About : Concepts : Treatment : Redlog News : Contact Us

Topical Rosacea Treatments

Cleanse and De-Sensitize





Ocular Rosacea

Shop Online

View Cart/Checkout

List of All Products

New Treatment Topics

What Is Flushing?

Prevent Flushing

Reduce Redness


Skin Barrier Repair

Shampoo Worsening Rosacea

Skin Aging and Glycation

Rosacea News March 2010

Rosacea Sydney

Approximately 4% of people living in Sydney have some degree of rosacea, a chronic, progressive, inflammatory skin condition that causes a variety of facial cutaneous and ocular symptoms.

Although rosacea in Sydney predominantly affects adults between the ages of 30 and 50 years, clinicians routinely treat patients with rosacea well into their 60s, 70s and even 80s.

Sydney Rosacea patients less than 30 years of age, including children, often have ocular involvement.

Although rosacea is becoming increasingly widespread, most of the general Australian population knows very little about how to recognise or treat rosacea.

Patients with rosacea may assume that their redness and occasional papules and pustules are sunburn due to the sun.

Although there is no cure for rosacea, early recognition of the condition by both patients and clinicians is essential for effectively treating symptoms and maintaining long-term control.

Without effective treatment, some rosacea patients may develop ocular complications or facial disfigurement (ie, rhinophyma).

To progress further, refer Rosacea Treatment.

Order of Application Including Metrogel (Metronidazole)

Order of application can be a key factor in overall rosacea skin care success.

One of the most frequently raised concerns pertains to the order of application of skin care for rosacea where a topical medication (such as Metrogel) is being used.

As a general rule, rosacea medications with a gel or fluid texture should be applied after cleansing skin with a suitable rosacea cleanser, then ideally left to absorb for 5-10 minutes.

After 5-10 minutes, you can proceed with application of other suitable skin care, such as Rosacea Hydrating Serum and Rosacea Treatment Fluid (+ Sunscreen during the day).

If your skin is prone to counterproductive irritation from your gel or fluid-textured rosacea medication, you can apply it to freshly cleansed skin after Rosacea Hydrating Serum but before any other treatments, ideally waiting 5-10 minutes between the application of medication and further skin care.

Cream-textured medications are generally incompatible with other skin care products and are best avoided. If you must use them, you must ensure anything you apply afterwards is thicker than the medication to ensure better penetration.

If unrelenting irritation from medication occurs, you can also try applying medication once daily only, in the evening, as the final step of your skin care protocol, although you're more likely to benefit from discontinuing any topical medication which causes chronic irritation.

Even where medications don't provoke obvious reactions, long-term tolerability and other health concerns are an issue under surveillance. It should be noted that in recent times it has been shown that topically applied metronidazole is absorbed in sufficient amounts to produce systemic effects.

Metrogel Tube.

In summary, the most used order of application for skin care including topical metronidazole is as follows:


Rosacea Cleanser

Rosacea De-Sensitizing Mist

Rosacea Hydrating Serum

Metrogel (AM or PM, maximum once daily)

Rosacea Treatment Fluid or Cream

Rosacea Sunscreen


Rosacea Cleanser

Rosacea De-Sensitizing Mist

Metrogel (AM or PM, maximum once daily)

Rosacea Anti-Inflammatory Clearing Serum

Alternate PM Protocol

As per AM, minus Sunscreen, with the option of using Rosacea Cooling Lotion in place of Rosacea Treatment Fluid or Cream.

Author: Peter Wilson.

Reviewed: Wednesday, May 5, 2010.

Further Information: Rosacea News July 2017 : Rosacea News June 2017 : Rosacea News March 2017 : Rosacea News February 2017 : Rosacea News December 2016 : Rosacea News November 2016 : Rosacea News October 2016 : Rosacea News September 2016 : Rosacea News August 2016 : Rosacea News July 2016 : Rosacea News June 2016 : Rosacea News May 2016 : Rosacea News April 2016 : Rosacea News March 2016 : Rosacea News February 2016 : Rosacea News January 2016 : Rosacea News December 2015 : Rosacea News June 2014 : Rosacea News May 2014 : Rosacea News April 2014 : Rosacea News March 2014 : Rosacea News February 2014 : Rosacea News January 2014 : Rosacea News December 2013 : Rosacea News November 2013 : Rosacea News October 2013 : Rosacea News September 2013 : Rosacea News August 2013 : Rosacea News July 2013 : Rosacea News June 2013 : Rosacea News May 2013 : Rosacea News April 2013 : Rosacea News November 2012 : Rosacea News August 2012 : Rosacea News August 2011 : Rosacea News July 2011 : Rosacea News June 2011 : Rosacea News May 2011 : Rosacea News September 2010 : Rosacea News August 2010 : Rosacea News July 2010 : Rosacea News June 2010 : Rosacea News May 2010 : Rosacea News April 2010 : Rosacea News March 2010 : Rosacea News February 2010 : 2010 Rosacea News : July 2009 Rosacea News : April 2009 Rosacea News : March 2009 Rosacea News : February 2009 Rosacea News : January 2009 Rosacea News : December 2008 Rosacea News : November 2008 Rosacea News : October 2008 Rosacea News : September 2008 Rosacea News : August 2008 Rosacea News : July 2008 Rosacea News : June 2008 Rosacea News : May 2008 Rosacea News : April 2008 Rosacea News : March 2008 Rosacea News : February 2008 Rosacea News : January 2008 Rosacea News : REDLOG — The Rosacea Weblog :


2018 +

Further updates are provided to registered patients by e-mail. Inactive files created online are periodically deleted. Please contact reception if you need to update your details.

July through December 2017

Restore Serum Pure is now available. Attend is available in 30 and 50 mL sizes. See www.rosacea.net.au

July through October 2017

June 2017

March 2017

February 2017

December 2016

November 2016

October 2016

September 2016

August 2016

July 2016

June 2016

May 2016

April 2016

March 2016

February 2016

January 2016

December 2015

June 2014

May 2014

April 2014

March 2014

February 2014

January 2014

December 2013

November 2013

October 2013

September 2013

August 2013

July 2013

June 2013

May 2013

April 2013

November 2012

August 2012

April 2012

July 2011

June 2011

May 2011