Compare Metrogel vs. Finacea

Head-to-head comparisons of medication uses, side effects, ratings, and more.

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Metrogel (metronidazole)

Prescription only

Finacea (azelaic acid)

Prescription only
Treats vaginal infections and acne rosacea.

Metrogel (metronidazole) is effective for bacterial infections or skin conditions, but you may need to avoid alcohol while using this.

Treats rosacea.

Finacea (azelaic acid) helps treat raised spots and pimple-like bumps that come from rosacea, but only provides slight redness improvement. Talk to your doctor if you are concerned about the redness from rosacea.

Upsides
  • Works well for acne rosacea and most types of vaginal infections. It has fewer side-effects than oral tablets.
  • It is available as a generic product.
  • Comes in both a gel and foam formulation.
  • Studies show Finacea (azelaic acid) is effective at reducing raised spots and pimple-like bumps in mild to moderate rosacea.
  • Is as effective as alternative medicines.
Downsides
  • May cause skin irritation.
  • Drinking alcohol while taking Metrogel (metronidazole) can cause intense flushing of skin and nausea. It is less likely with the gel and cream formulations than oral tablets, but be aware.
  • Only available as a prescription.
  • More expensive than alternative medicines. A generic option is not available. Your doctor may have you try a less expensive alternative medicine first.
  • May not be the best option if you are looking to improve redness from rosacea.
  • Causes more skin irritation than alternative medicines. Speak to your doctor if you already have very sensitive skin. An alternative medicine may be better for you.
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Used for
Dosage forms
  • Cream, Gel, or Ointment
  • Vaginal Cream, Gel, or Ointment
  • Gel, foam
Price
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Reviews
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Side effects
10possible side effects
  • Vaginal discharge
    12%
  • Yeast infection
    10%
  • Genital irritation
    9%
  • Gastrointestinal discomfort
    7%
  • Headache
    5%
  • Nausea/vomiting
    4%
  • Pelvic discomfort
    3%
  • Unusual taste
    2%
  • Dizziness
    2%
  • Change in white blood cells
    2%
See more detailed side effects
4possible side effects
  • Burning/Stinging/Tingling
    28%
  • Itching
    11%
  • Scaling/Dry skin/Very dry skin
    8%
  • Redness/Irritation
    3%
See more detailed side effects
Risks and risk factors
  • Nerve damage
    • Existing nerve problems
  • Contact dermatitis
  • Eye irritation
See more detailed risks and warnings
  • Allergic reactions
  • Loss of skin color
  • Skin irritation
  • Worsening of asthma
  • Eye and mouth irritation
See more detailed risks and warnings