Mirvaso Gel
  • Mirvaso Gel

Mirvaso Gel

From £42.99

Medication features

  • Effective treatment for Rosacea
  • Reduces Redness
  • Works on blood vessels on the face


NOTE: After requesting this medication, you will need to complete a short assessment, so our GP or Pharmacist can assess if the treatment is suitable for you. Pricing is provided as a reference only. The final decision on issuing this medication remains with our GP / Pharmacist.


Mirvaso Gel

You can request to buy Mirvaso gel online from our UK registered online pharmacy and doctor service. Mirvaso Gel is a prescription drug, so to see if you are suitable for this treatment, complete the online assessment and checkout. Our UK registered doctors will review the order, and if approved, pass a prescription to the pharmacy team. We will then dispense and dispatch your order to your chosen address.

You must be 18 years old to use our online doctor service, and an ID age check will take place during the checkout/registration process.

What is Mirvaso?

Mirvaso Gel is a commonly prescribed and effective treatment for rosacea, a common skin condition. This condition which results in increased blood flow to an area, usually the face, results in a flushed reddened appearance. This often affects the nose, forehead cheeks and chin. 

How Does Mirvaso Work?

Mirvaso works by narrowing the surface blood vessels and thus reducing blood flow to the area to help reduce the symptoms of rosacea. As a result of the restricted blood flow, redness and flushing is reduced. 

The active ingredient in Mirvaso is Brimonidine, which is a class of drug known as an alpha-blocker (alpha agonist). These are often used orally to reduce blood pressure.

In the case of oral application, the narrowing of the blood vessels reduces blood flow and decreases visual symptoms of rosacea.

IMPORTANT: Mirvaso can worsen symptoms of Rosacea in up to 16% of users. For this reason, it's important when beginning treatment to apply only a small amount (see directions tab), to a small area of skin and gauge response.

That being said, in most patients, around 70%, a reduction in symptoms is usually achieved within 3 hours of application of the gel

If symptoms do persist or worsen, it’s important you consult with your doctor on next steps. 

How to Apply Mirvaso

As mentioned above, treatment should begin with a very small amount of gel on a small part of the affected area once daily. If you do not notice worsening of your symptoms, you may start treatment with a small amount of gel across the affected area for one week. 

If the gel is well tolerated, you may increase the dosage based on the tolerability of the medication and the results achieved. Treatment may then continue on a daily basis to achieve continued control of your Rosacea symptoms.

The maximum daily dosage of the gel is 1 gram daily, which is around 5 pea-sized amounts. 

You can apply a pea-sized amount to your affected areas. For most people, these are the chin, cheeks, forehead and nose. Apply the gel evenly across the areas. Ensure skin is dry before application. 

Please read the provided information leaflet before application of the gel.

Can I use makeup with Mirvaso Gel?

Yes, makeup can be applied once the gel has dried. You should make sure you have washed hands thoroughly after applying the gel. Failure to do so can result in transfer to your eyes and mouth and result in side effects. 

Mirvaso side-effects

The most common side effects of Mirvaso are

  • Flushing
  • excessive whitening where the gel is applied
  • skin redness
  • burning feeling of the skin
  • Itchy skin

Most significant side effects of the treatments are localised to the skin to which the gel is applied. 

For a full list of side effects, please read the patient information leaflet.

What alternatives are there to Mirvaso? 

Before using Mirvaso or any prescription treatment, there are a number of self-care measure that can be taken to try to minimise the symptoms and effects of Rosacea. These include basic tips such as avoiding perfumed soaps, avoiding rubbing of the face and using unperfumed moisturisers. 

A good self-care guide for rosacea is available from the British Skin Foundation.


Frequently Asked Questions

What can trigger rosacea? 

Everyone will be different but listed below are some common triggers. Many of them are environmental factors. Keeping a diary of your symptoms will help to track any flare-ups and may be a useful way to discover personal triggers.  

  • Alcohol
  • Caffeine
  • Sun exposure
  • Hot and spicy foods
  • Hot drinks
  • Cheese
  • Certain medications
  • Emotional stress
  • Strenuous exercise

Are there conditions that are similar to rosacea?

There are a number of conditions that have similar symptoms and patterns to rosacea such as acne, some types of dermatitis, lupus and keratosis pilaris.

This is why it is important to complete the online assessment with as much detail as possible to enable our doctors to properly assess your symptoms. 

Will my nose swell or change shape (rhinophyma)?

Rosacea can affect the nose and cause rhinophyma, but this is uncommon. It usually only develops in rosacea which has been active and left untreated for many years and because of this it may be more common when patients are middle-aged. This is why it is important that you are assessed and treated promptly if you suspect you have rosacea. 

Is Rosacea a sign of poor hygiene?

Rosacea is not related to poor hygiene. 

How should I wash my face if I have rosacea?

Patients should use a mild soap or non-soap cleansers. Use your fingertips to apply the cleanser, avoid using rough cloths or sponges. Wash the cleanser away with lukewarm water (hot or cold water may cause flushing) and pat your face dry with a towel. Avoid rubbing the skin with a towel because this may cause irritation.

Should I moisturise my face?

Many rosacea sufferers will also have dry skin. Moisturising affected areas can help with any dryness, stinging and irritation. Patients may find creams designed for sensitive skin are gentler and cause less irritation. These can be used together with topical medication but make sure to leave at least 30 minutes between different creams or ointments.







Side Effects

As with any medication, Mirvaso can cause side effects. While not everybody will get them, it's important to be aware of the side effects of any medication you take, so you can take action if they appear.

If you develop a severe irritation or contact allergy (e.g. allergic reaction, rash), uncommon side effects, stop using Mirvaso and see your healthcare professional. 

Mirvaso may also cause the following other side effects:

Common side effects (may affect up to 1 in 10 people):

  • flushing
  • excessive whitening (pallor) where the gel is applied
  • skin redness, burning feeling of the skin or itching

Uncommon side effects (may affect up to 1 in 100 people):

  • acne
  • dry mouth
  • feeling cold in hands and feet
  • feeling hot
  • headache
  • nasal congestion
  • skin rash, skin pain or discomfort
  • skin irritation or inflammation
  • dry skin
  • Warm skin sensation, tingling or sensation of pins and needles
  • swelling of the eyelid
  • swelling of the face
  • urticaria
  • worsening of rosacea
  • dizziness

Rare side effects (may affect up to 1 in 1000 people):

  • angioedema (a serious allergic reaction usually with swelling of the face, mouth or tongue). Stop treatment if this occurs.
  • hypotension (blood pressure decreased)
  • heart rate decreased (slow heart rate, known as bradycardia)

Info Leaflet

Before taking any medication, it is important to read the Patient Information Leaflet. You can find information leaflets for your medicines by typing them into the search bar at medicines.org, or by contacting us.

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