Treatment options

With NowPatient's private treatment plans you can treat Rosacea with EFRACEA ® safely and easily in a few simple steps. Get started by selecting the medication you are interested in or by hitting the start consultation button below.

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We connect you to a prescribing clinician by secure video link who will spend time with you to understand your requirements and ensure that EFRACEA ® is appropriate, safe and effective for you. The consultation is FREE and you only ever pay for the medication, if it is prescribed. Medications are supplied and delivered discreetly by NowPatient.

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Table of contents
OverviewAbout EfraceaKey facts of EfraceaWho is Efracea not suitable for?How and where to get Efracea capsule?Dosage and strength of Efracea for acne rosaceaInformation about how to take Efracea for acne rosaceaWhat happens if you take too much Efracea?What are the side effects of Efracea?Information about taking Efracea at the same time as other medications or herbal supplementsCan Efracea taken for rosacea be taken long term?Is there a herbal Efracea?Can women take Efracea?Should I avoid any particular food or drink when taking Efracea?What lifestyle changes can I make to help me with rosacea?Alternatives to EfraceaSourcesPeople also asked
Navin Khosla NowPatientGreen tick
Medically reviewed by Navin Khosla, BPharm and written by Rajive Patel, BPharm - Updated on 26 Jan 2024
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What to do if you missed your EFRACEA ® dose

The MHRA's reporting program for suspected side effects to medicines, vaccines, e-cigarettes, medical device incidents, defective or falsified (fake) products to the Medicines and Healthcare products Regulatory Agency to ensure safe and effective use.

Learn more about reporting side effects

About Efracea

Efracea capsules are a prescription only medication, manufactured by Galderma, containing doxycycline as the active ingredient. Doxycycline is classed as a tetracycline antibiotic, effective against a wide range of bacteria. Efracea may be used by adults to treat pimples around the face associated with the skin condition acne rosacea. Symptoms include thickened skin, visible blood vessels, flushing and abnormal redness. Some patients may also have papules and pustules (pus-filled bumps). Doxycycline is thought to work by clearing up pustules and preventing bacteria from spreading, helping to reduce inflammation.

Efracea is available with a prescription only. Now Patient offers Efracea as a treatment for rosacea only, following an online consultation with a prescribing clinician.

Key facts of Efracea

  • For the treatment of acne rosacea
  • Efracea can take up to 6 weeks to show any effect
  • Efracea has some common side effects which include diarrhoea and abdominal pain
  • It can be dangerous if you take Efracea with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician

Who is Efracea not suitable for?

Efracea may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Efracea if you:

  • Have had an allergic reaction to doxycycline or any of the other ingredients in Efracea such as sucrose, gelatin, or propylene glycol
  • Are over four months pregnant as it may affect the unborn baby
  • Are using any oral retinoids
  • Suffer from achlorhydria or have had surgery on the duodenum
  • Have liver disease
  • Have an oral or vaginal fungal infection
  • Suffer from colitis
  • Have oesophageal ulceration or irritation

How and where to get Efracea capsule?

Efracea is available only with a prescription. It is not available over the counter at a pharmacy.

Now Patient does not allow customers to buy Efracea capsules directly. Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with a prescribing clinician for the treatment of rosacea, you can discuss if Efracea is a suitable treatment option for you.

At the end of the consultation, the clinician will decide if a treatment plan is suitable for you. If it is, the clinician will issue you with a prescription which can then be ordered, paid for and delivered directly to your chosen address by Now Patient.

Dosage and strength of Efracea for acne rosacea

Efracea is available as 40 mg modified release capsules when used for rosacea.

Information about how to take Efracea for acne rosacea

Take one 40mg Efracea capsule in the morning. Efracea should be swallowed whole, with a glass of water while standing or sitting, on an empty stomach, at least one hour before or two hours after food.

Do not take Efracea capsules at the same time as any dairy products or antacids as this may affect how fast doxycycline is absorbed into your gut. Also, wait at least 3 hours after taking Efracea capsules before taking any products high in calcium.

