• Soothes inflammation and calms persistent redness
  • Clears pores and reduces papules and pustules
  • Lightweight, non-greasy formula suitable for sensitive skin

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Overview

If rosacea flare-ups are leaving your skin red, sore, and unpredictable, Finacea is a gentle yet effective prescription treatment designed to calm and clear. Containing azelaic acid 15%, it works directly on the skin to reduce redness, inflammation, and spots — helping restore a more even complexion and boost your confidence.

Lightweight and easy to apply, Finacea can be used long-term as part of your daily skincare routine. For many people, it’s the first step toward regaining control over rosacea and feeling comfortable in their skin again.

This medicine requires a secure online consultation with a UK-registered prescriber, and will only be supplied if clinically appropriate.


What is Finacea


Finacea contains 15% azelaic acid, a naturally occurring substance with anti-inflammatory and antibacterial effects. It is commonly prescribed as a first-line treatment for rosacea, especially in patients experiencing persistent facial redness, small red bumps (papules and pustules), and stinging or burning sensations. Finacea works by calming inflammation, unclogging pores, and reducing the growth of bacteria on the skin. This helps improve overall skin texture and reduces the frequency and severity of flare-ups when used regularly.

Directions

  • Apply a thin layer of Finacea gel or foam to the affected areas twice daily (morning and evening), or as directed by your prescriber.
  • Wash hands and cleanse skin gently before application.
  • Avoid contact with the eyes, mouth, and mucous membranes.
  • Improvements are usually noticeable within 4–8 weeks, with continued progress over time.

Side Effects

Possible Side Effects of Finacea (Azelaic Acid 15%)

Most people tolerate Finacea well, but mild side effects can occur — particularly in the first few weeks as your skin adjusts to treatment.

 

Common (may affect up to 1 in 10 people):

  • Dryness, flaking, or slight skin irritation – often improves with continued use.
  • Burning, stinging, or tingling at the site of application – usually mild and temporary.

 

Less common (may affect up to 1 in 100 people):

  • Mild swelling or discomfort.
  • Redness or itching around the treated area.

 

Rare but serious (stop use and seek medical advice):

  • Signs of an allergic reaction – such as rash, intense itching, or swelling of the face/lips.

 

Most side effects are mild and tend to ease over time. If irritation becomes severe or doesn't improve, stop using the gel and speak to your prescriber.

Disclaimer: This is not a complete list of side effects. Always read the patient information leaflet that comes with your medicine. If you notice anything unusual or worrying, speak to a healthcare professional. In an emergency, call 999 or go to A&E.

Warnings

Do not use Finacea if you:

  • Are allergic to azelaic acid or any ingredients in the product
  • Have very sensitive skin prone to severe irritation


Additional cautions:

  • Use sun protection daily, as rosacea-prone skin is highly sensitive to UV light
  • Safe to use during pregnancy or breastfeeding, but always confirm with your prescriber
Frequently asked questions
  • What is Finacea Gel and how does it work?

    Finacea Gel (azelaic acid 15%) is a topical treatment used for rosacea. It helps reduce inflammation, redness and small bumps by calming overactive skin cells and lowering bacteria that contribute to flare-ups. Many people notice gradually clearer skin with consistent use.

  • How do I apply Finacea Gel for best results?

    Apply a pea-sized amount of Finacea Gel (azelaic acid) to clean, dry skin twice daily unless advised otherwise. Spread it gently over the affected areas, avoiding the eyes and mouth. Using a mild cleanser and fragrance-free moisturiser alongside Finacea often helps reduce dryness during treatment.

  • How long does Finacea Gel take to start working?

    Finacea Gel usually begins improving redness and bumps within 4–8 weeks, although some people notice changes sooner. Skin may feel slightly tingly at first, but this commonly settles. Best results appear when treatment is used consistently and flare-up triggers are managed.

  • What symptoms does Finacea Gel help with?

    Finacea Gel (azelaic acid) reduces inflammatory bumps, redness and rough skin texture associated with rosacea. It does not treat broken blood vessels but often helps overall skin tone look calmer and more even.

  • Is Finacea Gel safe for long-term use?

    Yes. Finacea Gel is commonly used long term to maintain clearer skin and prevent flare-ups. Many people use it for several months or longer under guidance from a clinician. Regular reviews help check it remains suitable for your skin.

  • Who should avoid using Finacea Gel?

    Avoid Finacea Gel if you have known sensitivity to azelaic acid or any ingredient in the formulation. Tell a clinician if your skin is extremely sensitive, damaged or very dry, as you may need a slower introduction or an alternative treatment.

  • Can I use Finacea Gel with makeup or sunscreen?

    Yes. Allow Finacea Gel to fully absorb before applying moisturiser, sunscreen or makeup. Using a gentle routine and daily SPF can support better results, as sun exposure is a common rosacea trigger.

  • Can Finacea Gel help with skin texture or visible pores?

    Finacea Gel (azelaic acid) can help gently smooth uneven texture over time by reducing inflammation and normalising how skin cells renew. Although it is not designed for pore reduction, many people notice a clearer, more refined look as redness and bumps improve.

  • Does Finacea Gel help with post-flare redness?

    Yes. While it may not clear broken blood vessels, Finacea Gel often helps reduce the lingering redness that appears after flare-ups. With consistent use, skin often looks calmer and less reactive.

  • Can Finacea Gel cause tingling or stinging at first?

    Mild stinging, itching or warmth is common during the first few weeks of using Finacea Gel (azelaic acid). These sensations usually lessen as the skin adjusts. If irritation becomes stronger or persistent, reducing frequency temporarily may help.

  • Is Finacea Gel suitable for sensitive or reactive skin?

    Many people with sensitive skin tolerate Finacea Gel well, but a gradual introduction can help. Start with once-daily use if your skin is easily irritated and increase to twice daily as tolerated. Pairing with a simple, fragrance-free routine supports comfort.

  • Can Finacea Gel be used alongside oral rosacea treatments?

    Yes. Finacea Gel is often combined with oral antibiotics or other treatments when flare-ups are more severe. Using both can address inflammation from multiple angles and improve results. Always follow a clinician’s direction when combining therapies.

  • Does Finacea Gel help if flushing is your main symptom?

    Finacea Gel may help reduce background redness but is less effective for sudden flushing alone. People with significant flushing often benefit from lifestyle changes or other medical options such as brimonidine gel. A clinician can guide you on the best approach.

  • What happens if I stop using Finacea Gel?

    Symptoms may gradually return if Finacea Gel is stopped, especially if rosacea triggers remain present. Some people reduce to maintenance use once skin is stable. A clinician can help tailor the plan to your pattern of flare-ups.

  • Can Finacea Gel lighten dark marks or pigmentation?

    Azelaic acid has mild brightening effects, so Finacea Gel may help soften post-inflammatory pigmentation. While rosacea typically causes redness rather than dark marks, some users notice a more even tone with long-term use.

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