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MetroCream
MetroCream is a topical medication containing metronidazole, an antibiotic commonly used to treat rosacea, a chronic skin condition that causes facial redness, pimples, and visible blood vessels. MetroCream reduces inflammation and redness, helping to manage symptoms and improve the appearance of the skin. Although it is primarily used for rosacea, metronidazole also has antibacterial properties and can be used for other skin conditions as determined by a healthcare provider.
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Frequently Asked Questions
How long does it take for MetroCream to work?
You may start to see an improvement in your rosacea symptoms within 3 to 4 weeks of using MetroCream. However, full effects may take 8 to 12 weeks of consistent use.
Can I use makeup while using MetroCream?
Yes, you can apply makeup after using MetroCream, but allow the cream to fully absorb into your skin before applying any cosmetics.
What should I do if I miss a dose of MetroCream?
If you miss a dose, apply it as soon as you remember. If it is close to the time of your next dose, skip the missed dose and continue with your regular schedule. Do not double up to make up for a missed dose.
Can MetroCream be used for acne?
MetroCream is primarily indicated for rosacea, not for typical acne. However, in some cases, healthcare providers may prescribe it off-label for acne-like lesions caused by rosacea.
Is it safe to use MetroCream long-term?
MetroCream can be used long-term to manage rosacea, but your healthcare provider may recommend periodic reviews of your treatment to ensure its effectiveness and prevent bacterial resistance.
Comprehensive Drug Guide
How Does MetroCream Work?
MetroCream (metronidazole) works by inhibiting the growth of bacteria and reducing inflammation in the skin. While the exact mechanism for its effect on rosacea is not fully understood, metronidazole has anti-inflammatory properties that help to decrease the redness, swelling, and lesions associated with rosacea. Additionally, its antibacterial action helps control skin surface bacteria that may contribute to the condition.
Common Dosages
- 0.75% metronidazole topical cream
Typical Dosing
- The usual dose for treating rosacea is to apply a thin layer of MetroCream to the affected areas once or twice daily, depending on the severity of symptoms and the healthcare provider’s recommendations.
- Wash and dry the affected areas before applying the cream.
Typical Dosing
FDA Approved Indications
- Treatment of inflammatory papules and pustules associated with rosacea.
Who Shouldn't Take MetroCream?
- Known hypersensitivity or allergy to metronidazole or any other ingredients in the formulation.
- History of blood disorders related to metronidazole use.
Advice From The Pharmacist
- Apply MetroCream as prescribed. Use a thin layer and apply it only to the areas affected by rosacea. Avoid applying it to the eyes, mouth, or mucous membranes.
- Wash your hands before and after applying the cream to avoid spreading bacteria or irritants to other parts of the skin.
- Avoid excessive sun exposure, as sun exposure can worsen rosacea. Use a broad-spectrum sunscreen daily and wear protective clothing.
- Do not use MetroCream on open wounds or broken skin, as this can lead to irritation.
- If you experience irritation, dryness, or stinging after applying the cream, notify your healthcare provider.
Side Effects of MetroCream
Common Side Effects
- Mild burning or stinging sensation at the application site
- Dryness or flaking of the skin
- Redness or irritation
- Watery eyes if applied too close to the eye area
Uncommon/Severe Side Effects
- Severe allergic reactions: Rash, itching, swelling, or difficulty breathing.
- Worsening of rosacea symptoms: If you experience significant irritation or worsening of symptoms, contact your healthcare provider.
Risks and Warnings of MetroCream
- Allergic reactions: Although rare, some individuals may develop an allergic reaction to metronidazole. Discontinue use if you experience severe itching, swelling, or difficulty breathing.
- Sun sensitivity: MetroCream may increase your skin's sensitivity to sunlight. Avoid tanning beds and use sunscreen when outdoors to prevent worsening of rosacea symptoms.
- Prolonged use: Long-term use of topical antibiotics like MetroCream may lead to the development of bacterial resistance. Follow your healthcare provider's instructions on how long to use the medication.
Interactions with MetroCream
Common Drug Interactions
- Alcohol: While applying MetroCream topically is less likely to cause interactions with alcohol, large amounts absorbed through the skin may lead to a reaction similar to the one caused by oral metronidazole (disulfiram-like reaction). It's best to avoid excessive alcohol consumption during treatment.
- Other topical products: Avoid using other harsh or irritating skin products (e.g., exfoliants, scrubs) on areas treated with MetroCream, as this may increase skin irritation.
Alternatives to MetroCream
- MetroGel (metronidazole gel): A gel formulation of metronidazole used to treat rosacea.
- Finacea (azelaic acid): A topical medication used to treat mild to moderate rosacea by reducing inflammation and controlling bacterial growth.
- Soolantra (ivermectin cream): Another topical treatment for rosacea that targets inflammation and mites that may contribute to rosacea symptoms.
- Clindamycin: A topical antibiotic used to treat various skin conditions, including rosacea.
