For a 65-year-old Caucasian female with rosacea, which treatment is recommended?

For a 65-year-old woman with rosacea, low-dose tetracycline is often recommended as it is one of the commonly used treatments for this condition. Rosacea is a chronic inflammatory skin disorder characterized by facial redness, flushing, and visible blood vessels, as well as the potential development of acne-like lesions.

Antibiotics, particularly tetracycline and its derivatives, have anti-inflammatory properties that can help reduce the redness and lesions associated with rosacea. Low-dose tetracycline, in particular, has been found effective in managing the symptoms of rosacea and is well-tolerated by most patients.

Other treatment options, while they may have their own indications, are not typically used for treating rosacea. For instance, topical 5-fluorouracil is primarily used for certain skin cancers and precancerous lesions, oral ketoconazole is an antifungal medication and not indicated for rosacea, and oral hydrocortisone is a corticosteroid that is generally not recommended for long-term use on the face due to the potential for skin thinning and worsening of rosacea symptoms. This makes low-dose tetracycline the most appropriate choice for managing rosacea in this patient.