Rozex (Cream and Gel)

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About Product
This content has been written and checked for quality and accuracy by
Mohamed Imran Lakhi Content Administrator GPhC: 2060586 Updated on: 02/07/2020 Next review: 02/01/2021

What is Rozex used for?

Rozex is a topical treatment, available as a cream or gel, which is used to treat a skin condition called rosacea. The skin condition is characterised by redness, inflammation, spots and pustules.

The active ingredient in Rozex - metronidazole - belongs to the anti-protozoal and antibacterial class of medications. It works by fighting the bacteria which causes rosacea to clear up the symptoms of the skin condition.

You can buy Rozex online from Prescription Doctor's GPhC registered pharmacy following a quick online medical consultation. If our doctor approves your order before 3pm, our pharmacy will dispense and dispatch your item straight to your door via a discreet, next-day delivery.

How long does Rozex take to work?

Rosacea responds slowly to antibiotics so it can take several months of treatment with Rozex before the effects to become noticeable.

What is rosacea?

Rosacea is a skin condition which causes redness and inflammation on various areas of the face, such as the cheeks and nose. The rash may cause irritation such as a stinging or burning sensation.

It can be difficult to determine what triggers rosacea to flare up in some people, as any number of factors could be to blame. Once a trigger is known, it can be avoided to prevent a flare up from happening in the future.

There are 4 main types of rosacea.

Erythematotelangiectatic rosacea is characterised by flushing, redness of the skin and blood vessels becoming visible.

Papulopustular rosacea causes breakouts similar to acne. Skin often appears red and swollen.

Phymatous rosacea thickens the skin and causes it to have a bumpy texture.

Ocular rosacea affects the skin around the eyes. Eyelids appear swollen and may cause a sty-like lump. Eyes can also be red and irritated.

Is there a cure for rosacea?

There is currently no cure for the condition, but there are a number of treatments you can buy online, such as Rozex, which have been proven to reduce the signs and symptoms of rosacea.

How to use Rozex cream or gel?

Rozex should be applied twice a day - once in the morning and once in the evening - on the areas affected by rosacea. Always follow the instructions of the doctor.

Before applying Rozex, wash the affected area with warm water and a mild soap. Pat dry before applying the treatment.

Gently massage a small amount of the ointment into the affected area, covering the area with a thin layer of the treatment.

Wash your hands after every application.

Take care when applying the cream around the eyes. If you get Rozex in your eyes, rinse your eyes thoroughly with water.

If you experience stinging, swelling or visual disturbances long after rinsing the treatment from your eyes, seek emergency medical attention by going straight to your nearest accident and emergency department.

Rozex side effects and cautions

All medicines pose the risk of side effects, though not everybody experiences them. It's important to familiarise yourself with the information presented in the patient information leaflet (PIL) enclosed with your treatment.

You can view the patient information leaflets here:

It is important to speak to your doctor before you buy Rozex online from Prescription Doctor.

Common side effects (may affect up to 1 in 10 people):

  • Dry skin
  • Redness of the skin
  • Skin discomfort
  • Skin irritation
  • Worsening of rosacea

Uncommon side effects (may affect up to 1 in 100):

  • Numbness or tingling in the fingers or toes
  • Metallic taste
  • Nausea

This is not an exhaustive list of side effects. Further information regarding the safety of Rozex, including a complete list of known side effects, can be found within the patient information leaflet enclosed with your treatment.

If you experience irritation or stinging at the site of application, reduce the amount of the treatment you use or stop the treatment for a few days. If the irritation persists after stopping treatment, seek immediate medical advice.

Rozex is for external use on the face only. Do not ingest (swallow) the treatment.

Avoid getting treatment in your eyes as this will result in significant irritation. If you get any of the treatment in your eyes, rinse your eyes with warm water. 

Allergic reaction

Do not use Rozex if you are allergic to metronidazole or any of the ingredients listed in the patient information leaflet enclosed with your medicine.

If you experience the signs of an allergic reaction after using Rozex, stop using the medicine and inform your doctor. For severe allergic reactions, such as suspected anaphylaxis, seek emergency medical attention by going straight to your nearest Accident and Emergency department. Remember to take the packaging and any remaining medicine with you so that doctors treating you know exactly what you have taken.

Signs of an allergic reaction may include:

  • Chest tightening
  • Dry, red and cracked skin
  • Itchy, red watery eyes
  • Raised, itchy, red rash (hives)
  • Swelling of the lips, tongue, eyes or face
  • Tummy pain, nausea, vomiting or diarrhoea
  • Wheezing

Can I use Rozex while pregnant or breastfeeding?

If you are pregnant or breastfeeding, speak to your doctor before taking Rozex as it may not be suitable.

Other safety information

Always seek your doctor's advice before you buy Rozex online from Prescription Doctor.

Please inform our doctor of all other medicines you are currently taking. Include medicines prescribed by your doctor, bought over the counter from a pharmacy, as well as health and herbal supplements.

Do not use Rozex past the expiry date printed on the packaging. The date refers to the last day of the specified month.

Never throw away your medicine via household or water waste. Take any unwanted or expired medication to your local pharmacy and ask them to dispose of them safely on your behalf.

Always store medicine out of sight and reach from children and pets.

Never share your medicine with anybody else, even if they have the same symptoms or have been diagnosed with the same condition as you.

