Episode 186

Understanding Rosacea: Key Triggers, Diet, and Treatment Insights with Dr Louise Reiche

In this episode of The Good GP, host Dr Sean Stevens is joined by Dr Louise Reiche, a seasoned general dermatologist from Palmerston North to discuss the management of rosacea.

Giving insights into the key lifestyle and dietary triggers that affect rosacea. Dr Reiche covers the impact of spicy food, alcohol, caffeine, and environmental changes on facial redness experienced by patients. Emphasising on the importance of sun protection as a primary method for managing rosacea.

Shifting to the benefits of the Mediterranean diet and general wellness practices. Dr Reiche explains how a plant-rich, anti-inflammatory diet can help reduce the inflammatory response related to rosacea, components such as extra virgin olive oil and walnuts that benefit the gut microbiome and subsequently, the skin.


Treatment options for rosacea with sun protection being a cornerstone of management. Dr Reiche discusses practical sun protection strategies and the role of topical and oral retinoids, topical azelaic acid, and ivermectin in treating the condition. The shift from oral antibiotics to other treatments due to concerns about antibiotic resistance and the gut microbiome were also examined.


The Good GP is proud to collaborate with DermNet on this podcast. In early 2025 DermNet is launching a new platform designed specifically for healthcare professionals called DermNet PRO. It features a new search tool, the ability to save pages, and access a host of volunteer opportunities. It’s 100% free and coming in early 2025. Join the waitlist now.


The Good GP Podcast is a proud member of the Talking HealthTech Podcast Network - the premier audio destination for cutting-edge insights and thought leadership in healthcare delivery, innovation, digital health, healthcare ICT, and commercialisation. Learn more at www.talkinghealthtech.com/podcast/network


If you have any questions or would like to contact The Good GP, send an email to thegoodgp@gmail.com. Visit www.thegoodgp.com.au for previous episodes and more information.

Mentioned in this episode:

Get 10% Off Lyrebird Health

Unlock a 10% discount on Lyrebird Health by using the code GOODGP and discover how this AI scribe can transform your practice by saving you time and ensuring your documentation sounds just like you: www.thegoodgp.com.au/lyrebird

Lyrebird Health

About the Podcast

Show artwork for The Good GP
The Good GP
The Good GP, the education podcast for busy GPs

About your hosts

Profile picture for Tim Koh

Tim Koh

Dr Tim Koh is a Perth-based GP with over 20 years of experience and a strong focus on GP education and evidence-based practice. He provides practical insights and advice on key topics in primary care.
Profile picture for Krystyna de Lange

Krystyna de Lange

Dr Krystyna de Lange is a GP with nine years of experience, specialising in Aboriginal and Torres Strait Islander health, women’s health, and chronic disease management. She delivers practical insights and fosters engaging discussions on essential health topics.
Profile picture for Sean Stevens

Sean Stevens

Dr Sean Stevens is a GP with 27 years of experience, recognised for his expertise in medical education and innovation. He has contributed to over 60 episodes, sharing valuable insights to promote quality care in general practice.