Metrogel User Reviews

What is metronidazole ? well scientifically it is a white to pale yellow crystalline powder. Metronidazole is a member of the imidazole class of anti-bacterial agents and is classified as an antiprotozoal and anti-bacterial agent.

When taken orally, metronidazole is known as flagyl. Flagyl is used for a wide variety of infections including those in the adbomen, bones, joints, nervous system, respiratory tract, skin, as well as vaginal and intestinal infections.

A bit of history

Curatek Pharmaceuticals developed and submitted the New Drug Application for Metrogel in 1988. Since its introduction by Curatek, MetroGel has become the most widely prescribed therapy in the United States for rosacea. In 1993 Curatek Pharmaceuticals sold metrogel to Galderma Laboratories. Galderma has since introduced other variants of Metrogel, namely MetroLotion and MetroCream. Galderma is also an interesting company for rosacea sufferers because they have purchased Collagenex, who are developing a product we know as sansrosa.

Curatek, continued to market MetroGel-Vaginal (metronidazole vaginal gel, 0.75 percent) for bacterial vaginosis. MetroGel-Vaginal was introduced in the U.S. in 1992.

How does metrogel work ? well amazingly after all these products have been marketed and many studies done, the mechanisms by which metronidazole acts in reducing the inflammatory lesions of rosacea are in the main unknown.

Dermik markets a 1%, once a day formulation of metronidzole called Noritate.

Metrogel was responsible for generating sales of about $75 million in 2004.

The patent on the branded product by Galderma expired on June 6, 2006. Fougera is poised to make generic metrogel available, having had tentative approval to produce a generic metrogel.

In July of 2005 Galderma announced that 1 percent metrogel had gained FDA approval. The vehicle is a water-based formulation and contains no alcohol.  The formulation was `enhanced with HSA-3′. HSA-3 is described as a combination of ingredients including betadex, niacinamide (vitamin B3), and propylene glycol.”

Metrogel Ingredients

METROGEL (metronidazole gel), 1% is an aqueous gel; each gram contains 10 mg of metronidazole in a base of betadex, edetate disodium, hydroxyethyl cellulose, methylparaben, niacinamide, phenoxyethanol, propylene glycol, propylparaben and purified water.

So Why all the “Metro” products ?

Despite quite a lot of activity in the marketing and development of the metronidazole treatments (lotion, cream, gel, generic equivalents, nortitate 1%, metrogel 1%, once per day, twice per day etc) this particular research paper Metronidazole in the treatment of rosacea: do formulation, dosing, and concentration matter? suggests that the different formulations and treatment frequency make little difference to the treatment outcome.

Thus if you are already using one formulation of metronidazole, changing to another gel/cream vehicle doesn’t appear to be able to offer any additional benefits.

Does Metrogel help with the Redness?

Officially, Metrogel is only indicated for the papules and pustules of rosacea – this is what it was tested against. Some users of Metrogel do find a reduction in redness as a result of the anti-inflammatory actions of metronidazole, but you should probably consider this a bonus rather than a given.

Interesting Research

Some of the more interesting published papers on rosacea and metrogel, and other metronidazole treatments include ;

Topical Metronidazole Maintains Remissions of Rosacea

Topical metronidazole therapy for rosacea.

The efficacy of topical metronidazole in the treatment of ocular rosacea.

Metrogel Savings Coupon

Galderma offers a Savings Coupon for Metrogel 1% that functions as a Co-pay Card, allowing you to pay no more than $15 when refilling your prescription. You pay no more than $15 if you have insurance, that is.

The savings coupon only applies the Metrogel 1% 55gm Pump.

The coupon is actually called the `METROGEL 1% Pump Advantage Card’ and can be found here: http://www.metrogel.com/savings-support.aspx

Questions You Want Answered

Please leave a comment below if you can help your fellow rosacea sufferer answer any of the following quesionts.

Also known as Metrosa and Rozex

There are some slight variations in the actual product name for metronidazole based products around the world. You may come across references to Metrosa and Rozex. These contain the same active ingredient as Metrogel, but the overall formulation may vary slightly. In general they will all offer the same potential benefit to rosacea suffers – that is, one formulation is most likely to offer the same benefit to the lumps and bumps of rosacea as another.

