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Rosacea is a skin condition which causes facial redness, flushing, visible blood vessels and spots. Mirvaso is a medical treatment for this skin condition. Applying Mirvaso gel reduces the symptoms of rosacea by narrowing the blood vessels that sit just below the skin so that redness and flushing is less of a problem. In order to be effective, the gel needs to be applied to the affected areas on a daily basis.
We offer free standard delivery and next day delivery from £3.99.
Please note, when you request a generic (non branded) treatment, the product you receive may look slightly different than what we show on our website. The active ingredient in the medication will be exactly the same though. This is because we use a range of manufacturers to ensure we always have enough stock for patients. If you have any questions, you can message our Customer Support team or doctors through your account.
About Mirvaso Gel
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Mirvaso needs to be used every day, to reduce the symptoms of rosacea. If you forget to apply the gel, your skin will show signs of rosacea again. A pea sized amount of Mirvaso should be applied evenly across your face, covering your forehead, cheeks, chin and nose.
Mirvaso must not be used on eyes, lips or inside the nose. If it comes into contact with any of these areas, wash it off immediately using plenty of water. Hands should be washed immediately after applying the gel. Make-up or other creams and cosmetic products should only be applied after the gel has soaked in and dried.
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The ‘active ingredient’ in Mirvaso gel is called brimonidine. Brimonidine acts on your blood vessels and shrinks them to reduce redness, swelling and flushes. Every gram of Mirvaso contains 3.3mg of brimonidine. The gel is opaque and can be white to light yellow.
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Please read the patient leaflet for a full list of risks and side effects. Mirvaso is suitable for adults only and must not be used during pregnancy or by women who are breastfeeding. Do not use Mirvaso if you're allergic to brimonidine or any other ingredient.
Common side effects include:
- skin redness
- flushing
Uncommon side effects include:
- acne
- skin rash
- worsening of existing rosacea
- swelling of the eyelid
- cold hands and feet
- feeling hot
- headache
- nasal congestion
- dry mouth
Do not use Mirvaso if you're also taking:
- certain medicines used for depression or Parkinson’s disease including monoamine oxidase (MAO) inhibitors
- tricyclic or tetracyclic antidepressants (for example imipramine, maprotiline, mianserin or mirtazapin)
Tell your ZAVA doctor if you're taking:
- painkillers
- medicines used for psychiatric disorders
- medicines used to treat hyperactivity
- medicines used to treat hypertension such as alpha-antagonists; alpha-blockers, beta-blockers or calcium channel blockers
- medicines used to treat sleep disorders
- medicines used to treat asthma or a slow heart rate (for example prazosin or isoprenaline
- medicines used to treat heart problems (for example digoxin)
Dr Kathryn Basford is a qualified GP who works as a GP in London, as well as with ZAVA. She graduated from the University of Manchester and completed her GP training through Whipps Cross Hospital in London.
Meet our doctorsLast reviewed: 12 Jun 2019
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Facial erythema of rosacea: brimonidine tartrate gel, NICE [accessed February 2023]
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Mirvaso, Assessment report, European Medicines Agency [accessed February 2023]
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Rosacea, National Health Service [accessed February 2023]
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Brimonidine tartrate, NICE/British National Formulary [accessed February 2023]
There are a range of gels and creams which can significantly reduce the symptoms of rosacea. While some treatments reduce inflammation and kill the bacteria that cause spots, others act on your blood vessels to reduce them in size and make them less noticeable.