Mirvaso

Mirvaso gel (brimonidine) to treat persistent facial redness in rosacea. Lasts 12 hours. Available to buy online from Dr Fox.

Mirvaso rated 4.46/5 in 28 reviews

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Buy Mirvaso online in UK

How to order Mirvaso gel online for UK delivery:

  1. Read medical information about rosacea treatment
  2. Answer medical questions to check for eligibility
  3. Reviewed by doctors - posted from UK pharmacy (Royal Mail Tracked 24)

Prices

Rosacea treatment Quantity Cost
Mirvaso gel (brimonidine 3mg/1g) 30 gram tube (in stock) £41.00
Mirvaso gel (brimonidine 3mg/1g) 2 x 30 gram tubes (in stock) £80.00
Mirvaso gel (brimonidine 3mg/1g) 3 x 30 gram tubes (in stock) £120.00

Price match guarantee
Prescription issued online - small prescription fee per order.

Compare prices: Dr Fox prices are 25%-50% lower cost than other online clinics.

Prescription fees

Dr Fox supplies medicine on prescription and charges a small prescription fee based on the order value of each prescription.

Prescriptions are issued by our doctors online and sent electronically to our pharmacy.

Order value Prescription fee
up to £10 £1.00
up to £20 £2.00
up to £40 £3.00
over £40 £4.00

If you have your own private paper prescription please post to our pharmacy (details).

Dr Fox prices are 25%–50% lower than other UK online clinics.

Comparative costs of Mirvaso Gel from UK online clinics (30 January 2024) - qualifying notes
*Dr Fox adds a small prescription fee not included in table above.
  1. The prices shown are listed by the online clinics named after a customer first enters consultation information and is offered prescriptions. It is possible these clinics may have special offers or lower prices for repeat supplies.
  2. Prices may change and are, to the best of our knowledge, accurate on the date stated. All products in stock and new condition.
  3. Dr Fox does NOT claim to provide a superior service to any of the online clinics listed. All the clinics listed, as far as we can tell, comply with all regulation and, as far as we can tell, operate to high ethical standards.
  4. Dr Fox adds a small prescription fee not included in the table (between £1 and £4 depending on value of the order).
  5. To amend the information in this table please contact us
  6. The prices listed in the table do not identify the cost of prescription medicine as online clinics charge a single fee to cover services which includes advice, consultations, prescriptions and dispensing and supply of treatments.
  7. Where services include free delivery this is using the slowest delivery option available. Dr Fox uses Royal Mail Tracked 24.
Treatment Dr Fox* Pharmacy Online Superdrug Simple Online Pharmacy Independent Pharmacy
Mirvaso Gel 30gm x 1 £41.00 £42.99 £49.00 £42.99 £52.00
Mirvaso Gel 30gm x 2 £80.00 £81.99 £95.00 £81.99 £99.98
Mirvaso Gel 30gm x 3 £120.00 £124.99 £140.00 £124.99 £147.00
UK delivery £2.90 £3.45 included £3.20 £4.19

Delivery charges

UK delivery only: £2.90 per consultation via Royal Mail Tracked 24 Signed For (1-3 working days with tracking).

Parcel forwarding services are not permitted. Use only UK home or work delivery address.

Returns and refunds - unwanted items can be returned within 14 working days for a full refund.

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About Mirvaso Gel

  • Mirvaso Gel is a prescription-only medicine used to treat rosacea.
  • 'Mirvaso' is a brand name, the active ingredient is 'brimonidine'.
  • Apply once a day (usually in the morning) - the effects start within a few minutes and last up to 12 hours.
  • Read the patient leaflet for a full list of side effects, cautions, and interactions with other drugs.

Effectiveness of Mirvaso

Rosacea is a condition affecting mainly the face, in which there is increased skin blood flow and redness, as well as red papules, pimples, and pustules. Brimonidine (the active ingredient in Mirvaso gel) is an alpha blocker, and when applied to reddened areas of skin, it causes constriction of blood vessels and reduced surface blood flow. The effects start within a few minutes and last up to 12 hours, so it is usually applied in the morning. It should not be used more than once in a 24-hour period.

In studies 7 out of 10 subjects reported improved rosacea symptoms 3 hours after an application of Mirvaso. This compares with 4 out 10 subjects reporting improvement when a non-active (dummy) gel was applied.

Mirvaso can worsen symptoms in up to 16% of people and care must be taken when starting treatment - see details below. The redness can get worse soon after Mirvaso is applied or later when the effects are wearing off (after 8 to 12 hrs). In most people any worsening settles on stopping treatment with Mirvaso. Do not use Mirvaso again if it makes your symptoms worse. Consult a GP/dermatologist if the worsening redness does not settle within a few days of stopping.

Mirvaso is for adult use, and should not be used by under 18s as it is untested in this lower age group. It should be kept away from young children, who are at risk of dangerous effects if they swallow the gel. In studies, older subjects (65 years and above) responded to treatment in the same way as younger subjects (18-64 years).

