What is Finacea Gel?

Finacea Gel is a prescription treatment for rosacea. It contains azelaic acid 15%, which helps reduce redness, inflammation, and the small bumps or pustules that often appear with this skin condition.

How Does Finacea Gel Work?

Azelaic acid targets several causes of rosacea. It reduces the growth of skin bacteria, helps to unblock pores, and calms the inflammation that leads to redness and irritation. With regular use, most people see an improvement in skin texture and a reduction in flare-ups.

When to Consider Finacea Gel

You may consider Finacea Gel if you have:

Persistent redness on the face caused by rosacea
Inflammatory papules or pustules linked to rosacea
Sensitive skin that reacts poorly to oral antibiotics or stronger topical treatments
Who Should Use Finacea Gel
Adults diagnosed with rosacea who want to manage redness and bumps under medical supervision. It is suitable for long-term use when recommended by a prescriber.

Who Should Not Use Finacea Gel

You should avoid Finacea Gel if you:

Are allergic to azelaic acid or any of the ingredients in the gel
Have broken, severely irritated, or sunburnt skin in the treatment area
Are under 18 years old (not usually recommended for children or teenagers)
Alternative Treatments for Rosacea

Other prescription options include:

Topical ivermectin cream
Topical metronidazole gel or cream
Oral antibiotics such as doxycycline for more severe cases
Non-prescription options such as gentle skincare, daily sunscreen, and avoiding known triggers (spicy foods, alcohol, hot drinks) also help manage symptoms.

Can You Buy Finacea Gel Over the Counter?

No. Finacea Gel is a prescription-only medicine in the UK. You will need an online consultation with a healthcare professional to check if it is safe and appropriate for you.

• Wash your face with a mild cleanser and pat dry before applying the gel.
• Apply a thin layer of Finacea Gel to the affected areas of the face.
• Use it twice daily, in the morning and evening, unless your doctor advises otherwise.
• Wash your hands before and after application.
• Avoid contact with your eyes, mouth, and inside your nose. If accidental contact occurs, rinse thoroughly with water.
• Do not use more gel than recommended, as this will not speed up results and may increase irritation.

If your skin becomes very irritated, reduce use to once daily until it settles, or speak to your doctor.
Continue using Finacea Gel regularly for best results, as improvements may take several weeks.

Active ingredient:

Azelaic acid 150 mg per 1 g of gel (15%)

Other ingredients (excipients):

Lecithin
Triglycerides (medium-chain)
Propylene glycol
Polysorbate 80
Carbomer 980
Sodium hydroxide
Disodium edetate
Purified water

Always check the patient information leaflet (PIL) in your pack for the full ingredient list — especially if you have allergies or sensitivities.

Common side effects (may affect more than 1 in 10 people):

Burning or stinging sensation at the application site
Tingling or itching
Redness
Dryness or scaling

Uncommon side effects (may affect up to 1 in 100 people):

Rash
Pain at the site of application
Swelling or warmth in the treated area

Rare side effects (may affect up to 1 in 1,000 people):

Worsening of asthma symptoms in people with a history of asthma
Severe irritation leading to stopping treatment

When to seek medical advice:

If irritation is severe or does not improve after a few weeks

If you notice signs of an allergic reaction, such as widespread rash, swelling, or difficulty breathing (stop using immediately and seek urgent care)

Most side effects are mild and improve as your skin gets used to the treatment.