What topical and oral therapies do you prescribe for patients with papulopustular rosacea?

Over the years, metronidazole cream/gel monotherapy has been less effective in the patients we see.

Skin Medicinals has a triple rosacea cream with ivermectin/itraconazole/azeleic acid and has been quite effective as well as cheaper than getting all 3 separately.

Doxycycline at doses between 40mg - 100mg once or twice a day (depending on the patient's response) is also a first line, and can be combined with topical therapy. Generally, we start patients at 100mg once or twice a day for 4 weeks while the topicals take effect, and then decrease to 40-50mg once or twice a day as maintenance (the patient can adjust the once or twice daily dosing as needed, and also take breaks if they feel the topicals are enough).

For patients with more chronic...