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Metronidazole 0.75% gel is a topical medicine used to treat inflammation or reddening of the skin. It is an effective treatment for symptoms of the condition known as Rosacea.

You can order online with DrEd, by simply filling in our brief medical questionnaire. Our doctors will review your order and then approve appropriate treatment.


1 x 15g Tube £20
1 x 30g Tube £24
1 x 40g Tube £26

What is Rosacea?

Rosacea is a skin condition that’s very common but not very well understood. It most commonly affects people on the face (cheeks, eyes and nose), neck and sometimes on the chest.

Most people with Rosacea will find that they experience it every now and then. Their symptoms will flare up for a few months at a time, disappear for a while, before recurring later on as another outbreak.

Rosacea isn’t contagious, and it isn’t known to cause permanent scarring. However, it is a chronic condition (it can last for a long time) which currently has no cure. With proper treatment, the symptoms of Rosacea can be treated and kept under control. 

What are the symptoms?   

The most common symptoms of Rosacea are:

  • flushing (your skin turning red for a few minutes)
  • persistent patches of red skin (erythema)
  • rough, dry or swollen skin
  • thickening of the skin
  • itchy, stingy or painful skin
  • papules and pustules (usually associated with acne)

What causes Rosacea?

We still don’t know exactly what causes Rosacea. But, we do know that there are a number factors that commonly trigger or make people's symptoms worse. These can include:

  • high stress levels
  • extreme weather changes (hot and cold, wind, brightness)
  • caffeine
  • alcohol
  • the menopause

Who can get it?

Rosacea can affect anyone. However, it’s much more common in:

  • people over 35
  • women
  • people with very fair skin

It doesn’t usually occur in children or adolescents.

If you think you or your child might have Rosacea, make an appointment your nurse or GP. They will examine your symptoms and talk to you about your medical history to make a proper diagnosis.

What’s the cure for Rosacea? 

Unfortunately, there’s no cure for Rosacea. However, the symptoms of Rosacea can be treated effectively treated with the right medication. Treatments for Rosacea include:

  • topical creams or gels (like Metronidazole 0.75% gel)
  • oral antibiotics
  • laser treatment
  • or self-help techniques (regular washing, using mild or sensitive products, avoiding triggers)

What’s the difference between Metronidazole 0.75% gel and Finacea (azelaic acid) gel? 

Metronidazole 0.75% and Finacea (azelaic acid) gel are both topical gel treatments for the external symptoms of Rosacea. You use them in the same way, applying the gel to the affected areas of skin.

The biggest difference between Metronidazole 0.75% and Finacea (azelaic acid) is that Metronidazole 0.75% causes (on average) less side effects, but is also thought to be less effective.

What’s the difference between Metronidazole 0.75% gel and Mirvaso gel?

Mirvaso is another topical treatment, however it is used specifically to treat people who have rosacea that presents more with flushing and erythema. Metronidazole gel should be used to treat rosacea if the main symptoms are papules and pustules (acne-like).

Why would I treat my Rosacea with Metronidazole 0.75% gel? 

You would use Metronidazole 0.75% to treat any noticeable external symptoms of Rosacea, if they were bothering you or causing you discomfort. You should only use the gel if it has been prescribed to you directly, by a licensed medical professional. 

How does Metronidazole 0.75% gel work? 

Metronidazole 0.75% gel works by controlling the infection and inflammation in your skin, that can be caused by conditions like Rosacea.

How long does it take to work? 

It usually takes around 3-4 weeks before you will notice a change in your symptoms of Rosacea. If there is no change in your symptoms by the end of 8 weeks, check with your nurse or doctor. 

How effective is it?

If used correctly, Metronidazole 0.75% is an effective treatment for Rosacea. It is especially effective in mild to moderate cases.

Can it be used by men and women?

Yes, Metronidazole 0.75% can be used by any sex.

Who can use it?

Metronidazole 0.75% gel should only be used by adults who have been prescribed it to them by a licensed nurse or doctor.

Who shouldn’t use it?

Metronidazole 0.75% isn’t recommended for children under the age of 12 years old. Don’t use Metronidazole 0.75% gel if you are allergic (hypersensitive) to any of its ingredients. Check with your nurse or GP before using the gel if you are pregnant or currently breastfeeding, as it may not be suitable for you to use.

How long would you use Metronidazole 0.75% gel for? 

The typical course of treatment with Metronidazole 0.75% is 8 weeks. However, the length of treatment will depend on your individual symptoms and medical history. Your nurse or GP will work out and let you know how long you should be using the gel.

When would I stop using it? 

Stop using Metronidazole 0.75% gel when your prescribing nurse or doctor tells you to, or if you experience any unpleasant or extreme side effects (like an allergic reaction).

How do I store my Metronidazole 0.75% gel?

Keep your Metronidazole 0.75% out of the reach of children, don’t refrigerate, and never use it after the expiry date written on the packet.

Is it safe to buy?

Metronidazole 0.75% is a safe drug when you use it exactly as it has been prescribed to you by your nurse or doctor.

Common side effects

  • dry or irritated skin

Rare side effects

  • allergic reaction (swelling of the eyes, face and throat, difficulty breathing)
  • dizziness, drowsiness or headaches
  • itchy or swollen skin
  • hives
  • nausea or vomiting
  • darkened urine

Which drugs does Metronidazole 0.75% gel interact with?

Drinking alcohol during treatment isn’t advised, because it can cause an unpleasant reaction (headaches, nausea, weakness, confusion, blurred vision, and breathing problems).

Otherwise, speak to your doctor before using Metronidazole 0.75% gel if you are currently:

  • undergoing haemodialysis
  • taking a sedative known as phenobarbitone
  • taking a medicine to prevent blood clots called warfarin type oral anticoagulants

These drugs may interact negatively with the gel.

Dosage

Before using the gel, wash and dry your face. Apply about 1cm (0.5 inch) of the gel onto your fingers, and rub into the affected areas of skin.

Apply the gel twice a day (every morning and evening for 8 weeks), or until the course of treatment is complete.

Can I increase my dosage of Metronidazole 0.75% gel?

Never increase your dosage without the approval of your prescribing nurse or doctor. Even if you miss a dose of your gel don’t use twice the amount next time. Over-using Metronidazole 0.75% could make your symptoms worse.

Ingredients

The active ingredient is metronidazole.

Other ingredients include: hydroxyethylcellulose, methyl parahydroxybenzoate (E218), disodium edetate, propyl parahydroxybenzoate (E216), sodium hydroxide, ethyl parahydroxybenzoate (E214), potassium dihydrogen phosphate, glycerol, and purified water.

Is there anything else I should know?

Metronidazole 0.75% gel should only ever be applied externally, to the skin. Never use it on broken skin, or inside the mouth or eyes. Metronidazole 0.75% gel is sometimes called ‘Acea Gel’.

If you have a question about this service, please email info@dred.com with the question, and one of our doctors will get back to you within 24 hours.

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