Finacea Gel

Buy Finacea gel online to help treat rosacea

Finacea gel is a treatment you can apply on your skin for rosacea. The gel works by slowing down the production of keratin in skin cells, and helps unblock pores and glands.

Our prices

Strength Quantity Price Stock
15 % w/w1 x 30g tube£20.70In Stock
15 % w/w2 x 30g tubes£41.40In Stock
15 % w/w3 x 30g tubes£62.10In Stock
Prices exclude a prescription fee. This treatment requires a quick online consultation,
which a doctor will review to determine if a prescription is appropriate.

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Virginia Chachati

Reviewed by Virginia Chachati MPharm
(2013, University College London)
GPhC Registration number: 2087654

Information last reviewed 03/07/2021


What is Finacea Gel?

Finacea gel is a treatment for rosacea, which is a skin condition that causes redness and facial flushing. It contains the active ingredient azelaic acid. Finacea gel can also be used to treat pustules and papules (small, red spots) associated with acne.

How does Finacea Gel work?

Finacea gel works by slowing down the production of keratin in skin cells and unblocking pores and sebum glands. This means that dead skin cells and oils don't get trapped in your pores and lead to spots. Finacea gel also reduces inflammation by killing the bacteria which causes redness and bumps on the skin.

What are the symptoms of rosacea?

Rosacea is a skin condition that can affect your face and eyes. It usually begins with flushing and redness, but it can also progress to cause: 

  • Permanent redness 
  • A burning or stinging sensation
  • Small red spots (papules and pustules) 
  • Visible blood vessels 

It's most common in fair-skinned individuals over the age of 40 years old, but it can affect anyone of any age.

What causes rosacea?

There are a number of possible causes of rosacea but experts have been unable to determine the exact cause of the skin condition. The main factors may include: 

  • Blood vessel abnormalities - it's thought that sun damage may cause the blood vessels to dilate which results in redness
  • Skin peptides - this is where certain triggers activate molecules inside the skin called peptides, causing blood vessels to dilate 
  • Microscopic mites - there are mites called Demodex folliculorum which naturally live on the skin without causing any harm, and it's thought that individuals with rosacea may have a larger number of them 
  • Helicobacter pylori bacteria - located in the digestive system, might trigger the production of the bradykinin protein which causes the dilation of blood vessels 
  • Genetics - if other members of your family have rosacea, it's more likely you will experience it too

What is ocular rosacea?

Ocular rosacea is a form of rosacea which affects the eyes. It results in red, itching and burning eyes. It's more likely to affect adults who are between 30 and 50 years old.

Is rosacea genetic?

Genetics tends to be a factor in developing rosacea, but experts are yet to find a definitive link on how the condition is passed on within families. 

What triggers rosacea?

Triggers are factors which cause the symptoms of rosacea to flare up. These typically include: 

  • Stress
  • Direct sunlight 
  • Hot water 
  • Hot weather 
  • Cold weather 
  • Strong winds 
  • Alcohol, particularly red wine 
  • Exercise 
  • Spicy food 
  • Caffeine 
  • Hot drinks
  • Menopause 
  • Dairy 
  • Humidity 
  • Certain medicines 
  • Certain medical conditions 

 These triggers may be different for everyone and not all of them will necessarily worsen your symptoms. You may find it helpful to keep a diary to track triggers.

How can I manage rosacea?

There are several things you can do to manage rosacea. Use high factor SPF sun protection every day. Avoid perfumed cleansers and use warm water on your face. Acne treatments can make rosacea worse so use them sparingly. Makeup can help cover up the redness and a gentle moisturiser will help soothe dry, sensitive skin. Keeping a diary of your triggers will help you to identify what they are, so you can take steps to avoid them in the future.

Can stress cause rosacea?

Stress is a common trigger for rosacea. It's not an underlying cause of the skin condition but it can make it worse.

Where can rosacea occur?

Rosacea affects the face and it can also spread to the eyes. Rosacea around the eyes is known as ocular rosacea.

Is Finacea Gel a steroid?

Finacea gel is not a steroid. It contains azelaic acid, which is naturally produced by a fungus that lives on the skin.

Is Finacea Gel good for acne?

