Finacea
Book a quick face-to-face video consultation with a certified prescribing pharmacist, nurse, or doctor. If approved, your Finacea will be prescribed* and delivered straight to your door with free next-day delivery†. No hidden fees. No delays. Just expert care.
* Includes Free Private Prescription & Consultation.
† Applies to UK only.


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MEDICAL INFORMATION
Finacea Key Facts
About Finacea
Finacea is a prescription-only gel containing azelaic acid, a saturated dicarboxylic acid, as the active ingredient. Finacea gel is used for the treatment of skin conditions such as mild to moderate facial acne and rosacea.
Finacea gel works by blocking the production of keratin surface skin cells, which cause pores to clog up, and by killing skin bacteria. This prevents spots, pustules, and papules from appearing on the face, as well as reducing skin redness.
NowPatient offers Finacea as a treatment for rosacea only, following an online consultation with a prescribing clinician.
Key facts of Finacea
- Finacea is used to treat rosacea flare-ups
- Finacea can take up to a month to see an effect
- Finacea has some common side effects which include skin irritation and dryness
- It can be dangerous if you use Finacea with certain medications. If you’re not sure if it is safe, discuss this with the prescribing clinician
Who is Finacea suitable for?
Finacea gel is suitable for adults 18 years of age and older that have already tried other topical treatments, but have not been successful. Finacea is also safe for sensitive skin.
Who is Finacea not suitable for?
Finacea may not be suitable for some people. To make sure it’s safe for you, speak to the prescribing clinician before taking Finacea if you:
- Have had an allergic reaction to azelaic acid in the past
- Are allergic to any of the other ingredients in Finacea
- Are breastfeeding or plan to breastfeed
How and where to get Finacea?
You can buy Finacea safely and securely from NowPatient. You can start a consultation today for free and if you qualify for treatment, you only pay for the cost of the medication. Delivery is made to your home or office from our registered pharmacy.
Our service is certified, safe and effective, and we only ever treat conditions. If you book a consultation with one of our prescribers for the treatment of rosacea, you can discuss if Finacea 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 NowPatient.
Dosage and strength for Finacea for rosacea
Finacea is available as a gel containing 15% azelaic acid, when used for rosacea.
Information about how to use Finacea for rosacea
Wash the affected area before applying Finacea. You may use soap and water or a mild skin-cleanser. Apply Finacea to the affected skin in the morning and the evening. Rub into the skin gently. 2.5cm of gel is enough for the entire face. Wash your hands after using the gel.
Always use Finacea as directed by a healthcare professional. Also, read the patient information leaflet provided with your medication or speak to your doctor for further medical advice.
What happens if you use too much Finacea?
If you use 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 used too much Finacea and you experience any side effects.
What are the side effects of Finacea?
Common side effects of Finacea include skin reactions such as:
- Burning
- Skin irritation
- Itching
Less common side effects include:
- Skin discolouration
- Contact dermatitis at the application site
- Rash
- Tingling
- Numbness
- Dry skin
Serious side effects include:
- Eye swelling
- Face swelling
- Worsening of asthma
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 using Finacea 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 Finacea. In any event, you should let your prescribing clinician know if you are taking any herbal supplements.
Can Finacea used for rosacea be used long term?
Finacea gel can reduce rosacea over a few months when used correctly. You will normally see an improvement in rosacea within the first month of treatment. If you do not see an improvement after four weeks or your skin condition worsens, speak to your doctor or pharmacist.
Is there a herbal Finacea?
No. Herbal Finacea does not exist. If you have been marketed such a formulation, it may be fake.
Can women use Finacea
Women can use Finacea for the treatment of rosacea. Speak to a doctor before using Finacea gel if you are pregnant, plan to become pregnant or are breastfeeding. Azelaic acid may pass into breast milk causing harm to a nursing infant.
Should I avoid any particular food or drink when using Finacea?
You can eat and drink normally when using Finacea.
What lifestyle changes can I make to help me treat acne or 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
Alternatives to Finacea
Alternatives for the treatment of mild to moderate acne and rosacea include Efracea, Differin gel, Epiduo gel, Soolantra, Mirvaso, and Metrogel (metronidazole).
