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Metrogel is a treatment used to relieve symptoms of Rosacea, which is a skin condition. It is a gel, marketed by Galderma.

If you have taken this treatment before and want to renew your prescription, you can do so using our pharmacy service. To buy Metrogel online, take our doctor-reviewed consultation. Following approval, your medicine will be dispensed at our UK pharmacy, and shipped by special delivery.

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PLEASE NOTE: This treatment is not available through our online pharmacy service. This page is for information only. If you are experiencing any of the symptoms related to the condition(s) this medication treats, we strongly recommend that you see your GP in person.

This content was reviewed by a clinician on

26 April 2022
dr daniel

Dr Daniel Atkinson

(GP Clinical Lead - GMC No. 4624794) 26 April 2022
Product information

Metrogel is an antibiotic gel treatment used for rosacea. Only available with a prescription in the UK, Metrogel is marketed for purchase by Galderma. It’s active ingredient is metronidazole, which is a substance also used in oral tablets for other forms of bacterial infection. The gel is used twice a day for a specified period to reduce symptoms.

  1. Rosacea treatment
  2. Simple to apply antibiotic gel
  3. Twice daily application

Rosacea is a skin condition, which mostly affects the face, and can result in flushing, redness, the increased visibility of blood vessels, and thickened skin. People with the condition may also notice papules, which are raised red spots; and pustules, which are similar to papules but may also contain pus. Symptoms can also occur in the eyes, such as dryness, a feeling of obstruction, and being bloodshot.

Not much is known about Rosacea. It is generally a condition which recurs in those who have it, to varying degrees of severity. Definitive causes have not yet been identified by experts, however factors which can potentially contribute to the illness have. These include: blood vessel irregularities in the face, possibly caused or at least exacerbated by sun damage; a high concentration on the skin of demodex folliculorum, a type of microscopic mite, which is thought to produce bacteria; and the activity of peptides.

Residing in the skin, peptides are molecules which are stimulated by numerous catalysts, such as UV rays, alcohol, stress, spicy food and physical exertion. As a result, these are considered triggers of rosacea, in addition to heat and cold exposure, caffeine, dairy, and windy weather.

The condition can be controlled to some extent through avoidance of these triggers. However, some cases may require prescription treatment. The main agent in Metrogel is metronidazole, a type of antibiotic. How this works in medicating rosacea is not completely understood, as the condition has not been confirmed as a bacterial infection. The treatment does however, prevent the development of infected pustules, and does have an anti-inflammatory effect when applied to the skin. It thereby helps to limit rosacea symptoms.

We only provide rosacea treatments to patients who have used them before, and are looking to renew their prescription. If you have not seen a doctor in person about your symptoms before, we recommend that you make an appointment with your GP.

Our simple consultation service enables you to get the treatment you need delivered right to your home. All you need to do is fill in our five-minute questionnaire, and your responses will be surveyed by one of our registered medical practitioners. Following approval, our UK-based pharmacy will prepare your treatment to be delivered to you via secure courier, within just one working day.

Page last reviewed:  26/04/2022


The instructions given by your prescriber should be closely followed. Prior to use, you should also familiarise yourself with the guidelines provided in the patient information leaflet. Such measures will enable you to reduce the risk of side effects and maximise the efficacy of the gel.

  1. Apply as directed.
  2. This will, in most cases, be two administrations per day.
  3. Make sure the application site is clean.
  4. Distribute a thin layer over the region of skin affected, and rub it in.
  5. The length of treatment will be determined by your prescriber.
  6. Avoid contact with the eyes.
  7. Refrain from going out into strong sunlight or sun-bathing during use.
  8. Do not exceed the dose issued to you.
  9. If you miss a dose, do not apply double the amount to compensate. Simply apply it when you remember, and carry on the course as normal.

The above is only a summary of the directions you will need to follow when using this item. For more detailed instructions, consult the leaflet provided.

Page last reviewed:  26/04/2022
Please read the patient information leaflet for this medicine fully before use:

Metrogel 0.75%

Side effects & Warnings

Side effects

If you notice any serious side effects, or anything indicating an allergic reaction, or become otherwise concerned when using this item, notify your doctor right away.

Common (1 in 10 patients or less):

Dry or red skin, itching, burning, stinging or worsening of rosacea.

Uncommon (1 in 100 patients or less):

Numbness or tingling in the fingers or toes, metallic taste, or feeling or being sick.

Frequency unknown:

Contact dermatitis.

This is not a complete list of the side effects associated with this product. For a more detailed account, please refer to the leaflet supplied.

Taking it with other medicines

Let your prescriber know during consulation if you are using any other treatments. Metrogel may interact with anticoagulants such as warfarin and dicoumarin.

Conditions to look out for

You prescriber needs to be made aware of your medical history during consultation. This product may not be suitable for those who have blood disorders.

Pregnancy and breastfeeding

Check with your doctor before using Metrogel if you are pregnant, breastfeeding or trying to conceive.

Food, drink or alcohol

Do not drink alcohol while using Metrogel.

Page last reviewed:  26/04/2022
Please read the patient information leaflet for this medicine fully before use:

Metrogel 0.75%


Can I still drink alcohol?

The consumption of alcohol is not recommended during use.

Will I still be able to drive?

Yes. Your capacity to drive is not likely to be hindered by the use of this product. However, you should avoid driving and let your doctor know as soon as possible if you notice any side effects which may make driving difficult or dangerous.

Can I use this medication while pregnant?

It may not be suitable for those who are pregnant or breastfeeding. Ask your doctor for advice before using this item.

How do I store it?

Keep it at a temperature below 25°C, but do not refrigerate it. Make sure it is kept out of the reach of children.

Am I allergic to anything in the medicine?

Contained in this gel are the following: metronidazole, phosphoric acid, hydroxybenzoic acid esters, bronopol, hydroxyethyl cellulose, propylene glycol and purified water.

It should not be used by those who have an intolerance or are allergic to any of the above.

Is it available over the counter?

A prescription is required to buy Metrogel from our UK pharmacy. This can be obtained through our simple consultation process, which is staffed by healthcare professionals.

Is it right for me?

The medicine you use to treat rosacea will be decided upon by your GP or specialist dermatologist following consultation in person. A prescription treatment will be initiated by them after they have assessed your symptoms.

Renew your Metrogel prescription with us by taking our questionnaire. It doesn’t take long, and your answers will be reviewed by one of our qualified physicians. After your order has been approved, your treatment will be prepared at our UK-based pharmacy and delivered to your door via tracked next-day delivery.

Page last reviewed:  26/04/2022
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