Azelaic Acid / Ivermectin / Metronidazole / Niacinamide / Oxymetazoline Cream

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Compounded azelaic acid / ivermectin / metronidazole / niacinamide / oxymetazoline cream is a prescription-only topical formulation engineered to target the complex causes of rosacea and persistent facial redness. Azelaic acid reduces inflammation and refines skin tone, ivermectin combats Demodex mites, metronidazole provides antimicrobial support, niacinamide strengthens the skin barrier, and oxymetazoline works as a vasoconstrictor to visibly reduce redness. This comprehensive formula is ideal for patients with treatment-resistant or multifactorial rosacea. Our pharmacy compounds this advanced cream in customized strengths and sensitive-skin bases to ensure optimal effectiveness and tolerability.

Prescribers choose this five-in-one formula for patients whose rosacea involves both bumps and persistent redness, consolidating what would otherwise be several prescriptions. We compound each cream to the exact strengths your prescriber specifies, in a base designed for reactive skin, made to order for each patient in our pharmacy.

This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will set the concentrations and application schedule for your skin. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.

Frequently asked questions

How does this cream treat rosacea?
It combines five actions — metronidazole and azelaic acid for bumps and redness, ivermectin for mites and inflammation, oxymetazoline to calm flushing, and niacinamide for the barrier.

Why five ingredients?
Rosacea has multiple drivers, so combining them addresses bumps and persistent redness together and replaces several separate products.

Does it help facial redness?
Oxymetazoline constricts dilated blood vessels to visibly reduce flushing, alongside the anti-inflammatory ingredients. Your prescriber tailors the formula.

Why choose a compounded cream?
Compounding brings five targeted ingredients into one formula at strengths tailored to your skin, prepared fresh for each prescription.

Do I need a prescription?
Yes. This cream is compounded to your prescriber's order and requires a valid prescription. Our pharmacists prepare and verify every batch.

Patients? Request More Information   Prescribers? Request Prescribing Access

Compounded azelaic acid / ivermectin / metronidazole / niacinamide / oxymetazoline cream is a prescription-only topical formulation engineered to target the complex causes of rosacea and persistent facial redness. Azelaic acid reduces inflammation and refines skin tone, ivermectin combats Demodex mites, metronidazole provides antimicrobial support, niacinamide strengthens the skin barrier, and oxymetazoline works as a vasoconstrictor to visibly reduce redness. This comprehensive formula is ideal for patients with treatment-resistant or multifactorial rosacea. Our pharmacy compounds this advanced cream in customized strengths and sensitive-skin bases to ensure optimal effectiveness and tolerability.

Prescribers choose this five-in-one formula for patients whose rosacea involves both bumps and persistent redness, consolidating what would otherwise be several prescriptions. We compound each cream to the exact strengths your prescriber specifies, in a base designed for reactive skin, made to order for each patient in our pharmacy.

This is a compounded medication prepared to your prescription and used under a prescriber's guidance. Your prescriber will set the concentrations and application schedule for your skin. Every batch is pharmacist-compounded, quality-verified, and shipped nationwide. Prescription required.

Frequently asked questions

How does this cream treat rosacea?
It combines five actions — metronidazole and azelaic acid for bumps and redness, ivermectin for mites and inflammation, oxymetazoline to calm flushing, and niacinamide for the barrier.

Why five ingredients?
Rosacea has multiple drivers, so combining them addresses bumps and persistent redness together and replaces several separate products.

Does it help facial redness?
Oxymetazoline constricts dilated blood vessels to visibly reduce flushing, alongside the anti-inflammatory ingredients. Your prescriber tailors the formula.

Why choose a compounded cream?
Compounding brings five targeted ingredients into one formula at strengths tailored to your skin, prepared fresh for each prescription.

Do I need a prescription?
Yes. This cream is compounded to your prescriber's order and requires a valid prescription. Our pharmacists prepare and verify every batch.

Patients? Request More Information   Prescribers? Request Prescribing Access