Comparative Safety and Efficacy of Two Rosacea Products in the Treatment of Facial Erythema of Rosacea

Inclusion Criteria:

1. Provide IRB approved written informed consent/assent.

2. Male or non-pregnant female, ≥ 18 years of age.

3. Diagnosis of rosacea with moderate to severe erythema on the face defined as: a score
of ≥ 3 on the Clinician's Erythema Assessment (CEA) and a score of ≥ 3 on the
Patient's Self-Assessment (PSA) on Visit 1/Day 1 (Baseline) prior to the first
application of study medication at hour 0.

4. Willing and able to understand and comply with the requirements of the study.

5. Be in general good health and free from any clinically significant disease, other
than rosacea, that might interfere with the study evaluations.

6. Females of childbearing potential in addition to having a negative urine pregnancy
test, must be willing to use an acceptable form of birth control during the study

Exclusion Criteria:

1. Females who are pregnant, breast feeding, or planning a pregnancy within the study
participation period.

2. Presence of three (3) or more facial inflammatory lesions of rosacea.

3. Current diagnosis of Raynaud's syndrome, thromboangiitis obliterans, orthostatic
hypotension, severe cardiovascular disease, cerebral or coronary insufficiency, renal
or hepatic impairment, scleroderma, Sjögren's syndrome or depression.

4. Other facial conditions that in the Investigator's opinion might interfere with a
rosacea diagnosis and/or assessment including but not limited to: acne conglobata,
acne fulminans, rhinophyma, facial pustulosis of the chin, peri-oral dermatitis,
demodicidosis, facial keratosis pilaris, seborrheic dermatitis, acute lupus
erythematosus, actinic keratosis, acne, dermatitis, psoriasis, squamous cell
carcinoma, eczema, acneiform eruptions caused by medications, steroid acne, steroid
folliculitis, or bacterial folliculitis .

5. Any uncontrolled, chronic or serious disease or medical condition that would prevent
participation in a clinical trial or, in the judgment of the Investigator, would put
the subject at undue risk or might confound the study assessments (such as planned
hospitalization during the study).

6. Subject consumes excessive alcohol, abuses drugs, or has a condition that could
compromise the subject's ability to comply with study requirements.

7. Excessive facial hair (such as beards, sideburns, moustaches, etc.) that would
interfere with diagnosis or assessment of rosacea.

8. History of hypersensitivity or allergy to any ingredient in the study medication.

9. Previous enrollment in this study.

10. Non-responders to prior treatment with topical brimonidine.

11. Currently using any product containing brimonidine tartrate or oxymetazoline.

12. Start or change of dose of hormonal treatments.

13. Start or change of dose of tricyclic or tetracyclic antidepressants, cardio
glycosides, beta blockers or calcium channel blockers or other anti-hypertensive
agents 3 months (90 days) prior to baseline or throughout the study. Use of such
therapy must remain constant during the study.

14. Current treatment with or start of any of the following class of drugs: monoamine
oxidase (MAO) inhibitors, barbiturates, opiates, sedatives, systemic anesthetics or
alpha-agonists, medicines for psychosis, medicines for hyperactivity

15. Use within 6 months (180 days) prior to baseline or during the study of oral
retinoids or therapeutic vitamin A supplements of greater than 10,000 units/day
(multivitamins are allowed).

16. Use within 12 weeks (84 days) prior to baseline or during the study of systemic
immunomodulators

17. Use of medicated make-up throughout the study and/or significant change in the use of
consumer products within 4 weeks (28 days) of study entry and throughout the study.

18. Participation in any clinical study involving an investigational product or device in
the 4 weeks (28 days) prior to baseline or throughout the study.

19. Use of following topicals on the face within 14 days prior to baseline or during the
study of antibiotics and/or prescription anti-inflammatory agents including
ophthalmic

20. Over the counter (OTC) topical anti-acne medications 7 days prior to baseline

21. Chronic, daily use of OTC anti-inflammatory medications for more than 7 days (does
not include low-dose aspirin for cardiac prophylaxis), 7 days prior to baseline and
throughout the study. Subjects may use acetaminophen for pain relief, as needed
throughout the study.

22. Use of tanning booths, sun lamps, sunbathing, phototherapy or excessive ultraviolet
(UV) exposure to the sun 7 days prior to baseline and throughout the study.

23. Use of Niacin ≥500 mg per day within 7 days of study start and throughout the study.

24. Use of topical astringents or abrasives within 2 days of study start and throughout
the study.

25. Use of antipruritics (including antihistamines), spa treatments or chlorine exposure
(swimming, etc.) within 24 hours of all study visits (Visit 1 through Visit 3).