What is rosacea and how can the anti inflammatory properties of CBD be used for the treatment and support of rosacea skin sufferers Here are some of the best CBD oils for Rosacea, a common skin condition that causes visible blood vessels, acne, and redness on the face.
CBD and the Treatment of Rosacea
The increased use of CBD in skincare has lead to some important breakthroughs. No more so that CBD and the treatment of rosacea. We explore rosacea and how cbd works to improve this skin condition.
What is rosacea?
A relatively common chronic skin condition with multiple signs and symptoms. Rosacea is generally characterised by redness across the cheeks, nose, chin and forehead. This redness can lead to inflammatory bumps and pimples and can also feel sore and sensitive, particularly when using water or skin care products.
Occasionally, rosacea causes the facial skin to swell (lymphedema) as well as uncomfortable inflammation around the eyes and eyelids. Some people develop rosacea keratitis which is a painful inflammation around the front of the eye. Less commonly, rosacea can cause rhinophyma which is a swelling of the nose.
Rosacea ‘flare-ups’ undoubtedly occur in cycles, with symptoms coming and going for weeks or months at a time. Unsurprisingly, the psychosocial impact of this condition can be severe with patients suffering from lowered self-confidence, anxiety and depression. The National Association for Rosacea expands on the explanation of rosacea.
A woman with rosacea on her face
Are there different types of rosacea?
Yes. There are four subtypes of rosacea. Each has its own set of symptoms and it’s entirely possible to have more than one subtype at a time.
- Erythematotelangiectatic rosacea (ETR)
Symptoms: facial redness, flushing and visible blood vessels. Swollen, sensitive and dry skin.
- Papulopustular rosacea
Symptoms: acne-like breakouts.
- Phymatous rosacea
Symptoms: skin thickening on the nose, chin, forehead, ears and eyelids. Rhinophyma is the thickening of the skin on the nose with bumpy skin texture and large pores. This is a rare form of rosacea, caused if there is an overgrowth of the oil-secreting glands on the nose.
Symptoms: watery, bloodshot eyes, eyes that feel gritty and are sensitive to light, cysts on eyes, burning sensation in the eyes, diminished vision.
Who does it affect?
The National Rosacea Societystates that rosacea may affect as many as 415 million people worldwide. It typically begins any time after the age of 30 and can impact all skin types, although it is predominantly found in people with fair skin who tend to blush easily.
The condition is also more frequently diagnosed in women but tends to be more severe when established in men. The acne-like breakouts of papulopustular rosacea, for example, are generally experienced by middle-aged women, while rhinophyma is usually reported in male sufferers.
What causes it?
According to The British Skin Foundation, the cause of rosacea is not fully understood. It may involve genetics, the immune system and environmental factors.
Some sufferers will also recognise particular triggers that make it worse, from alcohol to spicy foods, caffeine, cheese, stress and even sun exposure.
Recent studies show that facial redness, the most common symptom of rosacea, is caused by inflammation and the dilation of the small blood vessels on the surface of the skin. Experts believe it is initiated by a combination of irregularities in the innate immune system and neurovascular dysregulation.
The innate immune system is the body’s first line of defence against infection. Cathelicidin peptides are part of this system and they act by eliminating harmful bacteria and stimulating a complex immune reaction. Research has shown that cathelicidins may cause inflammatory bumps, pimples, flushing and visible blood vessels and they are found to be more abundant in rosacea patients.
Research into the activation of cathelicidins are ongoing as scientists further understand the links between rosacea triggers and inflammation.
How can we treat rosacea?
Unfortunately, there is no evidence that rosacea can be completely cured. However, knowledge of its signs and symptoms means that lifestyle changes, skincare and medical intervention can help. The arrival of CBD skincare ranges has added a new treatment opportunity, so that CBD can be considered when treating rosacea.
Adopting these daily habits can help to reduce symptoms:
- Recognise trigger factors and try to avoid them where possible. Keeping a food diary can be helpful in spotting links between diet and flare-ups.
- Avoid heat and excessive sunlight.
- Take steps to manage your stress levels, adopting beneficial patterns of sleep, diet and exercise.
- Try to cover your face with a scarf or shawl in cold weather, protecting it from the harshness of the elements.
- Avoid irritating your skin by touching your face too much.
