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Skin · Narva

Compounded rosacea spot formula in Narva, online

An EU-licensed doctor reviews your case and, if eligible, issues an electronic prescription you can collect at a pharmacy in Narva.

  • Prescription only, if a doctor approves
  • Collect at the pharmacy you choose
  • Full refund if not approved
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Compounded rosacea spot formula

EU-licensed doctors

Every case read by an EU-licensed doctor.

Reply in under 2 hours on average

In writing, in your private chat. The doctor can ask for a call when needed.

Full refund if it is not right for you

Not approved? Refunded in full, automatically.

Reviewed on Trustpilot

Independent reviews from real patients, published by Trustpilot.

Electronic prescription

Sent to the pharmacy you choose; each pharmacy decides whether it can dispense it.

Local facts

Compounded rosacea spot formula consultations in Narva

Available toResidents of Estonia
LanguagesSpanish and English
Doctor replyUnder 2 hours on average
Collected atPharmacies in Estonia · e-prescription (PDF)
About the medicine

What it is and how it works

The spot formula is a magistral preparation combining ivermectin 1%, metronidazole 0.75% and niacinamide 2% in one gel, made by a compounding pharmacy after the prescription is issued. Ivermectin 1% cream and metronidazole 0.75% are each authorised in the EU for the papules and pustules of rosacea.

In the pivotal 12-week trials of ivermectin 1% cream alone, inflammatory lesions fell by about three quarters, and in a 16-week head-to-head trial ivermectin was more effective than metronidazole 0.75%. The compounded combination itself has not been studied as a product; an EU-licensed doctor weighs this before prescribing.

Who it is for

  • Prepared to prescription by a compounding pharmacy
  • Ivermectin and metronidazole, both EU-authorised rosacea actives

Safety summary

Always read the patient leaflet supplied with your medicine. Your doctor reviews risks and interactions before prescribing.

Pricing

One consultation, one clear price

You pay for the doctor's consultation. If a prescription is issued, the medicine is paid at your own pharmacy.

  • Consultation reviewed by an EU-licensed doctor
  • Private follow-up in the in-app chat
  • Full refund if the doctor does not approve
FAQs

Your questions answered

Compounded rosacea spot formula13 questions
What is the compounded rosacea spot formula?
A gel prepared to prescription by a compounding pharmacy, combining ivermectin 1%, metronidazole 0.75% and niacinamide 2%. Ivermectin 1% cream and metronidazole 0.75% are both EU-authorised rosacea treatments; ivermectin acts on Demodex mites and inflammation, metronidazole on inflammation. The combination itself is compounded rather than a licensed product.
A pea-sized amount once a day to clean, dry skin, spread thinly over the affected areas of the face for a 3-month course. Avoid the eyes and lips. Use a gentle cleanser, a non-comedogenic moisturiser and SPF 50+ in the morning; avoid alcohol-based toners and scrubs.
More questions
Burning, itching or dryness at the application site are the most common effects of both ivermectin and metronidazole, and are usually mild. A temporary flare in the first 2 weeks can happen as mites die off. Stop and contact your doctor for a spreading rash, facial swelling or blistering.
In the pivotal ivermectin 1% trials, lesion counts fell steadily from week 4 with the clearest results at 12 weeks, so plan on 8 to 12 weeks before judging. The doctor checks the diagnosis against acne and perioral dermatitis, asks about pregnancy and breastfeeding, metronidazole allergy, and any oral treatments you are already taking.
Write to your doctor in the private chat in your account: describe what you notice and when it started. The doctor can adjust the plan, pause it or suggest another option. If you have severe symptoms such as difficulty breathing, swelling of the face or chest pain, call 112 or go to an emergency department straight away.
It depends on what you take. List every medicine, supplement and herbal product in the questionnaire, including ones you use only occasionally. The doctor checks for interactions before prescribing, and your pharmacist checks again when you collect Compounded rosacea spot formula.
The doctor can choose another topical option for your skin, adjust how you use it, or refer you to an in-person dermatologist when your skin needs an examination or a treatment that is not prescribed online.
Skin treatments need several weeks to show a change. You can write to your doctor in the private chat about irritation or doubts, and at the end of the course a follow-up consultation with new photos decides whether to continue, change or stop.
Yes. Hi Doctor runs 100 % online across the EU, so if you live in Narva you can fill in the questionnaire and receive the medical review without travelling. The EU-licensed doctor issues the electronic prescription under Directive 2011/24/EU, and each pharmacy decides whether it can dispense it; some pharmacies do not accept PDF prescriptions, and those that do dispense the locally marketed equivalent of the same active ingredient.
The doctor reviews its appearance and progression, your history, allergies, current products and clear photos when needed. If your skin needs an in-person examination, the doctor refers you before prescribing.
The private electronic prescription (Receta Médica Privada Electrónica) is issued by an EU-licensed doctor. It is a PDF carrying every field required by EU Directive 2011/24/EU (patient, prescriber with country of registration, active ingredient, dose). Each pharmacy decides whether it can dispense it. In Spanish pharmacies it is dispensed from the QR; some pharmacies do not accept PDF prescriptions, and those that do dispense the locally marketed equivalent of the same active ingredient.
1) Fill in an online medical questionnaire in about 4 minutes. 2) The consultation fee for each area is listed on our pricing page. 3) An EU-licensed doctor reviews your case and, if appropriate, issues an electronic prescription. 4) Collect it at the pharmacy you choose; each pharmacy decides whether it can dispense it. If the review is not approved, the applicable fee is refunded in full.
The consultation fee for each area is listed on our pricing page. Each includes a review by an EU-licensed doctor and an electronic prescription if approved. If the review is not approved, the applicable fee is refunded in full. Medication is paid for separately at the pharmacy at the price it sets.
Behind the scenes

How your doctor decides

Your answers

An EU-licensed doctor reads your full questionnaire.

Medical judgement

The decision is clinical, never an algorithm.

Clear outcome

Approved with an e-prescription, or refunded in full.

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A doctor replies in under 2 hours on average.

Start consultationIf the doctor cannot treat you online, we refund the full amount.
The clinical information on this page was reviewed by: Dr. Alejandro Infante, General medicine, on 25 August 2026. Barcelona College of Physicians, no. 080869277 View profile

If the doctor does not approve treatment, we refund the full amount. Every consultation is fully refundable. How refunds work