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About the Author

About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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208 Reader Comments

  1. Janet Manuel says:

    having suffered from bad breath for most of my adult life I have finally discovered the cure. Assuming there are no underlying medical or dental problems and the cause is anaerobic bacteria in the mouth then this is the ONLY cure that really works. It doesn’t mask odours it actually kills the bad odour producing bacteria.
    Crush a 200mg flagyll tablet to a fine powder and mix with approx 50ml toothpaste and use once a day. Dont rinse with water afterwards and dont eat or drink for about half an hour after cleaning teeth.
    Why doesn’t someone produce this medicated toothpaste for the millions of sufferers around the world!! its so easy and it works.

    Could there be any adverse side effects to long term use of this medicated toothpaste. I would appreciate feedback.

  2. Jen Simm says:

    i have been using Flagystain 500mg metronidazole for 4 nights now out of the 10 days recommended at bedtimes and when i have 8-12 hours of sleep and i wake up the cream seems to still seem out through.i was wondering if this was part of the side affects ?.

  3. Marianne says:

    Hi there,
    I suffer from what I think is a mild
    case of rosacea( doctors think this is it but are confused themselves :() with papules/ pustules and a bit of redness on my left cheek.
    I have just been experimenting those 2 products found on a French rosacea forum ( I’m a French native).
    Those products seem to really soothe redness and diminish papules, been trying them now for 3 days, a lot of relief given to my face especially since my skin is super sensitive and rozex cream applied once a day does tend to irritate it.
    I put rozex cream at night and let it dry.
    Then I put Cicabio Creme on my whole cheek then I apply Cicabio lotion on top of the creme to dry up pustules/ pastules. Cicabio lotion dries up and leaves a whitish texture on top.
    I am not sponsorised to advertise those creams, suffering also from eczema and ichtyosis , I have tried many a cream for many years and spent quite a budget.
    Those 2 creams can be ordered online, they are fairly cheap ( around 6/ 10 euros each) but if you guys live In the US the package costs may be high.
    I was desperate to find something antibacterial to speed up the drying and healing process of my papules/ pustules, hence this discovery on a rosacea forum.
    Here are the 2 products:
    1) Cicabio crème by Bioderma. Soothing repairing cream with a Copper Zinc complex ( anti bacterial).
    2) Cicabio drying repairing lotion by Bioderma.
    A combination of zinc oxide and silicates to dry up the wound.
    Those 2 products are fragrance, préservative and paraben free. I am basically allergic to a lot if skin care products myself hence my use of products with as less chemicals as possible.
    I do not believe those products are a miracle, I do think they will help soothe redness but won’t make it disappear , they seem to be very good ( in my case) to dry up pustules/ papules, soothe the skin and help it repair itself. Those products seem to be also used for eczema and atopic dermatitis sufferers, they contain no steroids whatsoever.
    I hope this could help some if you!
    Also, I have decided to detox my body , got rid of tomatoes as I seem to be allergic and started with hemp seed oil to help with omega 3 and 6 and my flaky dry skin. Anyone has tried hemp seed oil and happy with the results ? Any advice welcome.
    Thanks again for this great website to help people share information about rosacea and how to fight it!

  4. Donna says:

    Thank you everyone for sharing your heart-felt stories…I too have just found I am officially carrying around Rosacea on my once smooth cheeks…I had suspected it when I saw the red blotches on my cheeks along with the pimple-like bumps three years ago at age 36 (shall I but part blame on the divorce I was going through?) Anyhow, I am 39 now, and have decided to have see my doctor about this “rash” that will not wash away…(3 years later) I was then prescribed Metronidazole .75% topical gel. I have only been on it for two days now. I haven’t seen any results yet. I sure do hope to!
    Again, thank you everyone! I am greatful for your stories that you have shared. They have hit home. I felt quite alone when I was diagnosed.

  5. Jill says:

    Maria C/ Becky…..
    Just checking in to see how your doing with your rosacea.
    I STILL use only spring water/cetaphil to wash my face twice a day and have not experienced the red burning itchy painful face or swollen eyelids ONCE. People tell me i look 30 instead of 43 since my face is sooo clear and smooth. I can honestly say it WAS my tap water. I went to many doctors, dermys ( i had rosacea, no I had eczema, no I had allergy), allergists,eye doctors for bhephtis (sp?) tested for lupus twice, allergy patches on back, Predisone several times, sulfer medicine, Laser treatment, hydrocortisone, online rosacea products, metrogel, all new makeup, Hepa filter, humidifier and hundreds of dollars spent…and after all that……. all i did was buy a bottle of spring water and PRESTO…. it all went away after two years of hell. The red burn is gone, at the time I could FEEL my face it was sooo heavy and painful, I could barely see from my eyelids being puffy.. and now its like it never happened. I do not use any topical medicine or any pills. I do not have the small bumps and “hot spots” as i call them that were a small red spot on areas that would always come back in that same spot. The next time I saw my doctor I told them how i fixed this since they were SHOCKED in the difference of my face…not that i think they were really too concerned to begin with.grumble..just gave me predisone and sent me on my way. i may do a test and wash face with the water from the sink just to see if it will come back but that is not something i am ready to see.lol
    hope you guys are doing well
    Jill

  6. Becky says:

    Hi Jill and everyone out there!