Adopting a gentle skin care routine can undoubtedly help to control rosacea symptoms. Use skin care products designed for sensitive skin and avoid abrasive face cloths. Never scrub your face and always dry with a gentle cotton towel.
Sunscreen should be used on a daily basis to protect the skin from sun exposure. Again, look for non-chemical sunscreens for sensitive skin and aim for an SPF of 30 or higher.
When managing facial flushing and visible blood vessels on a daily basis, the appearance of redness can be reduced with green-tinted make up. It is also wise to avoid using foundation with pink or orange tones.
People can use various oral and topical medications to treat rosacea that should be discussed with your GP or dermatologist.
Initially, antibiotics and steroid creams might be suggested to bring the condition under control. The anti-inflammatory properties of antibiotics are often effective and steroid cream can also relieve the skin conditions associated with rosacea. However, both antibiotics and steroid creams can have adverse side effects, so more natural treatments are clearly preferable moving forward.
Where appropriate, laser therapy and IPL (intense pulsed light) can be used to remove redness and dilated blood vessels.
It is obviously of vital importance to consult an optician or dermatologist if you are experiencing problems with your eyes or vision.
Can CBD skin care be used in the treatment of rosacea?
CBD has been shown to offer a range of medical benefits and to tackle the underlying causes of rosacea. As our endocannabinoid system responds to the presence of CBD, so it redresses the balance and acts as an anti-inflammatory.
As well as modulating our internal systems, CBD can dampen certain elements that trigger rosacea, its calming effect having a positive impact on anxiety levels and its anti-oxidant properties protecting the skin from UVA and UVB rays.
Research continues, but ‘The Therapeutic Potential of Cannabiniods in Dermatology’ reported on the immunosuppressive and anti-inflammatory properties of CBD and their treatment of several dermatologic conditions.
There are ongoing studies into the benefits of CBD and rosacea, and many further anecdotal reports are being made. ULU has instigated studies into the use of CBD skin care used in the treatment of rosacea and will publish our findings in early 2021. One of the earlier user experiences with CBD skincare products can be found by reading Vicky Smiths Blog.
How should I take CBD when treating rosacea?
When seeking to prevent or treat an outbreak of rosacea, CBD can be taken in four different ways:
- Sublingual method: place CBD oil under your tongue and let it absorb, by-passing the digestive system
- Orally: ingest edibles or CBD capsules
- Topically: apply oil, serum or cream directly on to the skin
- Inhaling: Inhale the cannabidiol vapour using a compatible vaping device
Which ULU CBD products should I consider?
Our CBD infused beauty range contains organic and EU-sourced ingredients and can be a hugely beneficial addition to your skin care routine. CBD Balm, CBD Crème, CBD Serum and CBD Oil are all products that you might consider using, both to prevent and relieve the symptoms associated with rosacea. Let’s take a look at some of these products in more detail.
ULU Revitalise 5% CBD Serum 750mg with Retinol
Proven to show positive results when used to combat the symptoms of rosacea, our ULU CBD serum pampers and restores the skin. Acting as an effective natural anti-inflammatory with antioxidant properties, this high-strength serum focuses on cell renewal and protection against free radicals. Hyaluronic acid rejuvenates whilst retinol stimulates cell activity and regeneration. Apply gently to the face and neck after cleansing and toning.
ULU CBD Skincare serum with retinol
ULU Glow 5% CBD Face Cream 1500mg
Our Glow CBD face cream is an essential in our CBD skin care line. Working deep into the skin and providing lasting moisture and protection as well as intense hydration through organic aloe, coconut and jojoba oils, meadow foam and avocado oil. At 5% concentration, this is an extra-strength CBD formula which will target the problem areas associated with rosacea without overwhelming your skin.
ULU Protect CBD Balm 375mg
This ultra-soft revitalising formula includes lavender, peppermint and lemongrass. A lightly fragranced salve, it provides a protective barrier from harmful elements making it an ideal product to support your skin in colder outdoor weather. Gently rub into problem areas, use as a base layer for make-up and as a make-up remover.
ULU Full Spectrum 5% CBD Oil 500mg CBD / 10ml
5% CBD drops are a great way to introduce CBD into your daily routine. Adopt the sublingual method with two to three drops under the tongue, three times daily, absorbing the active cannabidiol ingredients into your system for maximum effect. Read more about the benefits of CBD oil here.
