Can I switch from Metronidazole to Soolantra cream for rosacea?

Hi,

Welcome to icliniq.com.

Indeed your images (attachment removed to protect patient identity) are more in favor of acne rosacea. This is a chronic and recurrent condition characterized by erythema with flushing sensation, predominantly affecting the cheeks. The management of rosacea needs to be holistic, ranging from medication to lifestyle modifications.

1. To begin with, you first have to start using a sunscreen regularly, preferably a one with physical blockers such a titanium dioxide or zinc oxide, in the mornings.
2. Azelaic acid 20 % or Metronidazole 0.75 to 2 %, do work well for rosacea. They can be applied in the evenings.
3. IPL (intense pulsed light) and other lasers would be more helpful in treating the vascularity, which tends to persist after using the creams. Lasers would be helpful in later stages.
4. Apart from this, you should strictly avoid exposure to extremes of both hot and cold weather and food items, restrain from spicy foods, and try not to treat your skin harsh by forcibly rubbing it.

Hope this is helpful.