    Unfortunately, Jill, the spring water did not help me at all. I did notice a decrease in the redness on my face and I was very encouraged but then I developed a terrible case of acne. I had blemishes EVERYWHERE. I religiously washed my face with Cetaphil (and still do) as a cleanser, I used only spring water and I also used the cotton pads instead of a wash cloth but the acne appeared with a vengeance. Metrogel 1% stopped working for me as well. I did not have a clear spot on my face, it was horrible. It even hurt to wash my face with my hands. I couldn’t take it anymore so I made an appointment with a dermatologist to 1) confirm I had rosacea and 2) to see if she could prescribe the new capsule Oracea so that I could not only use a topical treatment but something to work from the inside out!

    To cut to the chase, she confirmed that I had rosacea and she did wonders for me. It will be two weeks this coming Thursday that I made the appointment and my face has never looked so good. In fact, I think rosacea did me a favor. If it wasn’t for this illness, I wouldn’t have seen a dermatologist. My face is so soft and smooth, I have even had comments from friends. Here is my daily routine: Take 1 Oracea capsule in the morning, wash my face with Cetaphil, apply FINACEA GEL 15%, wash my face in the evening with Cetaphil, apply FINACEA GEL 15% and also apply Retrinal 0.1 (optional). The Retrinal is an anti aging cream that I could purchase if I wanted (why wouldn’t I?). It is only applied at night. I no longer use Metrogel 1%.

    This works for me so far anyway. It may not work for everyone but I can honestly say that my complexion is smooth and pink. No redness or bumps…well maybe one or two but give it a few more weeks and I guarantee they will be gone. I AM A VERY HAPPY CAMPER.

    I tried using the spring water Jill and I do appreciate the suggestion but it just wasn’t enough for me.

    Good luck everyone. There is hope out there.

  7. Larry says:

    My wife started taking Metrogel for rosacea 2 days ago. She has been nausiated and has a headache. Is that a sider effect?

  8. David Pascoe says:

    Hi Larry,

    According the Flagyl Prescribing Information

    “The most common adverse reactions reported have been referable to the gastrointestinal
    tract, particularly nausea reported by about 12% of patients, sometimes accompanied by
    headache, anorexia, and occasionally vomiting; diarrhea; epigastric distress; and
    abdominal cramping. Constipation has also been reported”

    all the best to your wife,
    davidp.

  9. Kendra says:

    Great information here!

    I was recently prescribed Doxycycline and Metronidazole cream for my rosacea. I was taking the Doxycycline for 3 days before starting the cream on the 3rd day. I applied one dose to my face at night and a rash/hives broke out on my thighs the next day. I assumed it was the Doxycycline since I have had this issue with 4 other oral antibiotics. So I stopped it that day, but continued to use the cream twice a day. The rash/hives got considerably worse. So I stopped the cream a few days later and had to start a steroid pack for the rash that would not get better. I am suspecting it was the cream and not the Doxycycline. Any thoughts?

  10. Della says:

    I am so relieved that i finally have the right diagnosis. I have been going to different doctors for many years and they told me i had contact dermatitis, eczema etc. The stuff they would give me would help for just a little bit and it got to the point that i would have to apply steroid cream 2x a day just to keep it from becoming really gross. I got lucky and saw another dr and finally got rosacea. After reading everyones thoughts i realize that he was right. I just turned 30 and i was really worried that i would never have clear skin again. i do believe there is a hormone related to this. I noticed when i was pregnant that i didnt have it as bad. also when its that time of the month it gets worst. i read that on someones elses post and absolutely agree with it. I’m not sure what my triggers are yet but I am determined to find what they are! Im surprised with the post about the spring water but Im going to try it. thanks everyone for your stories.