In conclusion – CBD and the treatment of rosacea
As a chronic skin condition, rosacea affects around 415 million people worldwide. Symptoms include facial redness, acne-like breakouts, skin thickening, sore eyes and, in more extreme cases, rhinophyma. The discomfort and appearance of these symptoms unsurprisingly cause distress to sufferers.
While there is no cure for rosacea, the anti-inflammatory and anti-oxidant properties of CBD offer a number of benefits in treatment of the condition. As well as modulating our internal systems and acting as an immunosuppressant, its calming effect can have a positive impact on anxiety levels. Absorbing CBD under the tongue and applying it topically are likely the most effective methods. CBD has also shown to have notable benefits for treating acne.
Consider the products that best suit you, perhaps building up as you see the benefits. And remember, if you have any questions, our friendly CBD experts are just an email away.
As always, make sure u love u!
CBD also makes for an incredible lip balm, and you can read about the best lip CBD lip balms and how CBD can be used with tattoos. Due to the anti inflmmatory properties , CBD for acne is a natural progression of use.
CBD Oil for Rosacea – August 2022
Rosacea is a chronic skin inflammatory condition that causes visible blood vessels and redness on the face.
There are no definitive studies that answer what causes rosacea . However, it is believed that the cause can be a combination of environmental factors and heredity (6 ) .
Rosacea risk factors include eating spicy food , alcohol consumption, extreme climate temperatures, exercise, and stress.
Symptoms of rosacea are triggered by the body’s immune response to stimuli. This response is called a “ flare-up .”
Prescription creams or gels can reduce redness. However, topical drugs, such as azelaic acid (7 ) , metronidazole (8 ) , and ivermectin (9 ) , may cause allergic reactions , burning, or itching sensation.
Oral antibiotics may also be prescribed to treat rosacea (10 ) . However, rosacea is a relapsing inflammatory condition. Continuous antibiotic treatments may result in antibiotic resistance (11 ) .
These factors may be why individuals are turning to alternative medicine to treat rosacea .
Some studies acknowledged that CBD might have therapeutic properties on several skin conditions (12 ) .
An in vitro study shared by the Journal of Clinical Investigation mentioned that CBD exerted anti-inflammatory actions (13 ) .
CBD ’s anti-inflammatory properties were demonstrated by another study posted in La Clinica Terapeutica. The study found that CBD -enriched ointment significantly reduced swelling of atopic dermatitis and psoriasis in human subjects (14 ) .
The study’s results were supported by skin evaluations and photographic data involving 20 individuals. The authors also observed that topical CBD did not produce any side effects or allergic reactions (15 ) .
Although the study results were considered anecdotal evidence , the authors mentioned that topical CBD might theoretically be a promising alternative for improving the quality of life for individuals with inflammatory skin conditions (16 ) .
Studies also demonstrated that CBD might be an effective agent against acne rosacea (17 ) .
Acne rosacea is caused by sebum buildup in the pores due to blockage brought by inflammation (18 ) .
Researchers learned that CBD inhibited pro-acne agents. This activity means CBD might reduce excessive lipid synthesis in human sebaceous glands (19 ) .
Additionally, the study concluded that CBD reduced lipogenesis (metabolic formation of fat). This lipostatic action might help prevent acne rosacea (20 ) .
Anecdotal and in vitro study conclusions suggested that CBD might have promising therapeutic properties for rosacea .
Still, more human studies are needed to show how CBD might act as lipostatic agent against acne rosacea . Our scientific understanding of CBD use in the setting of rosacea is in its infancy.
How CBD Oil Works to Help With Rosacea
The endocannabinoid system (ECS) is a complex signaling network that maintains homeostasis in the body.
The ECS is composed of receptors (CB1 and CB2 cannabinoid receptors), anandamides ( fatty acid neurotransmitter), and complex enzymes (21 ) .
These receptors can be found in the immune system , central nervous system, peripheral nervous system, and organs (22 ) .
The receptors, anandamides, and enzymes are specific targets for activities triggered by cannabinoids in hemp, such as tetrahydrocannabinol ( THC ), cannabidiol ( CBD ) (23 ) , and cannabigerol (CBG) (24 ) .
Several researchers studied cannabinoids for their ability to modulate the ECS and influence the production of proinflammatory cytokines (25 ) .