How to apply Mirvaso

Start treatment with a very small amount of gel (less than the maximum dose) for at least 1 week and build-up gradually, based on tolerability and response to treatment. It is important not to exceed the maximum daily dose (which is 1gm of gel in total weight, approximately 5 pea-sized amounts). Apply 1 pea-sized amount to each of the reddened areas of the face; the chin, each cheek, forehead, and nose. Gently smooth as evenly and thinly as possible, over the five areas of the face, avoiding the eyes and lips. Gel should be applied to dry rather than wet skin, to reduce the chance of Mirvaso running into the eyes and mouth. Gel which comes into contact with the eyelids, eyes, lips, or mouth should be washed off with water straight away. Other skin treatments and make-up can be applied once the gel has dried. Wash hands after use to avoid transfer to the eyes and mouth and to reduce unwanted constriction of circulation to the hands and fingers. If symptoms worsen, Mirvaso should be stopped and a doctor consulted.

See video below from the manufacturer Galderma:

Possible side effects of Mirvaso

Mirvaso can actually make rosacea worse in up to 1 in 6 people, so it is necessary to start with a small amount and slowly build up to the full dose, increasing the dose only if it is working for you.

Very little of the active ingredient, brimonidine, is absorbed into the general body circulation. Most significant side effects are localised to the skin where the gel has been applied. The most frequent of these are redness, flushing, and a feeling of burning or itching. There have been a few reports of significant slow heart rate, low blood pressure, and dizziness after using Mirvaso gel and also sometimes a dry mouth or headache.

To reduce absorption, the smallest amount needed should be used and Mirvaso should not be applied to broken skin, particularly after laser therapy, as this can lead to increased absorption and side effects. A full list of possible side effects is detailed in the patient information leaflet.

Mirvaso and thread veins (telangiectasia)

It can often appear that the dilated vessels seem worse when using Mirvaso. This is usually because these thready skin vessels had been hidden in the general redness, which improves when using Mirvaso. The thready blood vessels therefore become more obvious.

Who should NOT use Mirvaso

Checks are carried out during the Dr Fox online consultation to ensure Mirvaso gel is suitable.

Mirvaso gel is only for use by adults over 18, including over 65s, and NOT children.

Most people can use Mirvaso gel without significant side effects. However, as Mirvaso constricts blood vessels it is not suitable for people with poor circulation to the hands and feet. There is also a potential for blood pressure to drop so it is not suitable for people prone to low blood pressure or people with serious heart conditions.

Caution is also required in people who have been diagnosed with liver or kidney disease, or depression, either currently or in the past, and people diagnosed with the uncommon dry skin condition, Sjogren's syndrome, and in people with poor circulation to the brain or heart.

Mirvaso with other medicines

Mirvaso has the potential, in theory at least, to interact with a few other prescription medicines, although the amount absorbed through the skin is minimal.

Do NOT use Mirvaso if taking a Monoamine oxidase inhibitor (MAOI) including selegiline, moclobemide, or imipramine (used to treat depression or Parkinson's disease).

Discuss with your regular GP before using Mirvaso if taking:

  • Any blood pressure medication, including: Beta blockers; calcium channel blockers; alpha agonists, e.g. clonidine (also used for migraine); alpha blockers/antagonists, e.g. prazosin (also used for Raynaud's syndrome & benign prostatic hyperplasia); reserpine; isoprenaline
  • Digoxin (for heart conditions)
  • Chlorpromazine (for psychiatric disorders)
  • Methylphenidate (for ADHD)

Pregnancy and breastfeeding

Mirvaso is untested in pregnant and breastfeeding women, and although there is no known risk, these women should avoid use of Mirvaso.

Alcohol and driving

Regular alcohol use is likely to worsen rosacea and is best avoided. Alcohol may increase the risk of dizziness when using Mirvaso. Mirvaso is not known to affect the ability to drive or operate machinery.

Patient Information Leaflet

Illustration of patient leaflet from medicine packet

The Patient Information Leaflet (PIL) is the leaflet included in the pack with a medicine and must be read before taking the medicine. It is written for patients and gives information about taking or using a medicine.

Mirvaso patient leaflet

Dr Tony Steele

Authored 02 October 2015 by Dr Tony Steele
MB ChB Sheffield University 1983. Former hospital doctor and GP. GMC no. 2825328

Reviewed by Dr C. Pugh, Dr B. Babor, Dr A. Wood
Last reviewed 30 January 2024
Last updated 19 April 2024
Editorial policy

References

Recent Mirvaso reviews

Mirvaso rated 4.46/5 in 28 product reviews

See over 40,000 service reviews of Dr Fox

Mirvaso Gel (brimonidine 3mg/1g)

Best I have found

17 April 2023
Anonymous Verified

Mirvaso Gel (brimonidine 3mg/1g)

works well

03 March 2023
Anonymous Verified

Mirvaso Gel (brimonidine 3mg/1g)

It dose the job!!, seen a massive improvement

25 January 2023
R. Smith Verified

Mirvaso Gel (brimonidine 3mg/1g)

Really helps bring the redness down

26 September 2022
B. Kalar Verified

Mirvaso Gel (brimonidine 3mg/1g)

I'm so happy the redness in my face has calmed down and not feeling so hot in the face. Big thanks

06 June 2022
Anonymous Verified

Read more reviews

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