PMID- 36200523 OWN - NLM STAT- MEDLINE DCOM- 20221220 LR - 20230320 IS - 1529-8019 (Electronic) IS - 1396-0296 (Linking) VI - 35 IP - 12 DP - 2022 Dec TI - Efficacy of diammonium glycyrrhizinate in the treatment of rosacea with papules and pustules: A randomized, double-blind, placebo-controlled study. PG - e15905 LID - 10.1111/dth.15905 [doi] AB - Rosacea is a kind of chronic inflammatory skin disease that usually occurs in the middle of the face. Diammonium glycyrrhizinate (DG), an effective monomer component extracted from licorice, has extensive anti-inflammatory, antioxidant, anti-allergic, and immunomodulatory effects. There is no research on its therapeutic effect on rosacea. In this study, we divided rosacea patients mainly characterized by papules and pustules randomly into three groups. Group A received clarithromycin 500 mg once a day, isotretinoin 10 mg once a day; Group B received DG 150 mg three times a day, other medicines were the same as Group A; Group C received clarithromycin 250 mg once a day, isotretinoin 10 mg once every 2 days, and DG 150 mg three times a day. All patients' symptom scores and laboratory tests were evaluated when followed up. We found that DG combined with clarithromycin and isotretinoin in the treatment of rosacea was more effective and quicker than clarithromycin and isotretinoin alone. Moreover, half common dosage of clarithromycin and isotretinoin combined with DG could achieve the same therapeutic effect as the conventional dose, and brought about lower incidences of adverse events (AEs). Therefore, it is recommended to use half common dosage of routine medication combined with DG for rosacea patients mainly characterized by papules and pustules. CI - (c) 2022 Wiley Periodicals LLC. FAU - Xie, Yuming AU - Xie Y AD - Department of Dermatology, The Second Xiangya Hospital, Central South University, Changsha, China. FAU - Huang, Junke AU - Huang J AD - Department of Dermatology, The Second Xiangya Hospital, Central South University, Changsha, China. FAU - Liu, Juan AU - Liu J AD - Department of Dermatology, The Second Xiangya Hospital, Central South University, Changsha, China. FAU - Zhang, Qing AU - Zhang Q AUID- ORCID: 0000-0001-8309-349X AD - Department of Dermatology, The Second Xiangya Hospital, Central South University, Changsha, China. LA - eng GR - 81872533/National Natural Science Foundation of China/ PT - Journal Article PT - Randomized Controlled Trial DEP - 20221017 PL - United States TA - Dermatol Ther JT - Dermatologic therapy JID - 9700070 RN - EH28UP18IF (Isotretinoin) RN - 6FO62043WK (Glycyrrhizic Acid) RN - H1250JIK0A (Clarithromycin) SB - IM MH - Humans MH - Isotretinoin MH - Glycyrrhizic Acid/adverse effects MH - Clarithromycin/therapeutic use MH - *Rosacea/diagnosis/drug therapy MH - Double-Blind Method MH - *Exanthema/chemically induced OTO - NOTNLM OT - clarithromycin OT - combined treatment OT - diamine glycyrrhizinate OT - isotretinoin OT - rosacea EDAT- 2022/10/07 06:00 MHDA- 2022/12/21 06:00 CRDT- 2022/10/06 05:43 PHST- 2022/09/18 00:00 [revised] PHST- 2022/06/27 00:00 [received] PHST- 2022/09/27 00:00 [accepted] PHST- 2022/10/07 06:00 [pubmed] PHST- 2022/12/21 06:00 [medline] PHST- 2022/10/06 05:43 [entrez] AID - 10.1111/dth.15905 [doi] PST - ppublish SO - Dermatol Ther. 2022 Dec;35(12):e15905. doi: 10.1111/dth.15905. Epub 2022 Oct 17.