Metronidazole skin gel and cream

Use twice a day.

Keep out of strong sunlight and do not use sunbeds, as your skin may become more sensitive than usual.

If your skin becomes irritated or dry, cut down on how often you are using the preparation for a few days until your skin recovers.

Type of medicine Antibacterial skin preparation
Used for Rosacea, infected skin ulcers and wounds
Also called Acea®, Anabact®, Metrosa®, Metrogel®, Rosiced®, Rozex®, Zyomet®
Available as Cream or gel

Metronidazole gel and cream are used to treat the skin condition called rosacea (sometimes referred to as acne rosacea). Rosacea is a skin condition that affects parts of your face. Symptoms of rosacea include flushing, redness, and small lumpy red spots. Although it can look similar to acne, it is, however, a different condition.

Metronidazole gel may also be used to reduce unpleasant odours from an infected wound such as a skin ulcer.

This leaflet does not give information about metronidazole when it is taken by mouth. More information on this is available in a separate leaflet called Metronidazole.

To make sure this is the right treatment for you, before you start using metronidazole it is important that your doctor or pharmacist knows:

  • If you are pregnant or breast-feeding.
  • If you are taking or using any other medicines. This includes any medicines you are taking which are available to buy without a prescription, such as herbal and complementary medicines.
  • If you have ever had an allergic reaction to a medicine or skin preparation.
  • Before you start this treatment, read the manufacturer's printed information leaflet from inside your pack. The leaflet will give you more information about the brand of metronidazole prescribed for you to use, and a full list of side-effects which you may experience from using it.
  • Unless you have been told otherwise by your doctor, use the gel/cream twice daily. Your doctor will tell you how long to use it for, but as a guide, most preparations used for rosacea are recommended to be used for around eight weeks. 
  • If you have been prescribed metronidazole gel for a skin ulcer or wound, you will probably be advised to apply it once or twice daily after the area has been cleaned. Usually, your doctor will arrange for this to be done for you.
  • If you are using metronidazole on your face, take care not to get any cream/gel into your eyes, or mouth, or the inside of your nostrils. If this does happen, wash it out with warm water.
  • Try to keep any regular appointments with your doctor. This is so your doctor can check on your progress.
  • Metronidazole may cause your skin to become more sensitive to sunlight than usual. Avoid strong sunlight and sunbeds, and use a sun cream with a high sun protection factor.

Along with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. These usually improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any of the following side-effects continue or become troublesome.

Possible side-effect - this affects less than 1 in 10 people who use this cream/gel What can I do if I experience this?
Skin irritation or dryness Apply less of the preparation or use it less often until the irritation has settled

If you experience any other symptoms which you think may be due to this preparation, speak with your doctor or pharmacist.

  • Keep all medicines out of the reach and sight of children.
  • Store in a cool, dry place, away from direct heat and light.

If you are having an operation or dental treatment, tell the person carrying out the treatment which medicines you are taking or using.

This preparation is for use on the skin only. If someone swallows some of it, go to the accident and emergency department of your local hospital. Take the container with you, even if it is empty.

This medicine is for you. Never give it to other people even if their condition appears to be the same as yours.

Do not keep out-of-date or unwanted medicines. Take them to your local pharmacy which will dispose of them for you.

If you have any questions about this medicine ask your pharmacist.

Further reading & references

Original Author: Helen Allen Current Version: Peer Reviewer: Prof Cathy Jackson
Last Checked: 23/10/2012 Document ID: 3833  Version: 23 © EMIS

Disclaimer: This article is for information only and should not be used for the diagnosis or treatment of medical conditions. EMIS has used all reasonable care in compiling the information but make no warranty as to its accuracy. Consult a doctor or other health care professional for diagnosis and treatment of medical conditions. For details see our conditions.