Cytokines are composed of signaling proteins that modulate individual cells’ function in the immune system (26 ) .
A study published in Future Medicinal Chemistry mentioned that the mechanism behind cannabinoids ’ immune control is through the dysregulation of cytokine production (27 ) .
The inhibition of cytokines enables the ECS to provide therapeutic applications in several inflammatory conditions.
Moreover, an in vitro study mentioned that CBD exerted complex anti-inflammatory actions by modulating adenosine receptors. This action also decreased lipogenesis in sebaceous glands , which means less sebum buildup (28 ) .
The authors credited CBD as a potent anti-acne and stebostatis compound that can serve as a promising cost-effective alternative to skin conditions (29 ) .
Aside from skin conditions , the ECS has been credited for having therapeutic benefits for other health problems, such as chronic pain, neurodegenerative diseases (30 ) , anxiety (31 ) , depression (32 ) , and epilepsy (33 ) .
However, clinical studies are essential to determine if these hypotheses have clinical value.
The Pros and Cons of CBD Oil for Rosacea
- A study mentioned CBD might possess anti-inflammatory properties . CBD might help reduce redness and inflammation brought by rosacea (34 ) .
- A study credited CBD as a potentially potent anti-acne and stebostatis compound that can serve as a promising cost-effective alternative to rosacea acne breakouts and other inflammatory skin conditions (35 ) .
- A study also noted that CBD might theoretically improve the quality of life of individuals with inflammatory skin disorders , such as psoriasis or atopic dermatitis (36 ) . A study declared topical CBD as a safe and effective alternative solution (37 ) .
- Anxiety has also been known to cause rosacea flare-ups. A study posted by The Permanente Journal demonstrated that CBD might reduce anxiety (38 ) .
- The CBD industry lacks regulation. Individuals are encouraged to do extensive research before choosing a CBD brand.
- There currently are no high quality, prospective clinical studies evaluating CBD use in the setting of rosacea.
- If taken orally, CBD may cause side effects , such as dry mouth, diarrhea, and loss of appetite (39 ) .
- According to the US Food and Drug Administration (FDA), extremely high doses of CBD may cause liver injury (40 ) .
How CBD Oil Compares to Alternative Treatments for Rosacea
A common alternative treatment for rosacea is aloe vera. Abundant with polysaccharides, the aloe vera plant is a natural herb used for dermatological conditions (41 ) .
Polysaccharides are long-chain carbohydrates that supply energy for cellular structure (new skin cells ) (42 ) .
Several reports acknowledge aloe vera’s therapeutic benefits on skin disorders, like psoriasis, atopic dermatitis, hives , burn injuries, oral mucositis, and surgical wounds (43 ) .
No studies mention if components in aloe vera influence the ECS. Still, some manufacturers take advantage of aloe vera’s and CBD’s health benefits by combining them in skincare products.
Aloe vera infused with CBD oil is marketed towards sunburn, dry skin , itchiness , redness, and inflammation.
Safflower seed oil is another alternative option for treating skin inflammation. The oil is known to be rich in monounsaturated oleic acid and polyunsaturated linoleic acid.
Safflower seed oil is believed to have analgesic and antipyretic properties (44 ) .
Like aloe vera, safflower seed oil may also be added to CBD products to maximize the health benefits they might provide for the skin.
Moreover, some individuals like to use safflower seed oil as a base for CBD isolate powders.
How to Choose the Best CBD Oil for Rosacea
Full-spectrum CBD oil is composed of all the cannabinoids present in hemp (a cannabis plant ), such as cannabidiol ( CBD ), cannabinol (CBN), cannabigerol (CBG), and tetrahydrocannabinol ( THC ).
Broad-spectrum CBD also contains all the cannabinoids in hemp plants, except for THC . Some CBD consumers prefer not to have any THC in their system due to work and school situations.
The “entourage effect” is provided by both full-spectrum and broad-spectrum. The term entourage effect means all the supposed health benefits of all the cannabinoids are consumed in one dosing.
If full-spectrum and broad-spectrum create an intolerance, individuals may opt for CBD isolate (pure CBD ).
CBD Dosage for Rosacea
There are no studies that can recommend a universal dosage for CBD . Experts advise that first-time CBD users start with a low dose.
Once the body gets used to the cannabinoid , the user may gradually increase the dose.