  11. jca says:

    After wasting my time w/ one Derm who said I just have “dry irritated sensitive skin….I got a 2nd opinion. Within seconds of my new derm looking @me she siad..its rosacea. After trial&error, Finacea has done wonders for me!I also got off my $30 face wash by clinique medical&use Ceravae($12 for large bottle)however the ceravae moisturizer isn’t enough. I still use the $80 clinique medical…any suggestions? Also I want to share I get spray tanned 2-3x/week in a Mystic tanbooth (the brand). Its fabulous&showed ingredients to my derm. I don’t react to it&it hides the redness 🙂

  12. CR says:

    Just a note of hope for you suffering with this skin condition. My rosacea showed up 2 summers ago. My eyes felt itchy and irritated. Took awhile for my dermatologist to diagnose it, in fact, I led the way with what I read on the net. Then I was put on oral antibiotics and Metrogel. It took 3-4 months for the bumpy pustule patches to subside. Then longer, almost a year, for the redness to completely go away. The redness would come back briefly whenever I washed my face. Contact with water seemed to trigger redness. Anyway, finally all gone! I treat my face very gently, wash with Cetaphil only, and use Metro Lotion in Spring/Fall/Winter, and Metrogel in the Summer, twice a day. I feel very grateful and lucky that my condition resolved. Keep with your treatments, I got VERY frustrated by how long it took my skin to heal, but it eventually did. I was lucky, and I wish you all luck too!

  13. D says:

    Hi!
    I was just diagnosed with Rosacea this week, although I already suspected for a year that I have it. Most people I tested this theory on said it couldn’t be, as I am only in my 20’s… Anyway, the GP prescribed Metronidazole cream for me and said it will irritate my skin a lot at first and probably take 6 weeks for it to work.
    My question is: I only have some flares of redness, itchiness and rash every three months or so and, excruciating and depressing as it may be, it goes away after about a week (for now). I have no permanent redness or acne-like spots, which is in my understanding what the cream is actually prescribed for… So should I really take antibiotics for symptoms I don’t have, during a period of time when I don’t have any symptoms at all?? Could that not just hurt my skin more??
    Now, this General Practician won’t refer me to a specialist until I have tried her treatment… Considering that I’ll have Rosacea all my life and I’ve heard it will only get worse AND that I have other skin problems as well – Atopic Dermatitis and potentially another type of dermatitis on my face which she diagnosed me with (but I strongly believe she is wrong on this one) – I really want to see a proper dermatologist!! In the UK this is apparently impossible unless you have a GP referral or can splash out over £300 for a consultation with a private doctor.
    It’s so frustrating that no one seems to want to help here! If you ask questions the GPs treat you almost like a criminal. Or can it be I have just had really bad luck…?
    Will try to ask for a referral again tomorrow, with a different GP….. wish me luck! 🙂

  14. elaine says:

    Hi D,

    I too am like you in that at the moment I’m lucky and don’t have Rosacea bad – it comes and goes in small flare-ups. I have found it helpful to use the metronidazole cream very sparingly until my skin calms down and righly or wrongly I don’t use it when my skin is clear. Hope this has helped.
    Elaine

  15. Amy says:

    I have found that for the red spots that won’t go away, etc my dermatologist gave me two laser treatments that made an unbelievable difference in the appearance of my skin. All those red dots that just never seem to go away even when the face is not having a flare up – gone! My face is so smooth – in color and texture. AND have not returned, and it’s been over a year.

    After this treatment, I have started using Cetaphil face cleanser, and Aveeno moisturizer with 15 spf (which I also use as sunscreen when out in the sun) Also, since taking Evening Primrose Oil, (all natural) I have not had a single flare up (in over 9 mos)…the Evening Primrose Oil helps in reducing inflamation.

  16. Heather says:

    For those of you looking for a makeup to use I would not suggest bareMinerals. I have used the product for a long time but since developing rosacea I find that it makes my face really itchy. I have been doing a lot of research on rosacea and found that there is two ingredients in it that is on the stay away list for rosacea sufferers. Mica and bismuth oxychloride are the ingredients in bareMinerals. I know that everyone’s triggers are different so the trick is to figure out what they are. I found a company that offers an organic product that is chemical free called Rejuva minerals. I am going to order a sample tomorrow to try out. I have just started to eliminate things from my skin care regimine and I am wondering if the tap water in my area is a probable cause. I will not use Cetaphil anything as it contains a lot of alchol which dries your face out and dermatologist told me it was a waste of my money. I am going to try using spring water for my face and have found an Oatmeal Facial Bar from coastal classic creations that ususe natural ingredients I will try. They have a face bar for rosacea but I will not use it as I am 6 mos. prego and there is an ingredient in it that may or may not be safe during pregnancy. I will however try it after baby is born as customers who use it and an oil they offer for rosacea swear by it as a replacement for typical medication. I am wondering what do people use as a daily moisturizer as my face seems to be extremly dry. I know I need to figure out what foods and things I consume may trigger my rosacea but as I said I am prego so an elimination diet is not for me at this time. Any other suggestions would be greatly appreciated.

