I have a severe case of rosacea with all the subtypes that affects my neck/chest/face. Any drug that can cause flushing no matter how minute the chance, will do that to me; the blood vessels and nerves in my skin are incredibly reactive. However I am in need of an anti-depressant and would like to go to my doctor with some suggestions for possible medications that will not cause this side effect no matter how remote. Rosacea is a real problem for me and one I have spent thousands of dollars controlling with light therapy and medications. I don't want to regress or aggravate the disease, and certain drugs like Buspar and Cymbalta, and all narcotics except Fentanyl for example can cause flushing, and have for me. Does anyone know of an anti-depressant or class of anti-depressants that do not cause this effect? I am post-menopausal with very low estrogen so I'm sure that doesn't help any. Thanks much for your help.