The British Journal of Pharmacology shared a review that recommended a starting dose of less than 1 to 50 milligrams per kilogram a day. This dosing may only be applied to oral CBD administration (45 ) .
Currently, there are no existing studies that can recommend dosage amounts in vape and transdermal administration.
A 2015 study shared in Pharmacology and Pharmacy demonstrated that CBD has a bell-shaped curve response. The authors mentioned that CBD’s therapeutic effects were only observed when given within a limited dose range (46 ) .
Another study posted in the Brazilian Journal of Psychiatry experimented with doses using healthy volunteers. The authors aimed to find the correct dosing on treating anxiety caused by public speaking (47 ) .
The authors learned that a dose of 300mg was able to reduce anxiety. Meanwhile, no improvements were observed in individuals with 150mg and 600mg dosings (48 ) .
Individuals must always use caution when experimenting with CBD dosage. Another recent study has discovered that extreme CBD dosages may lead to liver damage (49 ) .
How to Take CBD Oil for Rosacea
When taking CBD oil for rosacea symptoms , the best method is through topical administration. Some brands have a wide range of CBD skincare products , such as moisturizers, creams, ointments, and serums.
Aside from treating the face, CBD oil can also be applied to other parts of the body.
CBD creams , lotions , and salves may be used on dry skin , pimples , and other skin problems . Some CBD brands may also add extra ingredients, such as hempseed oil and hyaluronic acid.
Individuals with other skin diseases , such as herpes zoster (shingles), psoriasis, eczema, and cellulitis, need to consult a dermatologist before using CBD .
Individuals who want to take CBD through oral and sublingual administration (under the tongue) may opt for tinctures and capsules.
However, this method is not ideal because CBD potency may be broken down when absorbed by the gastrointestinal tract.
Another available method is through vaping, a quick CBD delivery method. A study mentioned that CBD inhaled through vapors can deliver plasma concentrations into the body in 10 minutes or less (50 ) .
However, vaping may also come with a few side effects, such as chemical irritation, chest pains, and shortness of breath (51 ) .
Do Demodex Mites Cause Rosacea?
Demodex folliculorum are microscopic organisms that are found in human hair follicles. Most of the time, these mites are harmless.
However, healthy rosacea patients have been observed to host Demodex on their skin. Studies also suggested that Demodex might also promote inflammatory duration during rosacea flare-ups (52 ) .
More studies are needed to explain how CBD might affect the presence of Demodex mites. The common treatment to reduce the Demodex population is the antiparasitic drug, 1% ivermectin (53 ) .
Is CBD Legal?
The 2018 United States Farm Bill legalized the production of hemp derivatives, such as hemp oil , hempseed oil , and CBD . These products can be sold and consumed as long as the THC content is 0.3% or below (54 ) .
Although CBD is legal, it remains highly unregulated. Thus, many CBD companies present the certificate of analysis (COA) to guarantee that their products are high-quality and safe to use.
Individuals must always look for COAs that come from third-party ISO-certified laboratories.
These third-party laboratories test the product for cannabinoid concentrations and contaminants, such as heavy metals, pesticides, and fungicides.
Are CBD Oil and Medical Marijuana the Same?
CBD is abundant in hemp, a plant that belongs to the Cannabis sativa species. Manufacturers derive CBD from the hemp plants to create a concentrated version without the psychoactive effects one may get from marijuana.
THC is the active component of marijuana, also called cannabis. Although CBD and THC are the two major components used in medical cannabis ( medical marijuana) , THC is what makes users high.
The THC content in CBD oil is 0.3% or less, while medical marijuana (depending on the cannabis strain used) may contain up to 17-28% THC (55 ) .
While there is no cure for rosacea , individuals may still find CBD useful in improving their quality of life and self-esteem (56 ) .
Findings suggest that CBD ’s antioxidant, analgesic, and anti-inflammatory effects may reduce redness in inflammatory skin conditions , such as rosacea (57 ) .
Moreover, studies also show that CBD has a combination of lipostatic activities that may prevent sebum buildup. This activity may help prevent rosacea acne (58 ) .
The best way to avoid rosacea flare-ups is to avoid environmental factors, like sun exposure , stress, and spicy foods (59 ) .
More importantly, individuals suffering from rosacea must consult with a dermatologist before taking CBD .