Tips for managing Rosacea

Aside from using Rozex, there are a number of ways you can manage your condition. Sometimes, making changing to your lifestyle can make it easier for you to manage rosacea and reduce irritation at affected sites.

First and foremost, it's important to identify any triggers which might exacerbate your symptoms. Some rosacea sufferers find that their condition may become worse during certain times of the year or after eating or drinking something.

Try keeping a diary to log the severity of your rosacea symptoms from day to day, including what you drank and ate, weather, whether you wore make up and other factors which may affect your condition. This can help you and your healthcare provider to identify possible catalysts which might worsen your condition.

Rosacea afflicted skin is often more sensitive and more prone to irritation. Because of this, you should consider looking at your skincare routine to find products which might worsen your condition.

Washing your face frequently, especially if you use perfumed soaps or face scrubs, can aggravate your symptoms. Stick to washing your face only once a day. Use a gentle fragrance-free soap and avoid scrubbing your face.

When drying affected areas with a towel, avoid wiping or rubbing the towel against your skin. Dragging the fabric over your skin can cause friction, which can cause irritation. Instead, dab or pat the towel against your skin to dry yourself.

Shaving can pose a significant challenge for people with rosacea, especially male sufferers. Switching to an electric razor may reduce irritation during shaving, though won't provide as smooth a shave as a traditional razor.

Alternatively, you could opt to trim your facial hair rather than shave it, though having facial hair may make it difficult to properly apply topical treatments.

Switching shaving cream to one specifically formulated for sensitive skin may also prove to beneficial, as can avoiding aftershave high in alcohol.

For women, make-up and other cosmetic products can trigger rosacea symptoms or make them worse. While using make-up to mask your rosacea symptoms can be positive for your self esteem, you should express caution when choosing concealers.

Opt for non-comedogenic make-up whenever possible. These products don't block pores and don't usually aggravate your symptoms. You might also want to look for cosmetic products designed for sensitive skin.

Always wash your make-up off at the end of the day before going to bed. Again, consider using make-up wipes free from perfumes.

Using a moisturiser can help to prevent burning, itching and irritation associated with rosacea. It can also keep your skin soft and subtle by hydrating the skin.

For advice on which products might be suitable for you, speak to a pharmacist or a dermatologist.

Frequently asked questions

What should I do if I forget to use Rozex when I should?

If you forget to use Rozex when you should, use it as soon as you remember, unless it is almost time for your next dose, in which case you should skip the missed dose and continue to use Rozex as you normally would. Do not use more Rozex to make up for the missed dose.

What should I do if I apply more Rozex than I should?

If you accidentally apply more Rozex cream or gel than you should, simply wipe away the excess with a clean tissue and discard of it safely. Using more Rozex will not clear up rosacea any faster but may increase your risk of experiencing side effects.

Will Rozex affect my ability to drive or operate machinery?

Rozex should not impact your ability to drive or operate machinery. If you feel dizzy or experience visual disturbances after using Rozex, avoid such activities until it is safe for you to do so.

Will Rozex affect my contraceptive pill?

If you are taking an oral contraceptive pill, speak to your doctor or a pharmacist before using Rozex. Rozex is not known to interfere with contraceptive pills.

Can I drink alcohol while using Rozex cream or gel?

While it's unlikely that topical metronidazole will react with alcohol, it is advised not to drink alcohol while using Rozex cream or gel.

Can I use make-up with this medicine?

Yes, you can use make-up while taking this topical treatment.

If you have rosacea, you may want to use cosmetic products which do not exacerbate your symptoms. Look for products intended for sensitive ski

Can I shave while using this medicine?

For men, shaving can pose a significant threat to their rosacea, potentially worsening their symptoms.

It may be more suitable for men to use electric razors instead of conventional razors to reduce the level of irritation on the skin.

You may also avoid shaving creams, lotions and aftershave products which may irritate your skin. Instead, use shaving products which are suitable for sensitive skin types and use a moisturiser or balm after shaving to soothe the skin.

Will this medicine affect my ability to drive?

No, this product should not impact your ability to drive.

Is it safe to buy Rozex online?

You can safely buy Rozex online from Prescription Doctor's GPhC registered pharmacy. All products listed on our website are approved by the MHRA.

When you order Rozex through our online private prescription service, we put you in touch with a qualified doctor who ensures that the treatment is safe for you.

Table of contents

What is Rozex?

What is rosacea?

How to use Rozex

Rozex side effects and cautions

Tips for managing Rosacea

Frequently asked questions


Galderma, 2015. Rozex Cream: Summary of Product Characteristics

Galderma, 2015. Rozex Gel: Summary of Product Characteristics

NHS, 2020. Rosacea.

British Association of Dermatologists (BAD), 2018. Rosacea.

Treatment information

  • Product Name: Rozex
  • Active Ingredient(s): Metronidazole (7.5 mg)
  • Manufacturer: Galderma
  • Presentation: Topical cream or gel
  • Available Quantity: 30g, 40g, 50g tubes
  • Exemption: Prescription only medication
  • Application: Men and women aged 18 and over
  • Dosage: Apply to affected area twice a day
  • Description: Topical gel or cream to treat rosacea
  • Drug Class: Antiprotozoal
  • Alcohol Consumption: Do not consume alcohol
  • When Pregnant: Tell our prescriber if you are pregnant or intend on becoming pregnant
  • When Breastfeeding: Tell our prescriber if you are breastfeeding
Click here to view the Rozex (Cream and Gel) - Patient Information Leaflet

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