Finacea 15% (Azelaic Acid) Gel 30g

  • Contains Azelaic Acid
  • Reduces redness and irritation of the skin
  • Unblocks skin pores preventing spots and flare ups

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Disclaimer: The prices displayed should only be used as a reference of our prices for this medicine. If you are approved for treatment, our prescribers will decide on a suitable treatment for you to jointly consider.

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What is Finacea (Azelaic Acid) gel?

Finacea 15% gel is a topical treatment for rosacea and milder forms of acne. It contains the active ingredient azelaic acid, which works to treat acne and rosacea in different ways.

For acne, it works by killing the bacteria that has infected the pores of the skin by decreasing the amount of keratin that is produced. Keratin is a natural substance that is produced by the cells of the skin, too much of this can lead to acne.

For rosacea, azelaic acid decreases the redness and swelling of the skin, thus helping to visible reduce the appearance and symptoms of Rosacea.

Finacea is specifically intended to treat facial rosacea and acne, and can help to reduce the following symptoms:

  • Redness on the cheeks, nose, chin, and forehead
  • Visible blood vessels near the surface of the skin
  • Inflammation of the skin
  • Swelling
  • Burning
  • Large pores
  • Rough dry skin
  • Appearance of spots and pimples

How does Finacea work for Acne and Rosacea?

Azelaic acid is a naturally occurring dicarboxylic acid which can help with a number of symptoms caused by Acne and Rosacea.

Finacea (Azelaic Acid) How it works
  • Kills the bacteria that infects pores on the skin
  • Reduces keratin production
  • Reduces pimples, redness and swelling
  • Reduces redness and swelling
  • Improves appearance of bumps, lesions and swelling caused by rosacea


About Rosacea

  • Rosacea mainly affects the face and is a long-term condition that cannot be cured
  • It is estimated that 415 million people worldwide suffer from Rosacea, affecting 1 in 10 people in the UK
  • People with lighter skin are more likely to develop Rosacea
  • More women suffer from Rosacea than men, however symptoms appear worse in men
  • Symptoms of Rosacea usually appear after the age of 30

Rosacea symptoms

The first symptoms of rosacea are usually:

  • Redness across your nose, cheeks, chin and forehead which comes and goes
  • A burning or stinging sensation when you use water or skincare products

You may also notice:

  • Dry skin
  • Swelling, particularly around your eyes
  • Yellow-orange patches on your skin
  • Thickened skin (mostly on the nose)
  • Sore eyelids or crust around the eyelashes

Rosacea triggers

The triggers of Rosacea include:

  • Alcohol
  • Sunlight
  • Caffeine
  • Hot drinks
  • Cheese
  • Spicy food
  • Aerobic exercise
  • Stress
  • Extreme weather

What else does Finacea help with?

Finacea 15% gel can help with several skin conditions aside from rosacea and acne which include:

  • Hyperpigmentation
  • Wrinkles
  • Redness of the skin
  • Reducing the formation of spots and blackheads
  • Lightening the pigmentation that is caused by the skin condition melasma
  • Fading light surface acne scars

Finacea gel may also help to reduce the wrinkles that are caused by rosacea, although this benefit has not been proven.

How long does it take for Finacea Gel to work?

When you use Finacea correctly, it may take up to 4 weeks or longer before you start to see an improvement in your symptoms.

Finacea (Azelaic Acid) has been shown to improve the appearance of facial erythema of rosacea in 56% of patients in just 15 weeks compared to just 42% for other widely prescribed rosacea treatments such as Metronidazole (Rozex 0.75% Gel).

For the best effects, it is very important that you are consistent with your applications of this gel. Forgetting to apply it will mean that you are not getting the full benefits.

How to apply Finacea Gel

Clean the skin thoroughly with water and dry before using Finacea. Do not use any air or water-tight dressings on the affected areas of the skin.

Wash your hands after applying the gel.


Apply Finacea gel to the affected area(s) of skin twice a day (once in the morning and once in the evening).

Gently rub the gel into the skin.

About 2.5cm of the gel should be enough for your entire face.

Always read the patient information leaflet for full step-by-step guide on how to apply Finacea.

Common finacea gel side effects

Like all medicines, Finacea gel comes with the risk of certain side effects, although these will not affect everyone who uses it.

Very common adverse effects of Finacea when treating rosacea may occur in more than 1 in 10 users:

  • Burning, pain or itching at the site of application

Common side effects may occur in 1 in 10 users:

  • Tingling or numbness
  • Dry skin
  • Rash
  • Swelling at the application site

A list of more serious side effects can be found on the "side effects" tab on this page.

We also recommend thoroughly reading the patient information leaflet to familiarise yourself with some of the common and more serious side effects before using this product.

Finacea gel alternatives

Other commonly prescribed alternatives include:

  • Soolantra cream which reduces redness and inflammation of the skin caused by rosacea
  • Rozex gel which contains the powerful antibiotic Metronidazole that kills bacteria infections of the skin
  • Mirvaso Gel, the first medicine specifically intended to treat facial erythema of Rosacea


How to apply Finacea gel

Our pharmacists and prescribers follow NICE guidelines when prescribing Finacea (Azelaic Acid) Gel.

Always use Finacea gel exactly as instructed by your doctor or pharmacist. Read the patient information leaflet thoroughly and ask your doctor or pharmacist if you are unsure how to apply it.

This treatment is for external use only. Do not swallow the gel.

Finacea FAQ's

What is Finacea (Azelaic Acid) used for?

Finacea is typically used to treat the signs and symptoms of facial acne and rosacea. It can help to reduce redness, swelling and inflammation of the skin.

How does Finacea Azelaic Acid gel work?

