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Metrogel® Gel for Rosacea
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Price range: $56.23 through $249.99
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Metrogel is a prescription metronidazole gel used to treat inflammatory lesions of rosacea in adults. This page helps you understand how it works, how to use it, and what to know about safety. Ships from Canada to US, with options if you pay without insurance.
What Metrogel Is and How It Works
Metrogel® is a topical medicine that helps reduce facial bumps and redness linked to rosacea. The exact way it works is not fully known. It is thought to have local anti-inflammatory and antimicrobial effects on the skin. Border Free Health connects U.S. patients with licensed Canadian partner pharmacies; prescriptions are verified with prescribers before dispensing.
Rosacea varies by person. This treatment focuses on inflammatory lesions rather than visible blood vessels. It is for external use on the face only. Do not apply it in your eyes, mouth, or inside the nose.
Learn more about the condition and care options in our Rosacea hub and broader Dermatology category. If acne overlap is part of your journey, see Acne resources as well.
Who It’s For
This medicine is for adults diagnosed with rosacea who have inflammatory lesions. People with a known allergy to metronidazole or other nitroimidazoles should avoid it. Talk with your healthcare professional if you are pregnant, planning pregnancy, or breastfeeding. Systemic absorption is low with topical use, but your clinician can help weigh benefits and risks.
Use caution if you have a history of blood disorders or neurological conditions. Tell your prescriber about all medicines you take, including over-the-counter products and supplements.
Dosage and Usage
Follow the directions from your prescriber and the product label. In general, cleanse your face gently and pat dry before each application. Apply a thin film to the affected areas. Rub in lightly and wash your hands after use. Avoid harsh cleansers, astringents, or products with strong alcohol that may irritate the skin. Do not use more than directed or more often than prescribed.
If you wear cosmetics, let the gel dry first, then apply your makeup. Avoid occlusive dressings. Do not put this medicine in your eyes; rinse with water if accidental contact occurs. If irritation becomes severe, contact your prescriber and discuss if you should pause use.
Strengths and Forms
Common presentations include a pump or tube of topical gel. Availability can vary by manufacturer and country. Label directions and pack sizes may differ.
Many prescribers are familiar with Metrogel 0.75% topical gel. Some regions also offer a once-daily formulation without the same concentration. Your prescriber will choose the option that fits your care plan.
Missed Dose and Timing
If you miss a dose, apply it when you remember. If it is close to the next scheduled application, skip the missed dose and return to your regular schedule. Do not double the amount to make up for a missed application.
Storage and Travel Basics
Store at room temperature, away from excess heat and direct light. Keep the cap firmly closed. Do not freeze. Keep out of reach of children and pets. When traveling, carry it in your hand luggage with the original labeled container. A copy of your prescription or a photo of the label can help at security checkpoints. Our checkout uses encrypted technology for your privacy.
Benefits
This treatment can help reduce inflammatory lesions and may lessen redness over time when used as directed. A topical approach keeps exposure local to the skin. Many people find once- or twice-daily routines practical within their skincare plan.
Side Effects and Safety
- Skin dryness: may occur, often improves with gentle skincare
- Burning or stinging: typically mild and short-lived
- Irritation or redness: reduce frequency or consult your prescriber if persistent
- Itching: usually mild; report worsening symptoms
Serious reactions are uncommon with topical use. Stop and seek medical help if you experience signs of severe irritation, allergic reaction such as swelling or hives, numbness/tingling, or unusual skin changes. Avoid unnecessary sun or wind exposure. Use sunscreen and protective clothing as advised by your clinician.
Drug Interactions and Cautions
Although systemic absorption is low, tell your clinician if you take anticoagulants like warfarin, lithium, or disulfiram. Use caution with products that can irritate the skin, including peeling agents or strong exfoliants. Do not combine with other topical antibiotics unless your prescriber recommends it. Always follow the official label for up-to-date interaction details.
What to Expect Over Time
Skin response varies. Some people notice gradual improvements in texture and lesion counts with steady use. If you stop too early, symptoms may return. Keep a simple routine, use gentle cleansers and moisturizers, and track changes with photos. Bring those notes to follow-ups so your prescriber can adjust your plan if needed.
Compare With Alternatives
Other options for inflammatory lesions of rosacea include azelaic acid and certain oral antibiotics. Topical azelaic acid, such as Finacea, can be used on affected areas. For some adults, a delayed-release tetracycline like Apprilon is used under clinician guidance. Doxycycline modified-release may be considered based on your medical history and goals. Your prescriber can help compare options.
Pricing and Access
Border Free Health lists current options with Canadian pricing and Canada sourcing where available. We offer US delivery from Canada to eligible addresses. Check today’s Metrogel price on the product page. If you are looking for coupons, see our current offers on the Promotions page. Your prescriber’s directions and quantity will affect final pricing.
