Rosasol is a little known combination sunscreen and metronidzaole formulation. It is only available on prescription in Canada. According to the Stiefel Laboratories web site, “Regulations in Canada prohibit pharmaceutical manufacturers from providing prescription-product-related information directly to consumers“. This may explain why little information about Rosasol is available on the internet.
Randomized Placebo-controlled Trial of Metronidazole 1% Cream with Sunscreen SPF 15 in Treatment of Rosacea, J.K.L. Tan, C. Girard, A. Krol, H.E. Murray, K.A. Papp, Y. Poulin, D.A. Chin, D. Jeandupeux, Journal of Cutaneous Medicine and Surgery: Incorporating Medical and Surgical Dermatology, Issue: Volume 6, Number 6, December 2002, Pages: 529 – 534.
Background: Rosacea is a photoaggravated dermatosis responsive to treatment with topical and oral antibiotics. A formulation combining metronidazole 1% cream with sunscreen SPF 15 was developed for the treatment of rosacea.
Objective: The objective of this study was to determine the safety and efficacy of a formulation combining metronidazole 1% cream with sunscreen SPF 15 in the treatment of moderate to severe rosacea.
Methods: One hundred and twenty patients with moderate to severe rosacea were enrolled for a randomized, placebo-controlled (vehicle containing sunscreen with SPF 15), double-blind study. Study cream was applied twice daily to the entire face over a 12-week period.
Results: Treatment with metronidazole 1% cream with sunscreen SPF 15 resulted in significant improvement (p <0.05) in inflammatory lesion count, erythema and telangiectasiae scores, and investigator and patient global assessment scores compared with baseline and placebo. Adverse reactions related to study medication were typically mild, occurred at the site of application, and were reversible. There was no difference between the safety profiles of metronidazole 1% cream with sunscreen SPF 15 and placebo.
Conclusions: The combined topical formulation of metronidazole 1% cream with sunscreen SPF 15 was an effective, well-tolerated topical agent for the treatment of moderate to severe rosacea.
Also from JK Tan is a 2001 Letter:
Skin Therapy Letters. 2001 May;6(8):1-2, A new formulation containing sunscreen (SPF 15) and 1% metronidazole (ROSASOL Cream) in the treatment of rosacea. Tan JK, Acne Research and Treatment Center, Windsor, Ontario, Canada.
ROSASOL Cream is a novel topical formulation of 1% metronidazole in a vehicle containing sunscreens (SPF 15). This product has demonstrated efficacy in the treatment of inflammatory lesions, erythema, and telangiectasiae associated with rosacea.


9 comments ↓
I use this cream and I must say that it works well, but at first it dried my face out. I would recommend it to someone with this disease.
If you think you have acne but nothing seems to work, ask your doctor about rosacea. I have suffered with skin problems for years but in my mid twenties the “acne” seemed to change. My pores were getting bigger and I had annoying under the skin ‘bumps’. Sometimes they were red and inflamed and sometimes not…Even without squeezing, they seemed to get bigger and dry out until I had scabs. Within a few days I noticed the difference after using this cream. I no longer use an assortment of cleansers and creams. I exfoliate once or twice a week, use a mild saop (Dove) saily, and use this cream day and night. I don’t even use moisturizer anymore. My skin is soft, pores reduced and aside from an occational spot, it looks lovely. It has changed my life and I have only been using it for a month. I would highly reccomend this product.
i went to my dermatologist today ..and he looked at my face and said that i think you have skin damage from years of sun ..then he said try this it is the rosasol cream .I have rednes on my cheeks and thick looking red skin on my neck both sides with little to large pimple looking bumps .Like i say i just got it today and i hope to god that it works well ….
I teach students with special needs.i would like to know where and why rosacia comes from.
Hello Miroslava,
That is the million dollar question ! no one knows for sure why some people will develop rosacea. There are some theories to do with genetics, flushing, bacteraa and lots more, but sadly no-one has worked out a convincing reason.
davidp.
MY DOCTOR HAD PERSCRIBED THIS CREAM FOR ME AS I HAD A LITTLE RED ON MY NOSE AND VERY SMALL AREA ON BOTH SIDES OF MY CHEEKS. I HAVE NO ACNEOR SKIN PROBLEMS.I HAVE USED 3 APPLICATIONS.MY FACE IS BROKE OUT EVERYWHERE.RED AND BLOTCHY.SHOULD I STOP USING?I MIGHT OF JUST GOT SUN BURNT ON MY FACE.INSTEAD OF ROSACEA
I have redness on my cheeks and i started to use the rosasol cream and it seems to be doing alright, i have only used it like 5 times at night. i hope it does something because it is annoying to have the redness. i want to know what kind of cleanser do i use when i am using rosasol? or do i use one at all? and when should i use it, right before i apply the cream? or when i get up in the morning?
I have been on Rosasol for just one week and have gone from a beet-red nose, rosy-coloured acne cheeks, to just a bit of colour and a few coloured spots. I treat my face both morning and night. My routine is washing my hands; apply Cetaphil (a gentle cleanser), wash my hands; leave Cetaphil on for 3 minutes; rinse it off with tepid water, using only my hands; blot dry with a clean cloth (do not rub). I then apply the Rosasol. I again wash my hands. If I am going out, I sometimes apply a little foundation to cover any redness I may have. Hope this works for anyone reading this and willing to try it.
Thank you Anna, that’s encouraging. Starting today on Rosasol (daytime) and Noritate (night). Hopefully I get good results like you, I’ll try your routine too.
Leave a Comment