Azelaic acid works by reducing the redness and swelling caused by rosacea. It also reduces keratin production which can lead to the development of acne.

How long does it take for Finacea to work?

When used as prescribed, it can take up to 4 weeks or longer to notice an improvement in your symptoms.

How long should I use Finacea gel for?

You should use finacea gel exactly as prescribed by your doctor. Typically if there has been no improvements to your symptoms after 2 months of using this treatment, your doctor is likely to discontinue your course and may choose to prescribe an alternative.

Is Finacea safe to use for a long time?

Research has found that long term use of Azelaic acid does not increase the risks of toxic or allergic reations. There is no evidence to suggest that it also causes any long term side effects.

When should I stop using Finacea?

You should not stop using Finacea unless advised to by your doctor. You are unlikely to see the full benefits of your treatment if you stop using it prematurely.

Will my rosacea return if I stop using it?

Yes, it is likely that your symptoms will return more frequently if you stop using Finance gel suddenly.

Does Finacea cure Rosacea?

No, there is no cure for rosacea, whilst finacea can help to reduce symptoms of rosacea, you can still experience flare ups when coming into contact with a known rosacea trigger. You will need to implement lifestyle changes to avoid your known triggers which can help to reduce your rosacea flare ups.

When should I use Finacea gel?

Finacea gel should be applied once in the morning and night.

Can I buy finacea gel over the counter in the UK?

No, finacea is a prescription only medicine that requires ongoing monitoring from a doctor or pharmacist. It is only available on prescription.

How much does Financea cost to buy online in the UK?

Prices start at £20.99 for 1 30g tube of Finacea Gel.

Finacea (Azelaic Acid) Side Effects

Rare side effects may affect 1 in every 1,000 people who use this product and can include:

  • Skin irritation
  • Hives
  • Worsening of asthma

Speak to your doctor or pharmacist if you get any of these reactions.

Serious allergic reaction

In very rare cases, it is possible to have a serious allergic reaction to Finacea gel.

You must either go to A&E or call 999 straight away if you get any of the following symptoms:

  • You are finding it hard to breathe or speak
  • You get a skin rash that may include red, itchy, swollen, blistered or peeling skin
  • You have swelling in your face, mouth, throat, lips or tongue
  • You are wheezing
  • You have tightness in your chest or throat

You may be having a severe allergic reaction and require immediate treatment in hospital.

Always read the patient information leaflet for comprehensive details on side effects. If you are worried about side effects or how to cope with them, we strongly suggest that you talk about these concerns with your doctor or pharmacist before you start to use this medication.

Uncommon side effects may affect 1 in 100 users:

  • Acne
  • Skin reaction
  • Nettle rash
  • Unusual redness of the skin
  • Discomfort at the site of application

Speak to your doctor if any of these reactions bother you or do not go away. They may recommend lowering the dosage.

Always read the patient information leaflet for full details on side effects and how to cope with them.


There is not enough evidence to prove either way whether Finacea is affected by other medicines or not. You should inform your doctor or pharmacist if you are currently taking any other form of medication. This includes both prescription and non-prescription medication, herbal remedies, vitamins and supplements.

Do not apply any other treatments to your face at the same time as using Finacea gel.

You are advised to avoid any avoid alcoholic cleansers, tinctures and astringents, abrasives and peeling agents while using Finacea gel.

In rare cases, some people have reported that their asthma symptoms have been made worse while using azelaic acid.

This medicine should not be used as an acne treatment by children who are under the age of 12.

It should not be used as a rosacea treatment by children who are under the age of 18.

Wash your hands after each application of the gel.

Finacea contains benzoic acid, which can cause mild irritation to the eyes, mucous membranes and skin. It also contains propylene glycol, which may cause skin irritation in some people.

Always read the patient information leaflet thoroughly before you start using a new medicine. Here, you will find a full list of warnings and drug interactions to be wary of. If you have any questions or concerns, we strongly advise you to discuss these with your doctor or pharmacist.

Pregnancy and breastfeeding

This gel may not be suitable for women who are pregnant or breastfeeding.

Infants must not come into contact with skin that has been treated using this product, including the breasts.

Speak to your doctor before using this medicine if:

  • You are currently pregnant
  • You are currently breastfeeding
  • You think you might be pregnant
  • You are trying to get pregnant

Always read the patient information leaflet for full details on who Finacea gel may not be suitable for. If you are still unsure if it is safe for you to use, please speak to your doctor.


The main active ingredient within this medicine is: Azelaic acid

For a full list of the inactive ingredients, please read the Summary of Product Characteristics

Delivery Company Delivery Service Price Details
Royal Mail UK Delivery Standard UK Tracked £2.99 3 - 4 Working Day Delivery
DPD UK Next Day Delivery Next Day Delivery - Tracked £5.95 Order by 2pm (subject to Dr approval) Next Working Day Delivery
DPD UK Next Day Delivery Next Day Tracked Morning Delivery by 12:00pm £12.95 Next Working Day Morning Delivery by 12:00pm
DPD UK Next Day Delivery Tracked Saturday Delivery £9.95

Delivery specified for Saturday

Order Friday by 2pm (subject to Dr approval)

Please note that next day delivery to Northern Ireland, Scottish Highlands & Islands and British Isles cannot be guaranteed. Please contact our team for more information.

Written byHussain Abdeh MPharm: 2211840

Updated on: 16/08/2021

This content has been written by our Superintendent Pharmacist Hussain Abdeh and has been medically reviewed by our Pharmacist Sonia Khan

Hussain Abdeh Superintendent Pharmacist at Medicine Direct

Hussain Abdeh
MPharm: 2211840

Pharmacist Independent Prescriber

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