically to areas of reddened skin, it causes the blood vessels under the skin to contract. This decreases the flow of blood through the vessels, resulting in the reduction of redness.

Alternatives to Mirvaso

Dermalex Rosacea Treatment is a non-prescription alternative to Mirvaso Gel that can be bought online from The Independent Pharmacy.

We also stock a range of alternative prescription-only gels and creams, including Soolantra Cream and Rozex Gel. To find out more about rosacea and see all the available treatments, see our rosacea advice page.

Sources

Mirvaso gel warnings

Mirvaso gel is a prescription medication for rosacea. Always ensure you read the Patient Information Leaflet enclosed with Mirvaso before using the gel. You will need a rosacea prescription in order to buy Mirvaso gel online.

  • Keep out of the reach and sight of children
  • Not to be used in children less than 18 years
  • Do not use if you are allergic to any of the listed ingredients
  • Do not apply to closed eyes
  • Mirvaso has not been studied in patients with renal or hepatic impairment
  • Mirvaso should not be used during pregnancy or breastfeeding

Mirvaso is not suitable for use if you suffer with any of the following conditions:

  • The skin of your face is irritated or has open wounds
  • You have problems with your heart or circulation
  • You have depression, decreased blood flow to the brain or the heart, fall in blood pressure on standing up, decreased blood flow to the hands, feet or skin, or Sjögren’s syndrome
  • You have kidney or liver problems or have had them in the past

Mirvaso and other medicines

Mirvaso is not suitable if you take any of the following:

  • Medicines used for depression or Parkinson’s disease, including monoamine oxidase (MAO) inhibitors
  • Tricyclic antidepressants (such as imipramine) or tetracyclic antidepressants (such as maprotiline, mianserin or mirtazapine)
  • Medicines used for the treatment of pain, sleep disorders, or anxiety disorders
  • Medicines used for the treatment of psychiatric disorders (chlorpromazine) or used for hyperactivity (methylphenidate) or for high blood pressure (reserpine)
  • Medicines that act on the same body mechanism as Mirvaso (other alpha agonists)
  • Cardiac glycosides (e.g. digoxin) used to treat heart problems
  • Blood pressure lowering medicines such as beta-blockers or calcium channel blockers (e.g. propranolol, amlodipine)

Mirvaso gel, pregnancy and breastfeeding

You should not use this gel if you think you might be or you are currently pregnant. You also should not use this gel if you are breastfeeding.

How to apply Mirvaso gel

For use by adults over the age of 18 years:

  • Mirvaso topical gel is applied once daily at any time of day, for as long as facial erythema (redness) is present
  • Apply a pea-sized amount to the forehead, nose, chin and cheeks
  • Spread a thin layer smoothly and evenly across the entire area, avoiding the eyes, eyelids, lips, mouth and membrane of the inner nose. Mirvaso should only be applied over the face
  • Wash your hands immediately after applying
  • The maximum daily recommended dose is 1g in total weight (five pea-sized applications)

Mirvaso can be used in conjunction with other rosacea creams. It can also be used with makeup and cosmetics. They should only be used after the applied Mirvaso has been absorbed into your skin.

Mirvaso gel ingredients

Mirvaso rosacea gel contains the active ingredient: brimonidine tartrate 0.33%.

Mirvaso gel also contains the inactive ingredients
: Carbomer, Methyl parahydroxybenzoate (E218), Phenoxyethanol, Glycerol, Titanium dioxide, Propylene glycol, Sodium hydroxide, Purified water,

Brimonidine side effects

Like all medicines, Mirvaso can cause side effects, although not everybody gets them. Common side effects include:

  • Redness
  • Itching
  • Flushing
  • Skin burning sensation


They are typically mild to moderate in severity, and usually do not require Mirvaso use to be stopped. These side effects can feel like a worsening of your initial symptoms, and it is impossible to predict if you will experience them before you try Mirvaso. For this reason, we recommend that you order just one tube to start with, and use the gel on a small area of the face at first.

Less common side effects include:

  • Acne
  • Dry mouth
  • Cold hands and feet
  • Feeling hot
  • Headache
  • Nasal congestion
  • Skin rash, pain or inflammation
  • Dry skin
  • Warm tingling sensation
  • Swelling of the eyelids or face
  • Urticaria (itching)
  • Worsening of rosacea

Mirvaso Gel FAQs

Related Treatments

We stock 10 other treatments for Rosacea

Visit our Mirvaso Gel page for treatments, advice and FAQs.

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Scott McDougall

Authored by

Scott McDougall
Scott McDougall
MPharm
2079324
Director & Registered Manager

Scott is one of the two founders of The Independent Pharmacy. He is a registered pharmacist and the registered manager of our service with the CQC.

Steve Stoddart

Reviewed by

Steve Stoddart
Steve Stoddart
BPharm IP
2050449
Pharmacist Independent Prescriber

Steve is the newest member of The Independent Pharmacy medical team. He is an experienced pharmacist who brings a new perspective to our prescribing team.