If you prefer to explore broader skin care options, browse our Dermatology listings. For community updates on skin health, you may find World Psoriasis Day 2025 informative.
Availability and Substitutions
Supply can vary by manufacturer and pack size. If a specific pack is not available, your prescriber may recommend an alternative or a different formulation. For questions about Metronidazole 1% gel price or other variations, contact our support team before you place your order. We cannot guarantee substitutions; any change requires prescriber approval.
Patient Suitability and Cost-Saving Tips
Good candidates can follow a simple daily routine and have inflammatory lesions of rosacea confirmed by a prescriber. It may not suit people with a known allergy to nitroimidazoles or those with significant skin sensitivity unless closely supervised.
- Multi-month fills: reduces refill gaps and may lower per-unit costs
- Simplify routine: gentle cleanser, light moisturizer, sunscreen
- Set reminders: keep steady use and plan reorders ahead
- Travel smart: carry original packaging and your prescription
If you are comparing options, your clinician can discuss oral or topical alternatives and how they fit your care goals. When you are budgeting, consider copays versus cash-pay and ask your prescriber about suitable pack sizes. If costs are a concern, talk with our team about availability and practical choices.
Questions to Ask Your Clinician
- Is this treatment right for my type of rosacea?
- How should I adjust my skincare routine while using it?
- What signs mean I should pause and contact you?
- Could any of my medicines interact with topical metronidazole?
- If irritation occurs, what are my options?
Authoritative Sources
For detailed prescribing information, review these official resources:
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What is Metrogel used for?
Metrogel is a topical antibiotic commonly used to treat rosacea and certain bacterial skin infections. It contains metronidazole, which works by reducing inflammation and killing bacteria on the skin. It helps improve redness, swelling, and lesions associated with rosacea.
How do I apply Metrogel?
Apply a thin layer of Metrogel to clean, dry skin, usually once or twice daily as directed by your doctor. Avoid getting it in your eyes, mouth, or nose, and wash your hands before and after application. Consistent use is key to seeing improvement in skin condition.
Can Metrogel cause side effects?
Yes, some users may experience mild side effects like skin dryness, irritation, or a burning sensation at the application site. These are generally temporary and may improve with continued use. Severe irritation or allergic reactions should be reported to your doctor immediately.
Is Metrogel safe during pregnancy or breastfeeding?
The safety of Metrogel during pregnancy or breastfeeding has not been fully established. It should only be used if clearly needed and prescribed by a doctor. Always inform your healthcare provider if you are pregnant or nursing before starting treatment.
How long does it take to see results with Metrogel?
Most patients begin to notice an improvement in their skin condition within 3 to 4 weeks of starting Metrogel. However, full results can take up to 8 weeks or more. It’s important to use the medication consistently and as prescribed, even if results are not immediate.
How long should I use the gel for rosacea?
Your prescriber sets the duration based on your skin response and goals. Many people use topical metronidazole as part of an ongoing routine. If irritation develops, contact your clinician. Do not stop or change use on your own. Follow label directions and schedule regular check-ins to reassess benefits and tolerance.
Can I use moisturizers or sunscreen with this treatment?
Yes. Gentle, non-irritating moisturizers and broad-spectrum sunscreen are often recommended alongside therapy. Apply the gel first, allow it to dry, then apply moisturizer and sunscreen. Avoid harsh exfoliants, astringents, or products that sting. Your clinician can personalize your routine based on your skin type and sensitivity.
What if the gel gets in my eye or mouth?
This medicine is for external facial use only. If it gets into your eye, nose, or mouth, rinse the area with water and seek advice if irritation persists. Avoid applying near mucous membranes. Use a pea-sized amount for each area and wash your hands after applying to reduce accidental contact.
Does it interact with other medicines?
Systemic absorption is low, but you should still tell your clinician about all medicines and supplements you use. Extra caution may be warranted with anticoagulants like warfarin or if you use other skin irritants. Follow the official label and your prescriber’s guidance for the most current interaction information.
Can I use it during pregnancy or while breastfeeding?
Discuss with your prescriber before use during pregnancy or breastfeeding. Topical exposure is limited, but your clinician will consider clinical need, alternatives, and your medical history. Do not start or stop therapy without professional guidance.
What should I do if I miss a dose?
Apply the missed dose when you remember unless it is almost time for the next one. Then skip the missed dose and return to your usual schedule. Do not double the amount to catch up. If you often miss applications, set reminders or discuss simplifying your routine with your clinician.
Are there alternatives if my skin does not improve?
Yes, other options include azelaic acid and certain oral antibiotics used in rosacea. Your prescriber might recommend a switch, a combination approach, or supportive skincare changes. Review your photos and symptom notes together to decide on the next step based on tolerance and response.
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