  17. Heather says:

    There is no known cure for rosacea. Info I found on it says it will only get worse over time without peoper treatment.

  18. cara says:

    just wanted to touch bases here after majorly controlling my diet since december, 2010. my dermatologist (25 yr research scientist and ucla professor) told me that my rosacea was basically a lactose intolerance. humm. well, i got off lactose, and it wasn’t an immediate fix, nor did i expect one. in fact she gave me a bunch of other things i shouldn’t have, citing reasons too complicated to recount here, but nuts, orange juice, sugar, starchy food, cold cuts, and the usuals, caffeine, alcohol, fried foods, were among them.

    month by month my skin got better as i became more and more disciplined with my diet. when i fell off the diet, the reaction was clear. i am just saying that ten months later i have to wear blush for the first time in my life. i do not have the depth of the problem i once had and friends are still noticing the change and commenting. it’s funny, sometimes i forget that i have it. i still make mistakes, but two things i am really strict about is lactose and gluten. sure it’s a pain, but now it’s a habit, i try to apologize to waitresses and hosts/hostesses about my restrictions, and plan very carefully what i eat. btw goat and sheep does not have the lactose, and were it not for those i believe it might have been impossible. goat butter is to die for delicious, but for the most part i use olive oil or coconut oil.

    i feel there may be a fungal component to all of this, (studied far less than viral and bacterial issues by the medical establishment) and although i don’t want to go on and on, antibiotics are a real factor in wrecking our natural balance, (probiotics are essential if doing rounds of antibiotics, and generally) and getting our balance back is imperative, and there is a mind, body, spirit component as well.

    using good minerals, and enzymes, anti fungal herbs, as well as a baking soda protocol, are a few other things that should be considered, as well as having more than fifty percent of ones diet in raw foods/green juices in a day. stay hydrated.

    oh and cleansing the system w enemas and or a juice fast done properly w supervision/research.

    those are cliff notes……it’s complicated….wishing peace and healing to everyone who aches along this journey……xo

  19. cara says:

    oh, i forgot to mention she even said not to have FISH! (the derm!) so, i even rarely have fish anymore!!!!!!! it all seemed crazy….but i really made an effort to follow her suggestions!

  20. Britt says:

    Hey all,
    reading your posts as my face has also started working against me. As far as your theories about tap water being a possible cause, my derm the first time my face exploded in rosacea (also after having easy skin for most of my life), suggested it may be a fluoride allergy. We switched to non-fluouride toothpaste and he had me on the metrolotion and cetaphyll cleanser. The good news is that it cleared up right away. The bad news is that I am experiencing a little relapse 3 years later, and wondering, like you, if tap water has to do with it. As most allergies start mild then can get worse I am wondering if the fluoride in the tap water is now causing a similar reaction as my toothpaste was prior. I will try the suggestions about washing with spring water but perhaps this post will help some of you looking for the cause of these outbreaks. I know that fluouride allergies are still contested, but both my brother and I have returned to near normal after this derm’s suggestion about switching toothpaste. Hopefully non-fluorinated water will help me do the trick again this time.

  21. amy says:

    Hi Everyone,
    After 6 months of suffering, I was just diagnosed with Rosacea a few days ago at age 31. Rosacea has really taken a toll emotionally on me because my skin has alway been decent looking in the past. I had just moved in to my house and kept thinking I was allergic to my house for some reason and that was making me depressed. Tried so many oral medication and each one just made me sick. I just started on Metrogel so I am praying that this treatment works.

    My question is does anyone know of any books or info on diet would help with Rosacea. I am trying to do what I can to can’t this under control. Thank you for your time and responses in advance

  22. DAWN says:

    HI EVERYONE!!!

