Gel de brimonidina para la rosácea
Mirvaso
Revisado por pares por Dr Krishna Vakharia, MRCGPEscrito por Michael Stewart, MRPharmSPublicado originalmente 8 Feb 2023
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The maximum recommended amount of gel to be used is five pea-sized amounts once each day. Start your treatment by using a smaller amount of gel, and then gradually increase the amount used.
Avoid contact with the eyes and eyelids, mouth and inside your nostrils.
Wash your hands immediately after using the gel.
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About brimonidine gel
Tipo de medicamento | Alpha2-adrenergic receptor agonist (vasoconstrictor) |
Usado para | Facial redness in acne rosacea in adults over 18 |
También llamado | Mirvaso® |
Disponible como | Gel |
Brimonidine gel is used to treat a skin condition called rosácea (sometimes referred to as acne rosacea). Rosacea is a skin condition that affects parts of your face. Symptoms of rosacea include flushing, redness, and small lumpy red spots. Although it can look similar to 'teenage' acne, it is an unrelated condition.
Brimonidine gel is used to reduce redness of the skin in people with rosacea. It works by narrowing the blood vessels in the skin which in turn reduces blood flow in the skin and reduces the appearance of redness.
Brimonidine gel can be used alongside other topical treatments for rosacea, such as metronidazole gel and cream y azelaic acid gel.
Before using brimonidine gel
Volver al contenidoSome medicines are not suitable for people with certain conditions, and sometimes a medicine may only be used if extra care is taken. For these reasons, before you start using brimonidine gel it is important that your doctor knows:
Si estás embarazada, intentando concebir o amamantando.
If you have severe or unstable cardiovascular disease.
If you ever experience dizziness when standing (due to low blood pressure).
If you have problems with your blood circulation, such as in Raynaud's syndrome or Buerger's disease.
If you have an immune system disorder called scleroderma.
If you have Sjögren's syndrome.
If you have ever had an allergic reaction to a cream or gel.
If you have depression or are taking certain antidepressant medicines.
Si está tomando otros medicamentos. Esto incluye cualquier medicamento que esté tomando y que esté disponible para comprar sin receta, así como medicamentos herbales y complementarios.
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How to use brimonidine gel
Volver al contenidoBefore you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The manufacturer’s leaflet will give you more information about brimonidine gel and a full list of side-effects which you may experience from using it.
Use brimonidine gel exactly as your doctor tells you to. It should be applied once each day.
Apply brimonidine gel thinly and evenly over the whole face including forehead, nose, chin and both cheeks.
The maximum recommended amount of gel to be used is five pea-sized amounts, but it is usual to start by using smaller amounts.
Do not apply more than the recommended amount or more often than once daily.
Take care to avoid contact with your eyes and eyelids, mouth and inside your nostrils.
Wash your hands immediately after using the gel.
Do not apply brimonidine gel to sore or irritated skin or to open wounds
Obteniendo el máximo de tu tratamiento
Volver al contenidoTry to keep all your regular appointments with your doctor. This is so your doctor can check on your progress.
Some people who use brimonidine gel find that it makes their rosacea symptoms seem worse. Start your treatment by using a small amount of gel, to see how your skin reacts, then gradually increase the amount used, up to the maximum
If you feel your symptoms are getting worse, stop using the gel and speak to your doctor.
The effects of brimonidine gel should last for a few hours but as it begins to wear off, the facial redness will return and you may feel it is worse than before treatment. If this continues for more than two weeks, speak to your doctor about whether continuing with treatment is right for you.
Brimonidine gel can be used with other creams, ointments or gels for the treatment of rosacea. If you are using more than one skin product, apply brimonidine gel first and allow it to dry before applying anything else.
If you use cosmetics or make-up, apply brimonidine gel first and allow it to dry.
If you buy any medicines, check with your doctor or a pharmacist that they are suitable for you to take with brimonidine gel.
If you are having an operation or dental treatment, tell the person carrying out the treatment that you are taking brimonidine gel.
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Can brimonidine gel cause problems?
Volver al contenidoAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains some of the most common ones associated with brimonidine gel. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following continue or become troublesome.
Common brimonidine gel side-effects | ¿Qué puedo hacer si experimento esto? |
Either facial flushing or pale skin at the application site | Use smaller amounts of gel until you know how your skin reacts |
Redness, itching or a burning sensation at the application site | Reduce the amount of gel you are using and speak to your doctor for advice |
Worsening of roacea symptoms | Stop using brimonidine gel and speak to your doctor |
Importante: there have been reports of brimonidine gel causing an allergic reaction (such as a blistering skin rash, hives and swelling around the face or mouth). Although this is uncommon, if you experience any of these symptoms, you should stop using brimonidine gel and contact your doctor straightaway.
Brimonidine gel can cause dizziness due to low blood pressure, usually when standing up quickly. This is called hipotensión postural and the feeling should soon pass. If this happens to you it may be a sign you are using too much gel or that you are sensitive to its effects. Speak to your doctor if this becomes a problem. Do not drive and do not use tools or machines whilst affected.
Si experimenta otros síntomas que cree que pueden deberse a este medicamento, hable con su médico o farmacéutico.
How to store brimonidine gel
Volver al contenidoMantenga todos los medicamentos fuera del alcance y la vista de los niños.
Almacenar en un lugar fresco y seco, lejos del calor y la luz directos.
Información importante sobre todos los medicamentos
Volver al contenidoInformación importante sobre todos los medicamentos
Nunca tome más de la dosis prescrita. Si sospecha que usted u otra persona podría haber tomado una sobredosis de este medicamento, acuda al departamento de accidentes y emergencias de su hospital local. Lleve el envase con usted, incluso si está vacío.
Este medicamento es para ti. Nunca lo des a otras personas, incluso si su condición parece ser la misma que la tuya.
No guardes medicamentos caducados o no deseados. Llévalos a tu farmacia local, que se encargará de desecharlos por ti.
Si tienes alguna pregunta sobre este medicamento, consulta a tu farmacéutico.
Informar efectos secundarios de un medicamento o vacuna
Si experimenta efectos secundarios, puede reportarlos en línea a través de sitio web de la Tarjeta Amarilla.

¿Inseguro sobre mezclar medicamentos?
Verifica posibles interacciones entre medicamentos, suplementos y alimentos antes de tomarlos juntos.
Lecturas adicionales y referencias
- Medicamentos Completos BNF 89ª Edición; Asociación Médica Británica y Sociedad Real de Farmacia de Gran Bretaña, Londres.
- Manufacturer's PIL, Mirvaso® 3 mg/g Gel; Galderma (U.K) Ltd, The electronic Medicines Compendium. Dated June 2022.
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Historial del artículo
La información en esta página está escrita y revisada por pares por clínicos calificados.
Next review due: 7 Aug 2027
8 Feb 2023 | Publicado originalmente
Escrito por:
Michael Stewart, MRPharmSRevisado por pares por
Dr Krishna Vakharia, MRCGP

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