http://www.rosacea.org/rr/
Rosacea and Oral Antibiotics
1
. Has an oral antibiotic ever been prescribed to treat your rosacea?
Has an oral antibiotic ever been prescribed to treat your rosacea?
Yes
No
2
. If you answered yes to Question 1, are oral antibiotics still part of your medical therapy?
If you answered yes to Question 1, are oral antibiotics still part of your medical therapy?
Yes
No
3
. Have you ever been concerned with the following potential complications of oral antibiotics? (Check all that apply.)
Have you ever been concerned with the following potential complications of oral antibiotics? (Check all that apply.)
Side effects
Antibiotic resistance
MRSA infection (an antibiotic-resistant bacterial infection)
Allergy
Other (please specify)
4
. Which of the following potential side effects of oral antibiotics concern you? (Check all that apply.)
Which of the following potential side effects of oral antibiotics concern you? (Check all that apply.)
Nausea
Gastrointestinal upset
Phototoxicity (extreme sensitivity to sunlight)
Tooth discoloration
Yeast infection
Other (please specify)
5
. Would you be more likely to accept oral therapy to treat your rosacea if potential complications and side effects were minimized?
Would you be more likely to accept oral therapy to treat your rosacea if potential complications and side effects were minimized?
Yes
Somewhat
No
6
. Are you:
Are you:
Male
Female
7
. Are you:
Are you:
Under 30
30-39
40-49
50-59
60-69
over 69
8
. Comments:
Comments:
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