@umalati Hello, For treating mild acne with rosacea, topical metronidazole is usually the first-line treatment and has proven to be a very effective and cheap way to control the red spots. Topical metronidazole is available as a cream, emollient, gel, or lotion. Other treatment options include using topical azelaic acid, isotretinoin creams, and oral antibiotics. Rosacea is a chronic acne-like skin condition that predominantly affects adults with fair skin. It can present with red discoloration, dry cracking skin, visible blood vessels, and/or pimples over the nose and cheeks.