Rosacea is a chronic inflammation of the skin which can cause small, pus-filled bumps, visible small blood vessels and redness on the skin of the face, particularly the cheeks, chin, forehead and nose. Although rosacea has no cure, according to the Mayo Clinic, your dermatologist can prescribe medication to relieve some of the symptoms.
Purpose
As a first line of defense against rosacea, dermatologists commonly prescribe a topical treatment containing metronidazole, which provides many users relief from redness and breakouts. Topical treatments for rosacea include Metrolotion, Metrogel and Metrocream, all of which contain 0.75 percent of the active ingredient metronidazole. Metronidazole, which is pronounce met-roe-NYE-da-zole, is an anti-protozoal and anti-bacterial agent. Exactly how the drug works to calm rosacea outbreaks is unknown, according to the website Rosacea Support Group.
Formulations
Your doctor may prescribe metronidazole in a lotion, gel or cream. Research suggests that the dosage and delivery system do not make a significant difference in the outcome of rosacea treatment. So although metronidazole is available in a variety of topical formulations, they all work similarly--whether you find symptom relief with a lotion, gel or cream is probably a matter of personal preference. In pill form, the drug is called flagyl, which is useful for treating a number of infections in different parts of the body in addition to treating rosacea.
Usage
After gently washing your face or the affected area, apply Metrolotion with the fingertips. Apply only enough product to cover the entire affected area with a thin film. Do not apply directly on pimples. It is important to avoid the eyes when using Metrolotion on the face. Wash your hands after application.
Dosage
Your doctor will determine the strength of your medication, the number of times you use it each day, and the length of your treatment. Follow the directions on the package of your medication precisely, and do not change your dosing except under your doctor’s direction. The average dose of metronidazole in lotion, gel or cream formulation is a twice daily application for 9 weeks, according to the website Drugs.com.
Warning
Stinging and burning upon application of Metrolotion are possible side effects. If irritation continues, or if you experience other symptoms, contact your doctor. She may instruct you to use the medication less often, or to discontinue its use. Although you can continue to wear makeup while you use this medication, stick to oil-free formulations, since oily or heavy makeup can worsen your rosacea. You may have to wait up to 9 weeks before you see improvement in your condition. Rosacea is considered to be an adult-onset condition, so Metrolotion is not generally prescribed for children.


