CategoryDetails
Type of MedicineTopical azelaic acid gel (15% concentration)
Health Conditions Prescribed ForPapulopustular rosacea, mild to moderate rosacea
Active IngredientAzelaic Acid (15%)
Brand NameFinacea
Available Strengths15% gel
Available AsTopical gel
Possible Side EffectsMild burning, itching, dryness, redness, and skin irritation
Manufactured ByGalderma

What Is Finacea Gel 15%?

Finacea Gel 15% is a topical medication containing 15% azelaic acid, a naturally occurring acid found in grains like barley and wheat. Azelaic acid is known for its antibacterial, anti-inflammatory, and keratolytic properties, making it highly effective for rosacea treatment. The gel formulation ensures easy application and optimal skin penetration without clogging pores.

Unlike antibiotics, azelaic acid works primarily by reducing inflammation and normalising skin cell turnover rather than killing bacteria. This reduces the risk of antibiotic resistance and makes Finacea ideal for ongoing rosacea management.

What Is Finacea Gel Used For?

Rosacea Management: Treats moderate papulopustular rosacea by reducing bumps and redness.
Inflammatory Lesion Treatment: Helps control the inflammatory papules and pustules characteristic of rosacea.
Skin Texture Improvement: Smooths skin by reducing roughness and visible irritation.
Redness Reduction: Significantly lowers facial erythema (redness) and flushing episodes.
Maintenance Therapy: Can be used long-term to prevent flare-ups and maintain skin comfort.

How Does Finacea Work?

Azelaic acid in Finacea works through several important mechanisms that help improve skin affected by rosacea. Firstly, it has anti-inflammatory properties, meaning it reduces the chemicals in the skin that cause redness and swelling. This helps to calm the skin and ease irritation.

Secondly, it acts as an antibacterial agent by inhibiting the growth of certain bacteria, such as Cutibacterium acnes and Staphylococcus epidermidis, which are known to worsen skin inflammation.

Lastly, azelaic acid has keratolytic effects, helping to normalise the skin's surface by preventing the buildup of dead skin cells that can clog pores and cause bumps. By working in these ways, Finacea helps to achieve clearer skin with fewer inflamed lesions and reduced redness.

Alternative Medications

If Finacea Gel 15% is unsuitable or ineffective, other rosacea treatments include:

Metronidazole (Rozex): Topical antibiotic cream/gel used for mild to moderate rosacea.

Ivermectin Cream (Soolantra): An anti-inflammatory and anti-parasitic topical agent for inflammatory rosacea.

Oral Antibiotics (Doxycycline, Lymecycline): Low-dose antibiotics used for moderate to severe inflammatory rosacea.

Topical Brimonidine (Mirvaso): For temporary redness reduction through vasoconstriction.

Always consult your healthcare provider to choose the best therapy for your condition.

Application Frequency

For the best results, apply the gel twice daily—once in the morning and once in the evening. Consistent use helps maintain its effectiveness. Skipping applications may reduce the treatment's overall benefits.

Preparation

Before applying the gel, gently cleanse your face and pat it dry with a soft towel. Avoid using harsh cleansers or scrubbing the skin, as this can cause further irritation. A clean and calm surface ensures better absorption of the product.

Application Method

Use only a pea-sized amount of the gel for your entire face or the affected area. Spread it in a thin, even layer over clean, dry skin. Applying too much may increase the risk of irritation without improving results.

Avoid Sensitive Areas

Keep the gel away from your eyes, mouth, and mucous membranes, as these areas are highly sensitive. Accidental contact may lead to stinging or discomfort. Be cautious when applying near the edges of these regions.

Washing Hands

Always wash your hands thoroughly after applying the medication. This helps remove any residue and prevents the gel from accidentally getting into your eyes or other sensitive areas. Clean hands also avoid unintentional transfer to other people or surfaces.

Sun Protection

Daily use of a broad-spectrum sunscreen is essential, especially during treatment. Rosacea-prone skin is particularly sensitive to UV rays, which can trigger flare-ups. Sunscreen helps protect your skin and supports the effectiveness of your treatment.

Course Duration

Early Improvement

You may notice initial results within 4 to 6 weeks. Consistent use is essential for visible changes.

Optimal Results

Best results usually appear after 12 to 16 weeks. Daily application helps achieve the full effect.

Maintain Progress

Regular use controls symptoms and prevents flare-ups. Avoid stopping treatment without guidance.

Consult if Needed

If there’s no improvement after 12 weeks, seek medical advice. Your provider may recommend a different approach.

