Reviewed by Virginia Chachati MPharm
(2013, University College London)
GPhC Registration number: 2087654
Information last reviewed 29/06/2021
Rozex is a cream which is used to treat rosacea. It helps reduce facial redness, flushing and small red spots.
Rozex contains metronidazole, which is an antibiotic. It helps reduce redness and inflammation. It also stops bacteria, which cause inflammation, from growing.
Rozex will usually take a few weeks to work. It's important to keep using Rozex regularly to see an improvement in your skin.
Rozex should be used for as long as your doctor has prescribed. Stopping the treatment early could mean you don't see an improvement in your skin, and the rosacea will come back.
Dose |
Apply a thin layer twice a day, morning and night |
Type of medicine | Topical nitroimidazole antibiotic |
Available Size |
30g or 40g |
Available Strengths |
0.75% w/w |
Active Ingredient |
Metronidazole |
Price |
From £17.55 per tube |
Side Effects |
Can include redness, itching, dry skin, irritation, nausea, contact dermatitis, peeling of the skin |
The active ingredient in Rozex is metronidazole.
The inactive ingredients in Rozex are: emulsifying wax (cetostearyl alcohol and polysorbate-60), benzyl alcohol, isopropyl palmitate, glycerol, sorbitol solution 70% non-crystallising, lactic acid, sodium hydroxide (for pH adjustment) and purified water.
Rozex should be used twice a day to treat rosacea. Apply a thin layer of Rozex to clean, dry skin and rub into all affected areas. Wash your hands after use.
Using too much Rozex is unlikely to cause any problems. It may make you more likely to experience side effects or skin irritation. Using more Rozex than you need will not cause redness to disappear any faster.
If you forget to use Rozex, apply it as soon as you remember or wait until you are next due to use it. Rozex doesn't have to be used at exactly the same time each day as long as it is applied twice daily.
Always use Rozex for the length of time specified by your doctor. This is usually three to four months.
Common side effects of Rozex include:
Less common side effects of Rozex may include:
If you experience skin irritation, use Rozex less frequently or stop altogether until the irritation subsides.
Do not use Rozex if you are allergic to metronidazole or any of the other ingredients in the medicine. Tell your doctor if:
Prolonged sun exposure should be avoided for the duration of your treatment.
Anticoagulants and blood thinners may be affected by Rozex. Ask your doctor for advice if this applies to you.
You should not drink alcohol while you are using Rozex as metronidazole can interact with alcohol.
Only use Rozex during pregnancy if your doctor has advised you to do so. This also applies if you are planning a baby or breastfeeding.
There are different types of treatments for rosacea which you can try if Rozex is not suitable for you. These are Finacea gel, ivermectin cream and brimonidine. Oral antibiotics may be prescribed if creams such as Rozex have not been successful and isotretinoin tablets can be given to treat severe cases of rosacea. You could try laser treatment as an alternative.
Metronidazole is the generic name for antibiotic medicine. Rozex is a brand that contains metronidazole as the active ingredient, so the two are essentially the same medicine.
Rozex contains the antibiotic metronidazole, while Finacea gel contains azelaic acid. If you experience skin irritation while using Rozex, then Finacea gel may be prescribed as an alternative.
You can still wear makeup while using Rozex. Wait for the cream to be absorbed by your skin before applying makeup.
Foundation or bases which have a green tint work best to cover up and even out redness. Camouflage makeup is available to provide a stronger coverage. Brands such as Dermablend are specifically formulated for people with skin conditions or sensitive skin and will not irritate the skin further.
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