What It Is

Metronidazole, ivermectin or azelaic acid topicals, brimonidine for redness, low-dose doxycycline for flares. Prescribed after a video consultation with photos.

Who It Suits

Persistent facial redness, bumps and flushing. Eye involvement is referred.

How It Is Used

Monthly shipments from $119. Triggers (sun, heat, alcohol, spicy food) matter as much as the medication.

How to Get It

At Zen IV Spa every program is prescribed by our medical director, a licensed physician, after a $50 video consultation and labs drawn at your home. Medication ships overnight anywhere in New York or New Jersey from an FDA-registered 503A pharmacy, and a nurse can come for the first dose.

Common Questions

Is it curable?+

Managed, not cured.

Laser?+

Referred to dermatology.

How fast?+

Four to eight weeks.

All treatments are medical services. Every guest is screened, and every treatment is provided only under the clearance, prescription or standing protocol of a licensed medical provider. Nothing on this page is a diagnosis or a promise of results. For an emergency, call 911.