CategoryDescription
Type of medicineTopical treatment for unwanted facial hair
Health Conditions Prescribed ForExcessive facial hair (hirsutism) in women
Active IngredientsEflornithine hydrochloride 11.5% w/w
Brand NamesVaniqa
Available Strengths11.5% cream
Available AsTopical cream
Possible Side EffectsSkin irritation, redness, tingling, burning, acne, rash
ManufacturersAlmirall (originally by Allergan, now marketed by Almirall in the UK)

What is Vaniqa Cream?

Vaniqa cream is a prescription-only treatment for unwanted facial hair in women, also known as female facial hirsutism. It contains the active ingredient eflornithine hydrochloride 11.5% w/w, which helps slow the growth of hair. Vaniqa is not a hair removal product, but with regular use it can make hair grow back finer, lighter, and less noticeable.

How Does Vaniqa Cream Work?

Vaniqa works by blocking an enzyme in the hair follicle that is needed for hair growth. When applied to the affected areas of the face or under the chin twice daily, it reduces the rate of hair regrowth. Improvements are usually seen within 4 to 8 weeks, although some women may need to use the cream for a little longer before noticing a difference. Hair growth will gradually return if you stop using the cream.

Symptoms of Facial Hair in Women

Unwanted facial hair in women can appear as dark or coarse hair on the upper lip, chin, cheeks, or jawline. It may grow more quickly than expected and require frequent removal. This can cause distress, affect self-confidence, and in some cases lead to irritation of the skin from repeated shaving, waxing, or plucking. Facial hirsutism is often linked to hormonal changes, such as polycystic ovary syndrome (PCOS), but can also run in families.

Alternative Treatment Options

Other options for managing facial hair include:

  • Hair removal methods such as shaving, waxing, threading, or depilatory creams.
  • Laser hair removal or electrolysis, which provide longer-lasting results but may require several sessions and can be expensive.
  • Medical treatments for underlying causes, such as hormone therapy for PCOS.
  • Vaniqa can be used alongside these approaches to slow down regrowth and make hair easier to manage.

Can Vaniqa Cream Be Purchased Over the Counter?

No. Vaniqa is a prescription-only medicine in the UK. You cannot buy it over the counter. To access treatment, you need a consultation with a doctor or prescribing pharmacist who will check if it is safe and appropriate for you.

  1. Wash your face gently with mild soap and water, then pat dry before applying the cream.
  2. Apply a thin layer of Vaniqa to the affected areas of your face and under the chin twice a day, at least 8 hours apart.
  3. Rub the cream in thoroughly until it disappears.
  4. Do not wash the treated areas for at least 4 hours after application.
  5. Wait at least 5 minutes before applying makeup, moisturisers, or sunscreen.
  6. Continue your usual hair removal methods (shaving, plucking, waxing) if needed. Apply Vaniqa after hair removal, not before.
  7. If you miss a dose, apply it as soon as you remember, unless it is nearly time for your next one. Do not use it more than twice in 24 hours.
  8. Use Vaniqa regularly for best results. It may take 4 to 8 weeks before you notice an improvement. Hair growth will gradually return if you stop using the cream.

Active Ingredient

  • Eflornithine hydrochloride monohydrate (11.5% w/w), which is equivalent to 13.9 mg of eflornithine hydrochloride per gram of cream.
     

Inactive ingredients (excipients)

  • Stearyl alcohol
  • Cetostearyl alcohol
  • Ceteth-20
  • Steareth-21
  • Stearic acid
  • Dimethicone
  • Macrogol stearate
  • Glycerol
  • Methyl parahydroxybenzoate (E218)
  • Propyl parahydroxybenzoate (E216)
  • Phenoxyethanol
  • Anhydrous citric acid
  • Sodium hydroxide
  • Purified water


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.

Common side effects (may affect up to 1 in 10 people)

  • Skin irritation where the cream is applied
  • Redness
  • Burning or stinging sensation
  • Tingling or prickling feeling (paraesthesia)
  • Rash or spots (acne)
  • Dry skin

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

  • Folliculitis (inflammation of the hair follicles)
  • Itchy skin (pruritus)
  • Swelling of the face or lips
  • Ingrown hairs
  • Flaking skin

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

  • Allergic skin reaction such as swelling, severe redness, or pain at the site of application
  • Contact dermatitis

Other reported effects

  • Temporary worsening of acne
  • Increased hair growth if treatment is stopped
  • What is Vaniqa Cream?

    Vaniqa cream is a prescription-only topical treatment containing the active ingredient eflornithine. It is specifically designed to slow the growth of unwanted facial hair in women, particularly around the chin and upper lip.

    Vaniqa works by blocking an enzyme involved in hair growth at the hair follicle level. Over time, this results in slower regrowth, with hairs becoming finer, lighter, and less noticeable.