What happens if you take too much Efracea?

If you take more than prescribed, then it can lead to some unpleasant side effects. You should talk to your doctor or reach out to one of our prescribing clinicians, if you have taken too much Efracea and you experience any side effects.

What are the side effects of Efracea?

Common side effects of Efracea include:

  • Diarrhoea
  • Abdominal pain
  • Dry mouth
  • Inflammation of the sinuses
  • Sinus headache
  • Fungal infections
  • Raised blood pressure
  • Back pain
  • Anxiety
  • Changes in liver function tests
  • Raised blood sugar

If you experience any serious side effects, you should contact NHS 111.

If you experience a serious allergic reaction with the signs shown below you should contact emergency services on 999.

  • Your lips, mouth, throat or tongue suddenly become swollen
  • You’re breathing very fast or struggling to breathe (you may become very wheezy or feel like you’re choking or gasping for air)
  • Your throat feels tight or you’re struggling to swallow
  • Your skin, tongue or lips turn blue, grey or pale (if you have black or brown skin, this may be easier to see on the palms of your hands or soles of your feet)
  • You suddenly become very confused, drowsy or dizzy
  • Someone faints and cannot be woken up

Always report adverse effects to the MHRA yellow card reporting system. You can read more about this here How and where do I report side effects of my medication? – NowPatient

Information about taking Efracea at the same time as other medications or herbal supplements

There is not enough evidence to suggest there are any drug interactions between herbal supplements and Efracea. In any event, you should let your prescribing clinician know if you are taking any herbal supplements.

Some medicines taken for ulcers or heartburn may affect the effectiveness of Efracea. Do not use antacids, vitamin supplements, products containing calcium, such as dairy products, aluminium, magnesium, iron, bismuth, cholestyramine, or sucralfate within three hours of taking Efracea.

Certain medications may reduce the effectiveness of Efracea, these include:

  • Carbamazepine
  • Primidone
  • Cyclosporine
  • Rifampicin
  • Diphenylhydantoin and phenytoin

Can Efracea taken for rosacea be taken long term?

Efracea should normally be taken for up to 16 weeks. If your symptoms have not improved after 6 weeks, speak to your doctor.

Is there a herbal Efracea?

No. Herbal Efracea does not exist. If you have been marketed such a formulation, it may be fake.

Can women take Efracea?

Women can take Efracea for the treatment of acne rosacea, but it is not recommended if you are over 4 months pregnant.

Should I avoid any particular food or drink when taking Efracea?

You should avoid dairy products or antacids when taking Efracea capsules as this may affect how fast doxycycline is absorbed into your gut. Also, wait at least 3 hours after taking Efracea capsules before taking any products high in calcium.

What lifestyle changes can I make to help me with rosacea?

Lifestyle changes you can make include:

  • Not washing affected areas of skin more often than twice a day as this may irritate your skin and make spots worse
  • Washing affected skin with a mild soap or cleanser and lukewarm water
  • Never squeeze spots as this can cause permanent scars
  • Not to use too much make-up or cosmetics and use water-based make-up and toiletries that are less likely to block skin pores
  • Avoid certain triggers, such as alcohol, caffeine, dairy, extreme weather conditions, long-term exposure to UV rays, and stress

Alternatives to Efracea

Alternatives for the treatment of acne rosacea include Soolantra, Finacea gel, Epiduo gel and Mirvaso gel.


Medical Disclaimer

NowPatient has taken all reasonable steps to ensure that all material is factually accurate, complete, and current. However, the knowledge and experience of a qualified healthcare professional should always be sought after instead of using the information in this page. Before taking any drug, you should always speak to your doctor or another qualified healthcare provider.

The information provided here about medications is subject to change and is not meant to include all uses, precautions, warnings, directions, drug interactions, allergic reactions, or negative effects. The absence of warnings or other information for a particular medication does not imply that the medication or medication combination is appropriate for all patients or for all possible purposes.

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