Who Should Use Finacea?

Adults and adolescents over 12 years diagnosed with papulopustular rosacea.
Not recommended for children under 12 or pregnant and breastfeeding women without medical advice.
Avoid if allergic to azelaic acid or gel components.

Precautions

Avoid the simultaneous use of harsh exfoliants or irritating skincare products.
If irritation worsens, reduce frequency or stop use and consult your doctor.
Inform your doctor about any other medications or skin conditions.

Active Ingredient:

Azelaic Acid (15%) – the key therapeutic agent that reduces inflammation, kills bacteria, and regulates skin cell turnover.

Inactive Ingredients:

Finacea gel contains several key ingredients that work together to create its smooth, stable texture. These include purified water, propylene glycol, poloxamer 188, and carbomer 980. Sodium hydroxide is also added to adjust the pH level for skin compatibility. In addition, other stabilisers and gelling agents are used to maintain the gel’s consistency and ensure the product remains effective throughout its shelf life.

Note: Inactive ingredients help maintain gel consistency and facilitate skin absorption without clogging pores. The formulation is non-comedogenic and fragrance-free to minimise irritation.

Always read the patient information leaflet (PIL) in your pack for the complete list of ingredients, and to check for any you might be allergic to.

Possible Side Effects

Most side effects of Finacea are mild and transient, especially as skin adapts to the treatment. Common side effects include:

  • Mild burning or stinging sensation on application.
  • Temporary redness or irritation.
  • Dryness or flaky skin.
  • Itching or tingling.

These symptoms typically decrease after the first few weeks of use.

Less Common Side Effects

  • Allergic contact dermatitis (rare).
  • Swelling or rash (very rare).

If you experience severe irritation, swelling, or signs of an allergic reaction, such as a rash or difficulty breathing, seek medical attention immediately.

Important Advice

Do not use more than the recommended amount, as it won’t improve results and may irritate the skin. Avoid applying to broken or highly irritated areas. Use sunscreen daily to protect sensitive skin, and rinse thoroughly with water if the gel enters the eyes.

Storage Instructions

Store below 25°C (room temperature).
Keep the tube tightly closed when not in use.
Protect from direct sunlight and moisture.
Keep out of reach of children.
Do not use after the expiry date printed on the tube.

  • How quickly does Finacea Gel work?

    Most users notice improvement in redness and lesion count within 4 to 6 weeks. Full benefits usually appear after 12 weeks of regular use.

  • Can I use Finacea Gel on sensitive skin?

    Yes, but start slowly and monitor for irritation. If dryness occurs, use moisturisers, and consult your doctor if symptoms persist.

  • Is Finacea safe to use during pregnancy?

    Consult your doctor before use. While systemic absorption is minimal, it's best to confirm safety with your healthcare provider.

  • Can Finacea be used with makeup?

    Yes, allow the gel to fully absorb before applying makeup or other skincare products.

  • What should I do if I forget to apply Finacea?

    Apply as soon as you remember, but do not double-dose. Continue with your next scheduled application.

  • Can Finacea Gel be used on other skin conditions like acne?

    Yes, azelaic acid is sometimes used off-label to treat acne vulgaris. However, always consult your healthcare provider before using Finacea for any condition other than rosacea.

  • Is it normal to feel a stinging or burning sensation after applying the gel?

    A mild stinging or burning feeling is a common initial reaction and usually subsides as your skin adjusts. If the irritation persists or worsens, consult your doctor.

  • Can I use Finacea Gel with other topical treatments like retinoids or benzoyl peroxide?

    Combining strong actives like retinoids or benzoyl peroxide may increase irritation. Speak to your dermatologist before using multiple products together.

  • Will Finacea bleach my clothing or bedding?

    No, Finacea Gel does not contain bleaching agents, so it is unlikely to discolour fabrics.

  • Can I stop using Finacea once my skin clears?

    Do not stop treatment without consulting your doctor. Stopping too early may cause symptoms to return. Maintenance treatment is often recommended.

  • Does Finacea help with flushing or broken blood vessels (telangiectasia)?

    Finacea is not specifically formulated for flushing or visible veins. It primarily targets inflammatory lesions like papules and pustules.

  • Is Finacea suitable for all skin types, including dry or combination skin?

    Yes, but those with dry or sensitive skin should start with a small amount and use a gentle moisturiser to minimise dryness or irritation.

  • Can I use Finacea around the eyes or eyelids?

    No, avoid applying Finacea near the eyes, eyelids, or mucous membranes. If accidental contact occurs, rinse thoroughly with water.

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