    I am soooooooooo very thankful I found yall!!! I have had severely dry and very sensitive facial skin for several years now. Many products would make my face feel like it was on fire and it would itch terribly. About 2 years ago, I started with the “red face” blues. I am fair complected anyway, with dark hair and blue eyes.. so adding a red face on top of that… was not an ideal way to make it through my day. I laugh, my face turns red, I get embarrassed and it turns REALLY red.. it’s red all the time, but worse when laughing, blushing, hot weather, cold weather… ICK. I thought that the redness was coming from hot flashes. I had a hysterectomy when I was 36 (am 42 now). When I get nervous.. of course my body temperature goes up, and the redness get worse. I have been on minocycline (sp) for the last 5 months.. no results. So now, my family doc just put me on Metrogel 1% once a night. I haven’t seen a Dermatologist yet, but think I may be headed that directions soon. I started using the Metrogel on Feb 09, today is the 20th. I used it for about a week and I developed red dry patches that are VERY uncomfortable. These spots feel like burns. So I started to use it every other night or so, hopefully it will get better. I purchased Clinique’s redness solution cleanser, moisturizer, and make-up. I think the make-up is irritating my face AGAIN. It is very itchy by the end of the work day. I am going to try the spring water, cetaphyl cleanser and the moisturizer that Jill recommended.
    I want to let each of you know how much I appreciate yall putting up your stories, what works, what doesn’t. I know how embarrassing it is for every one of yall to have this condition.. as it is for me. Again, thank you for sharing.. and I will update after I try to new treatment options I have learned here.

    D

  23. CR says:

    Dawn – Here’s some advice – you can ask your doctor about trying prescription MetroLotion 75% instead of the Metrogel 1%. I use the MetroLotrion for most of the year, only switching to the Metrogel during the hottest, most sticky days of summer. I will also dab tiny amounts of Metrogel directly on to the very infrequent, very small pustules I get on my chin area. After a nasty 1/2 year when I first got diagnosed and was put on oral antibiotics, my rosacea is under excellent control. The MetroLotion is very soothing and moisturizing to my skin. The Metrogel is more astringent and drying. I would be careful with all that Clinique skincare. I ONLY wash w/Cetaphil. And if I use a moisturizer, it’s one of Neutrogena’s very basic ones for sensitive skin with some sunscreen, as recommended by my dermatologist. You must give up ideas of skincare as anything fancy, pampering, fun to shop for at the department story. Stick to what your doctor recommends, as FEW products as possible, with as FEW ingredients as possible, avoid fragrance, no fancy stuff, EVEN if it’s marketed as NATURAL! Keep things simple and doctor recommended. And please, if you can stand any more advice from me, find yourself a good DERMATOLOGIST, you should be seeing a doctor whose area of expertise is skin for rosacea. It’s been almost 3 years since my rosacea diagnosis – see my earlier June 8, 2011 post for the full story. Take care of yourself and good luck!

  24. Karen says:

    I have just been diagnosed today although have had symptoms for years on and off.
    The doc just told me to go home and look up an NHS website for info. I am now terrified that my nose is going to turn into a bulbous deformed tomato. Panic Panic Panic I also suffer from anxiety so a calm rational reaction is not my style but I am trying to keep a lid on my fear. The doc prescribed a gel and although I complained of eye irritation he did not make a connection or at least he did not acknowledge one . Should I go back and ask for a referral to a dermatologist? You all seem so accepting and positive I have a terrible fear of turning into Nanny McPhee. can anyone tell me if this will get progressively worse as I have enough self esteem issues without adding this to the mix!!

  25. CR says:

    Rosacea is not curable. However, if you have the right doctor and follow their instructions, it can be very well managed. The severe nose deformation you saw online is a worse case scenario. First off, it is more common in MEN with rosacea, not women. And again, if you get proper medical treatment, you can usually stop the progression of your symptons. I definitely think you should be seeing a dermatologist – a doctor who specializes in skin – if you have rosacea. Your complaints about ocular irritation should be discussed with your doctor. I also had eye irritation (see my other posts from June 8, 2011 & Feb 22, 2012) that persisted for months, but finally went away after a course of low dose oral antibiotics plus 2x daily Metrogel and/or Metrolotion. I still use either the gel or the lotion everyday, and am very gentle with my skin (again, see my other posts). Good news, my skin looks and feels great! Don’t let this get you down, find a GOOD dermatologist you can communicate well with, comply with your doctor’s directives, and be patient – skin issues can take some time to remediate. Take good care of yourself, Karen. Good luck!

  26. Jill says:

    Hello everyone..
    Update
    I hope everyone is finding relief to their roseaca.I have not had red.irrated skin
    Since i started using spring water..i think I have had one pimple since then (the red veins on cheeks and nostrils are also gone)and this
    Is coming from a time where I could not leave the house, stop crying .all those bumps and red hot spots
    And look into the mirror with amazment and wonder what the +#*%$ was going on..
    I use my facecloths again cause its just rough enough to clean out the pores.use Olay
    Cleaners. Moisturizers and cvs has great foundation like Rimmel and that covergirl/olay base.STLL using
    Spring water with face cloth. 45 years old and my skin is more tight and clear
    Than it was with tap water..so just that alone is a bonus!. I realize their are many triggers to roseaca and after those two years of HELL, i found mine..hope you can find yours……..good luck

  27. Natalie says:

    Very interesting forum — thanks for your suggestions.

