RCT

DOMINO: doxycycline 40 mg vs minocycline 100 mg for rosacea (2017)

Both antibiotics reduced rosacea lesions by a similar amount, though minocycline did better on the doctors' overall rating.

Eighty people with rosacea were randomly given either doxycycline 40 mg or minocycline 100 mg for 16 weeks. Lesion counts fell by a similar amount in both groups — 13 versus 14 fewer lesions — which was the question the trial was designed to answer. Minocycline scored better on the doctor's overall assessment and on relapse, but those were secondary measures the trial was not built to test, so they are suggestive rather than settled. Only the assessors were blinded, not the patients.

van der Linden MMD, van Ratingen AR, van Rappard DC, Nieuwenburg SA, Spuls PI. DOMINO, doxycycline 40 mg vs. minocycline 100 mg in the treatment of rosacea: a randomized, single-blinded, noninferiority trial. Br J Dermatol. 2017;176(6):1465-1474.

Read the full study ↗