Sources
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 on 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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FAQs
Answers to Popular Questions About Finacea
What is Finacea?
Finacea is a prescription topical gel containing azelaic acid 15%. It is used to treat mild to moderate papulopustular rosacea (rosacea with red bumps and spots) on the face. Finacea is manufactured by LEO Pharma and is applied twice daily. Azelaic acid has antibacterial, anti-inflammatory, and skin-normalising properties. While primarily licensed for rosacea in the UK, azelaic acid is also used off-label for acne and post-inflammatory hyperpigmentation.
How does Finacea work?
Finacea works through multiple mechanisms. Azelaic acid has direct antibacterial activity against Cutibacterium acnes and Staphylococcus epidermidis. It has anti-inflammatory properties, reducing the production of reactive oxygen species and inflammatory cytokines. It also normalises the process of keratinisation (skin cell turnover), helping to unblock pores. Additionally, azelaic acid inhibits tyrosinase, an enzyme involved in melanin production, which can help reduce post-inflammatory hyperpigmentation and even out skin tone.
Is Finacea available on the NHS?
Yes, Finacea gel is available on NHS prescription for papulopustular rosacea. It can be prescribed by your GP, dermatologist, or through online services like NowPatient. Azelaic acid is recommended in NICE and BAD guidelines as a first-line topical treatment for mild to moderate rosacea. Lower-strength azelaic acid products (10%) are available over the counter for acne, but the 15% prescription strength is more effective for rosacea.
How do I apply Finacea gel?
Apply a thin layer of Finacea gel to the affected areas of the face twice daily (morning and evening), after washing with a gentle cleanser and drying the skin. Use approximately 0.5 g (about a pea-sized amount) for the entire face. Avoid contact with the eyes, mouth, and mucous membranes. Wash your hands after application. You may apply sunscreen and makeup once Finacea has dried. In the initial weeks, if irritation occurs, reduce to once daily and gradually increase to twice daily as tolerated.
How long does Finacea take to work?
Improvement in rosacea symptoms is usually noticeable within 4 weeks, but optimal results typically require 8–12 weeks of consistent use. Some patients may experience mild stinging or burning when first starting Finacea, which usually settles within 1–2 weeks. Finacea can be used as a long-term maintenance treatment for rosacea. If no improvement is seen after 12 weeks, consult your prescriber about alternative or additional treatments.
What are the common side effects of Finacea?
Common side effects include burning, stinging, or tingling sensation at the application site, particularly when first starting treatment. These sensations usually subside within 15–20 minutes and improve over the first 1–2 weeks of use. Dryness, scaling, redness, and itching may also occur. Rarely, contact dermatitis or skin lightening at the application site can happen. Using a gentle moisturiser can help manage dryness and irritation. If side effects are severe, reduce application to once daily.
Can I use Finacea during pregnancy?
Azelaic acid is generally considered safe for use in pregnancy and is one of the preferred topical treatments for rosacea and acne during pregnancy. Only minimal amounts are absorbed systemically. However, always consult your doctor or midwife before starting any new medication during pregnancy. Finacea is also considered compatible with breastfeeding, though you should avoid applying it to the breast area.
Can I use Finacea with other rosacea treatments?
Yes, Finacea can be used alongside other rosacea treatments. It is commonly combined with oral antibiotics (such as doxycycline at a low, anti-inflammatory dose) for moderate rosacea. It can be used with metronidazole gel (at different times of day) or ivermectin cream. Avoid using strong exfoliants, retinoids, or alcohol-based products on the same area, as these may increase irritation. Always use a gentle skincare routine and SPF 30+ sunscreen, as sun exposure worsens rosacea.
How can I get a prescription for Finacea?
Finacea is available on NHS prescription from your GP or dermatologist, or through online services like NowPatient. Your prescriber will assess your rosacea subtype and severity to determine the best treatment approach. NowPatient offers convenient online consultations with qualified UK prescribers and home delivery of your medication.
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