    I was recently diagnosed w/ rosacea — very mild in my opinion, but since it seems like something that could progress, I thought it would be best to try the prescribed treatment, 1% metrogel 2x daily, in my case. I notice my skin feels a bit tight immediately after application, but nothing major and feels ok a while later.

    I do have a question re: moisturizing, though: prior to this, my regime was to wash my face w/ a gentle cleanser and moisturize. Now, I’m applying the metrogel after washing my face, so when should I moisturize? I’d hate to give that up since it doesn’t seem to be an irritant, and given my age and the New England climate, moisturizing is definitely necessary! Any suggestions?

  28. CR says:

    Try %.75 MetroLotion instead of 1% MetroGel – less drying, actually moisturizing. See if your doctor will prescribe some for you. My dermatologist says to put on the Rx first, let it sink in, then apply your moisturizer, night cream, sunscreen, whatever, afterwards. And it always good to run those whatevers past your doctor, make sure she/he approves. And whatever you use, pay close attention to your skin – if anything irritates you – stop using it immediately! General Interest Rosacea Fact – I had a regular check-up w/my dermatologist today, she sees me every 8 weeks or so, examines at my face, and uses a tiny lancet to open up the very small clogged pores that I have in my T zone. Have any of you rosacea patients ever had a doctor perform this kind of mini-lancet facial? Just curious.

  29. Joyce says:

    I’m not hearing much from the guys with Rinophemia. Have anyone of you men found spring water and Cetaphil to help with your nose issues? Can’t afford to have the much needed surgery to remove it, since it is considered a cosmetic surgery! So, any advise on this worse case scenario, would be greatly appreciated.

  30. David Pascoe says:

    Hi Joyce,

    There aren’t many non-surgical options, but it might be worth considering treating rhinophyma with accutane, if you can get the support of a doctor to help you through using it.

    all the best,
    dp.

  31. cara brown says:

    I have to tell you that I just saw my derm yesterday who helped me tremendously with stage 2 rosacea when I first went to her around two years ago. She took me off dairy,(cows) and told me to hold off on nuts, fish, sulfites, a long list of things………the dairy being the most important. She is a gifted research scientist and medical doctor and professor at UCLA. Her name if Madelene Heng,…..She is in the business for the right reason; that is to help people. The very first thing she does with her patients is photograph their problem areas. Then she educates her patients on what is happening to their pores and why. I had a reinfection…….was really bummed cause I am off of dairy and I mean almost 100%. She told me the Cetaphil I had been using and the Cereve were clogging my pores, I am not kidding……she says the ph is a 7 on those items and we need a ph of 5, or I need a ph of 5, I am not sure if everyone suffering from this should. I must admit that as my skin was dry i was dabbing on a little coconut oil and that was a big no no as well. But here it is within 24 hours and my skin is 70% better. She gave me a topical solution, told me to continue with the curcumin gel which she sells to her patients at COST….which i have been using anyway. She is the most reasonably priced doctor and gave me all kinds of time via an email as i live an hour from her office. She does that!!!!!!!! She will do it now f you like! She was going to let me send her a photograph if I couldn’t come in! She is amazing. really. The real point of me writing was to address the question above…..she showed me picture after picture of her patients, their before and their after. She is a healer, and a doctor. Her program which may include anti biotics, or topicals or diflucan or whatever , or not, but always includes the healing, skin saving gel. She has me now using neutragena orange glycerin bar soap, a ph 5, the gel and pure aloe and/or diluted glycerin (add a little water to it when applying / from health food stores) to moisten. and a neutragena 70 sun screen….also a ph of 5. everything else from them she said was not the right ph. Anyway……the severe rosacea, i mean stage 10 rosacea and acne she has helped and i saw it with my own two eyes from her endless photographs. What to eat, you ask? I did. Anyway, just had roasted turkey with mung bean and red rice pilaf made from scratch, with flash sauteed in the same pan spinach and a butter lettuce salad with avo, tomatoe and garlic, apples, onions. Used coconut milk in the turkey gravy and olive oil only. lots of spices, like garlic, and curry, etc…
    Back to Dr. Heng, she said she could not cure something if she didn’t know the cause, and she is all over it……obviously i am impressed with her. I was washing my face twice a day with that Cetaphil, having no idea!!!!!!!!! For many people all dairy is necessary to get off of and I am now considering stopping with the goat and sheep dairy as well, although I am already doing so much better. It’s a crazy world, I know, and it’s really hard to give up something you were taught was really good for you. Best of luck to all, there is massive help out there, don’t give up.

