A compounded rosacea cream that combines three long-used actives — azelaic acid 15%, ivermectin 1% and metronidazole 1.2% — prescribed online, reviewed by licensed providers, prepared by a U.S. 503A pharmacy and shipped discreetly to all 50 states.
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The formula
A compounded prescription rosacea cream
This cream combines three actives that are each used on their own for rosacea, in one compounded base. Ours is compounded by a U.S. 503A pharmacy; compounded formulas are not themselves FDA-approved.
Azelaic acid calms inflammation and bumps, ivermectin targets Demodex mites that are linked to rosacea flares, and metronidazole reduces inflammatory bumps and redness.
Through ForbiddenRx, a licensed provider reviews your skin and history and decides whether this cream, and how it is used, is right for you.
Rosacea is a long-term inflammatory skin condition that causes facial redness, flushing and acne-like bumps, usually on the cheeks, nose, chin and forehead. Triggers such as sun, heat, alcohol, spicy food and stress set off flares, and tiny Demodex mites that live on everyone's skin are found in higher numbers in many people with rosacea.
The skin's immune response drives red, acne-like bumps. Azelaic acid and metronidazole calm it.
Higher mite numbers are linked to flares. Ivermectin targets them.
Azelaic acid, ivermectin and metronidazole are each available on their own for rosacea. This cream combines all three in one compounded base, with a provider deciding whether it fits your skin.
| Gentle skincare (OTC) | Single prescription cream | Rosacea Cream (Rx) | |
|---|---|---|---|
| Actives | Soothing moisturizers, SPF | One of azelaic acid, ivermectin or metronidazole | All three in one cream |
| Targets | Comfort & protection | One pathway | Inflammation, bumps & Demodex |
| Provider involved | No | Yes | Yes — reviews your skin & history |
| Formula | One-size-fits-all | Fixed | Compounded per prescription |
Rosacea is managed over time rather than cured. Gentle skincare and daily SPF still matter alongside any prescription.
Three actives, each long used for rosacea on its own.
Azelaic acid 15% reduces inflammation and the acne-like bumps of rosacea.
Ivermectin 1% acts on Demodex mites, which are linked to rosacea flares.
Metronidazole 1.2% is a long-used topical for inflammatory rosacea bumps.
It's for adults with rosacea bumps and redness. A provider confirms it's appropriate for your skin and history.
Red, acne-like bumps and pimples on the cheeks, nose and chin.
Facial redness that flares with heat, sun or triggers.
Skin that stings or flushes easily, with a provider-guided plan.
Rosacea that one prescription cream hasn't controlled.
Tell your provider if you're pregnant, trying to conceive or breastfeeding. Rosacea that affects the eyes needs its own evaluation. Tell your provider about broken or irritated skin, or a past reaction to azelaic acid, ivermectin or metronidazole.
You complete a private online visit, a licensed provider reviews it, and — if appropriate — your prescription ships to your door. No insurance required, no in-person appointment, no waiting room.
A few private questions about your skin, goals, and history, on your own time.
A provider licensed in your state reviews your information and, if appropriate, writes your prescription.
Shipped from a U.S. pharmacy in plain, unmarked packaging to all 50 states. Reorder anytime from your dashboard, and our support team is an email or call away.
Coming soon. Your price will be shown before you pay. No insurance needed.
This is a compounded topical. How much you use and how often are set by the provider who reviews your visit. We deliberately do not publish a regimen here, because that is a clinical decision about you, not a product specification.
Tell your provider if you are pregnant, planning to become pregnant, or breastfeeding, and about all medications and skin conditions, before starting.
Possible side effects include:
Stop and contact your provider if you develop severe irritation, a rash, or eye irritation.
A side-by-side look at the prescription skin options available through ForbiddenRx. Your provider helps you choose what's right.
| Treatment | What it is | Best for | Form | For | Rx required |
|---|---|---|---|---|---|
| Tretinoin | A prescription retinoid (vitamin A) | Acne + anti-aging | Cream / gel | Adults | Yes |
| Melasma Cream | Tretinoin / hydrocortisone / hydroquinone 4% or 8% | Melasma & dark patches | Cream | Adults | Yes |
| Luminous Gel | Kojic / tranexamic acid / tretinoin | Melasma, hydroquinone-free | Gel | Adults | Yes |
| Clarity Cream | Clindamycin / spironolactone / tretinoin | Acne | Cream | Adults | Yes |
| Rosacea Cream This page | Azelaic acid / ivermectin / metronidazole | Rosacea | Cream | Adults | Yes |
| Anti-Aging Night Cream | Estriol / tretinoin / vitamin C | Fine lines & firmness | Night cream | Adults | Yes |
| Under-Eye Cream | Caffeine / tretinoin / glycolic acid | Dark circles & puffiness | Eye cream | Adults | Yes |
| Scar Gel | Silicone / betamethasone / lidocaine | Raised scars | Gel cream | Adults | Yes |
| GHK-Cu Cream | A copper-peptide repair cream | Firmness & recovery | Cream | Adults | Yes |
It combines azelaic acid and metronidazole, which calm inflammation and acne-like bumps, with ivermectin, which targets Demodex mites linked to rosacea flares.
It mainly targets the bumps and inflammation of rosacea, and calmer skin often looks less red. Persistent background redness or visible blood vessels may need other treatment, which your provider can discuss.
Rosacea improves gradually. Many people notice changes over several weeks to a few months of consistent use. Results vary.
Yes. A gentle cleanser, moisturizer and daily broad-spectrum SPF help, and avoiding your personal triggers reduces flares.
Tell your provider if you are pregnant, trying to conceive or breastfeeding, so they can decide what is appropriate for you.
Physicians, NPs & PAs licensed in your state
U.S.-based compounding partners
We confirm your state during intake
Complete a private online visit and a licensed provider decides whether rosacea cream is right for you, and how to use it.
Written by ForbiddenRx and checked against FDA prescribing information and published sources · Updated October 2026. It is general information, not a review of your own health; your provider decides what is right for you. It is provided for general educational purposes and is not a substitute for professional medical advice, diagnosis, or treatment. Always talk with a licensed provider about your individual skin and health.
This page is educational and is not medical advice.