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	Order Online Clinic Store Create/Manage Patient Account Rosacea Skin Care Treatments Cleanse and De-Sensitize Prevent Correct Moisturize Protect Ocular Rosacea Rosacea Treatment Services About Rosacea Treatment Overarching Concerns Symptoms Rosacea Skin Care Topical Rosacea Medications Parabens Treatment Ingredients Broken Capillaries Photoaging Success/Avoidance Rosacea Basics Rosacea Diet/Dietary Factors Ocular Rosacea Heliobacter Pylori Demodex Mites Clinical/Dermatological Topics Rosacea Glossary Rosacea Treatment Procedures Customized Intense Pulsed Light Protocols Rosacea Laser Treatment Skin Barrier Repair Surgical Rosacea Treatment Related Condition Treatment Open Pores Facial Redness Contact	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. In summary, the most used order of application for skin care including topical metronidazole is as follows: AM Rosacea Cleanser Rosacea De-Sensitizing Mist Rosacea Hydrating Serum Metrogel (AM or PM, maximum once daily) Rosacea Treatment Fluid or Cream Rosacea Sunscreen PM 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: Gina Verginis. Reviewed: Wednesday, 5 May 2010. Further Information: About Metrogel : Metrogel Ingredients : Order of Application Including Metrogel (Metronidazole) : Frequency: Metrogel vs Metrolotion : Adverse Reactions to Metrogel :		Rosacea News August 2011 Travel and Smaller Sizes Antioxidants July 2011 Standard Treatment/Revised Treatment Anti-Aging June 2011 A New Cleanser Developed for Rosacea May 2011 Glycolic Acid in Rosacea Treatment September 2010 Shake Before Use August 2010 Rosacea Treatment Twitter July 2010 Thymol Iodides A Case Against Long-Term Antibiotic Use: Folliculitis June 2010 Act on Early Rosacea Symptoms to Prevent/Stem Worsening May 2010 Antioxidant Sunscreens Silymarin (Milk Thistle) Benzoyl Peroxide What are the First Signs of Rosacea? Rosacea Micro-Exfoliating Cream What is the best sunscreen for rosacea? A Protocol for "Confused" Skin Moisturizers Containing Niacinamide Benefit Rosacea FAQ: What Causes Rosacea? Risk Factors in Aquiring Rosacea Frequency: Metrogel vs Metrolotion Paraben Preservatives and Rosacea Photoaging Paraben Preservatives and Sun Damage Rosacea and Intestinal Inflammation April 2010 Adverse Reactions to Metrogel March 2010 Rosacea Sydney Order of Application Including Metrogel (Metronidazole) February 2010 Hypoallergenicity Rosacea Australia January 2010 Queries Regarding "Oxygen Facials" for Rosacea New Larger Size Packaging and Formulas Eliminate Preservatives/Enhance Rosacea Treatment Video: Concerning Ultraviolet Light Preservatives in Skin Care and Skin Irritation Relatively Deleterious Properties and Ideas in Skin Care Unfortunate Aspects of Mainstream Skin "Care" Avoid Paraben Preservatives in Rosacea Skin Care Cutis Benzoyl Peroxide Rosacea Study Summary Poor Medicine: Rosacea Treatment with Benzoyl Peroxide Lavender is Toxic to Skin Cells Rosaceae "Acaena Novae-Zelandiae"

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