Topical creams are commonly used to treat mild to moderate cases of rosacea. Two that stand out in particular are metronidazole cream and finacea gel. An antibiotic, metronidazole is designed to treat bacterial infections and decrease inflammation. It is available in various forms: as gel, cream and lotion. It was introduced as a treatment for rosacea over two decades ago and is used more than any other treatment to this day. It is often prescribed as Rozex, Metrosa, Anabact, Metrogel, Acea, Zyoment, and Rosiced.

While metronidazole cream is effective when used to treat papulopustular lesions, it does not work as well in reducing facial redness. Very few rosacea patients using this topical cream report experiencing any side effects, although there is a chance of experiencing some itching, dryness, stinging, and burning. Additionally, metronidazole is also better at preventing future flare-ups compared to tetracycline and other oral antibiotics.

While metronidazole remains very popular, another rosacea treatment cream has burst onto the scene in the form of finacea gel. Azelaic acid is an ingredient in this gel, which is found in barley, rye, and wheat. Studies have been done comparing the two creams to find out which was more effective. The conclusions are that finacea was much more successful in decreasing facial redness, pustules, papules and generally improved the condition more than metronidazole. However, finacea caused more irritation.

Why finacea works in rosacea is still not really understood. It contains anti-inflammatory and antibacterial properties, which is why it has worked to reduce redness and pustules. Many rosacea patients have found that it has greatly improved their condition, more so than most other topical medications. This will not cure rosacea immediately, as it may take a few weeks before significant progress is made.

When it comes down to it, both rosacea treatments have their pros and cons. Although Finacea gel has been shown to give better results for the treatment of facial redness, it is also more likely to cause side effects such as irritation. On the other hand, metronidazole is not as effective, but it is also less likely to cause side effects.

To get either cream as a treatment, your dermatologist or doctor can prescribe it for you. You can get their opinion on which one you think is best for you. Some people respond to treatment differently than others, so it may take some trial and error before you find one that really works.