  32. Jca says:

    I’m so intrigued by your posts can you help me out with what you’re using as a moisturizer I’m not sure I quite understand thank you very much for the information!!

  33. cara brown says:

    …..””but always includes the healing, skin saving (curcumin) gel, (it’s called psoriagold and it lasts a year, you use so little, and she sells it to her patients at cost!) . She has me now using neutragena orange glycerin bar soap, a ph 5, the gel (psoriagold) and pure aloe (i am using “epicuran” and “audrey’s” seeing which one is better) and/or 100% pure glycerin, the vegetable glycerin is from a company called “now”. add a little water to cut it when applying / from health food stores) to moisten. and a neutragena 70 sun screen….also a ph of 5. everything else from them she said was not the right ph.”

    that is what i am doing to moisturize. also drinking lots of water, and she wants me to drink carrot juice for the vitamin A……she said the pills were not good enough. i was taking beta caretene 25000 iu’s and she said it was nothing, not even what they say it is. she is the research scientist, i believe her. so i just juiced 12 ozs of carrot juice.

    but again diet is the most important. if the system is clogged, you have to stop clogging it up and fix the issue. dairy these days cloggs people up. processed sugar and carbs create imbalance and yeast, infections, and bacteria etc. i cannot do the scientific explanation any justice….but it’s a multi tiered issue that needs a multi tiered approach. i only write all this because i promised if i got help i would help others.

    there are other supplements she recommends, but i would really suggest checking her out. she has written a book, and she is available for consults via email….hope this helps you!

  34. mary edwards says:

    metrogel was way to strong for my fair skin. so i quit eating wheat and milk products, and voila. no rosacea.

  35. richard says:

    I am using Metrogel, and it’s been about 3 weeks. In that 3 weeks, the bumps and redness (nose) got worse. Now I have a red bump near my nostril.
    Did this happen to anyone else? Things getting worse before they get better?
    I don’t really do dairy, and I’m almost gluten free.
    And I’ve stopped drinking alcohol.

  36. cara says:

    My dr (md) thinks those things you mention including sugar, oranges,
    nuts, cold cuts, raisins, cranberries and such, add to an out of
    balance system possibly fraught w fungal infection in the gut. Follow
    an anti yeast diet w lots of fresh green juices and don’t use anything
    on the skin that can block pores (even cetaphil and other “sensitive”
    skin products were clogging my pores.) The metrogel had also burned at
    the height of irritation when I am the worse on my diet. Weddings and
    holidays all discipline seems to go out the window. best to you.

  37. Merle says:

    I tried Metrogel when I was first diagnosed with Rosacea. I used it for a few days and I developed a crust all over my face. It was awful. I didn’t know what was happening at first so I only made it worse by repeated applications. Finally, it dawned on me that I was highly allergic to the cream.

    Since then I have used various products. I have been on Finacea for the last few years and it has worked well for me. My rosacea is very mild – only redness.

    Every individual is unique. If your skin in unhappy using any rosacea drug stop using it. The crust I developed was scary and I realized I could do serious damage to my skin if I wasn’t more careful. Pay attention to symptoms. These drugs are strong and we are rubbing them into our skin.

    I hope this helps anyone using any rosacea drug.

  38. christina says:

    I just started this drug metrogel cause I think I’m going thru menopause.I hve the hot flashes like crazy! Well my face started breaking out for two weeks. Then I went to my gyneo.she said I had rosacea ache.what the hey. I hope this gel works.has worked for anyone?

  39. CR says:

    Christina – I am experiencing hot flashes too, I’m 50 this year! My rosacea started up a number of years ago. It has been very well controlled by using metrogel and metrolotion. Go back to older comments and read my whole story. Be patient with the metrogel, be very gentle with everything you use on your face, and think about maybe getting a dermatologist to oversee your skin issues. Two weeks is a short period of time to have been breaking out, that’s good, your haven’t let your skin get in really bad shape, it should be reasonably easy to get it under control. Good luck to you.

  40. David Pascoe says:

    Comment via email from Dick.

    “I have Rosacea and using metrogel.
    I stopped it for a week, and my dermatologist told me to go back on it.
    When I did, I broke out again.
    But I think it’s going away. I guess I have to use it every night.
    What soap do you use to wash your face?”

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