    Please note:

    • Vaniqa is not suitable for use on body hair
    • It is not recommended for children under 12 years old
    • It does not remove existing hair and should be used alongside your usual hair removal routine

    Always follow the directions provided by your doctor or pharmacist.

  • How Does Vaniqa Cream Work?

    Vaniqa cream contains eflornithine hydrochloride monohydrate, an active ingredient that targets and blocks the enzyme ornithine decarboxylase (ODC). This enzyme plays a key role in the production of polyamines, which are essential for hair growth.

    By inhibiting ODC activity, Vaniqa slows down the growth of new facial hair. While it doesn’t remove existing hair, regular use results in slower regrowth, with hair becoming finer, softer, and less visible over time.

    Vaniqa works best when used consistently alongside your usual hair removal routine.

  • What Are the Benefits of Vaniqa Cream?

    Vaniqa cream is designed to significantly slow the growth of unwanted facial hair in women, particularly on the chin and upper lip. While it does not remove hair completely, it helps make facial hair less noticeable over time.

    With regular use, Vaniqa can:

    • Reduce the rate of hair regrowth
    • Make hair appear finer, softer, and lighter in colour
    • Help facial hair become less coarse and less visible

    Vaniqa is most effective when used alongside your usual hair removal routine.

  • How Do I Use Vaniqa Cream?

    Apply a thin layer of Vaniqa cream to clean, dry skin on the affected areas of the face or chin where unwanted hair is present. Gently rub it in until the cream is fully absorbed and no visible residue remains.

    Application Tips:

    • Wash your hands thoroughly after applying the cream
    • Avoid washing or wetting the treated area for at least 4 hours after application
    • You may apply makeup or sunscreen, but wait 5–10 minutes after applying the cream

    Treatment Expectations:

    • Visible results typically appear within 4 to 8 weeks of consistent use
    • Vaniqa should be used exactly as directed—do not apply it to other areas or use it more frequently than prescribed
    • Continued use is needed to maintain results

    If you notice redness, irritation, or sensitivity in the treated area, stop using the cream and consult your doctor.

  • What Is the Recommended Dosage of Vaniqa Cream?

    Apply Vaniqa cream twice daily to the affected areas of the face or chin, leaving at least 8 hours between applications. The cream is only intended for facial use—do not apply it to other parts of the body.

    Usage Guidelines:

    • The maximum safe amount used in clinical trials is around 30 grams per month
    • Results are typically seen within 4 to 8 weeks, although it may take longer for some individuals
    • Consistent use is essential to maintain results and suppress unwanted hair growth
    • If no improvement is seen after 4 months, treatment may be discontinued
    • Stopping the cream may lead to a return of hair growth within 8 weeks
    • If irritation occurs, consult your doctor before continuing use

    You can continue to shave or pluck hair during treatment. Makeup or cosmetics may be applied to the treated area, but wait 5–10 minutes after applying the cream to allow it to fully absorb.
     

  • What Are the Side Effects of Vaniqa Cream?

    Like all medications, Vaniqa cream may cause side effects, although not everyone will experience them. Most side effects are mild and temporary, particularly when the cream is used as directed.

    Common Side Effects:

    • Redness or irritation of the skin
    • Tingling or stinging sensation
    • Burning or itching
    • Mild rash or swelling
    • Dizziness or nausea
    • In rare cases, difficulty breathing (seek immediate medical attention)

    Less Common Side Effects:

    • Acne
    • Folliculitis (inflammation of hair follicles)
  • Vaniqa cream- Important Warnings and Precautions

    • Consult a dermatologist before starting treatment, especially if you have sensitive skin or are using other topical products.
    • Do not use Vaniqa on broken skin, open wounds, or areas with sores or cuts.
    • Avoid contact with eyes and mucous membranes—the cream is for external use only.
    • A temporary burning sensation may occur if applied to damaged skin.
    • If irritation occurs, reduce application to once daily. If symptoms persist, stop use and consult your doctor.
    • Vaniqa is not suitable for use during pregnancy or breastfeeding without medical advice.

    Always follow your prescriber’s instructions and refer to the patient information leaflet included with your medication.

  • Does Vaniqa provide permanent results?

    No. The effect lasts only while you continue to use the cream. Hair growth will return to normal a few weeks after stopping treatment.

  • Who should not use Vaniqa?

    Do not use if you are allergic to eflornithine or any ingredient in the cream. It is not recommended during pregnancy or while breastfeeding. Always check with your doctor or pharmacist first.

  • Can I wear makeup after applying Vaniqa?

    Yes, but wait at least 5 minutes after applying the cream before putting on makeup or sunscreen.

  • What happens if I miss a dose?

    Apply it as soon as you remember, unless it is almost time for your next application. Do not apply more than twice a day.

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