Finacea Gel can also be used to treat papulopustular acne. This is characterised by small, red spots which may have white tips with pus. 

How long does Finacea Gel take to work?

You should start to see an improvement in your symptoms after 4 weeks of using Finacea gel.


Active ingredients

The active ingredient in Finacea Gel is azelaic acid. 

Inactive ingredients

The other ingredients in Finacea gel are: benzoic acid (E210), carbomers, disodium edetate, lecithin, polysorbate 80, propylene glycol, purified water, sodium hydroxide and triglycerides medium chain.

Which ingredients can cause an allergic reaction?

While a severe allergic reaction to this gel is rare, skin irritation (burning or itching) may occur when using this medication. Usually, the irritation symptoms are mild to moderate and after the first few uses, it should normally resolve. A severe allergic reaction will present as trouble breathing, swelling of the face/lips/tongue, severe dizziness, and hives. A severe allergic reaction needs immediate medical attention.


How to use Finacea Gel ?

Finacea gel should be applied to clean, dry skin twice a day. Use a pea-sized amount and rub it into the affected areas. If you experience skin irritation, reduce the frequency to once a day until this clears up.

A pea-sized amount should be used twice daily. 

What should I do if I use too much Finacea Gel?

Using too much Finacea gel is nothing to worry about as it's unlikely this will cause any harm. If you experience any skin irritation, reduce the amount of gel you use or switch to once daily until the irritation passes.

What should I do if I forget to use Finacea gel?

If you forget to use Finacea gel, don't use twice as much to make up for it. Skip the missed dose and continue as prescribed by your doctor.

Are there any foods or drink I should avoid while using Finacea Gel?

There are no foods or drinks which will interact with the way Finacea gel works, but certain substances may trigger rosacea symptoms. These include: 

  • Spicy food 
  • Caffeine 
  • Alcohol 
  • Dairy

You may want to avoid consuming these to prevent your rosacea from being triggered.

How long should I use Finacea Gel for?

You should use Finacea gel for as long as your doctor or pharmacist has prescribed. This will vary from person to person but it's likely to be a minimum of a couple of months. If you stop using Finacea gel, then your symptoms are likely to return. 

Side Effects

Common side effects of Finacea gel include: 

  • Itching 
  • Burning 
  • Pain 
  • Dry skin 
  • Tingling or numbness 
  • Rash 
  • Swelling 

 Less common side effects of Finacea gel can include: 

  • Acne 
  • Contact dermatitis 
  • Erythema 
  • Urticaria 
  • Skin discomfort 

 Rare side effects of Finacea gel can include: 

  • Hypersensitivity 
  • Skin irritation 
  • Hives 
  • Worsening of asthma 


Do not use Finacea gel if you are allergic to any of the ingredients. 

Inform your doctor if: 

  • You are pregnant 
  • You have asthma 
  • You are scheduled to have surgery 

Drug Interactions

Speak to your doctor if you want to use other medicines at the same time as Finacea gel.

Can I use Finacea Gel during pregnancy?

Speak to your doctor if you wish to use Finacea gel during pregnancy, or if you are trying for a baby.

Treatment Options

Alternatives to Finacea Gel

Other rosacea treatments include metronidazole gel (Rozex), ivermectin cream (Soolantra), brimonidine (Mirvaso) and oral antibiotics. Oral isotretinoin may be given to treat severe rosacea. If these don't help, you could try laser treatment.

Finacea Gel vs Metronidazole

Finacea gel and metronidazole (in Rozex) are two commonly prescribed treatments for rosacea. Finacea gel contains azelaic acid, whereas metronidazole is an antibiotic.

Can rosacea be cured?

There is no cure for rosacea, but the condition can be treated and managed.

Rosacea self-help

There are things you can do to help prevent rosacea from flaring up. Avoid scrubbing your face, using exfoliants or applying harsh products as these can make your symptoms worse. Use a mild cleanser and a light moisturiser. Always apply sun protection before going outside.

Living with rosacea

Living with rosacea can negatively impact your self esteem. So, getting the right treatment is an important step in being able to manage rosacea. This will help reduce redness, inflammation and the appearance of spots. Many people with rosacea find that camouflage makeup boosts their confidence by covering up the redness. There are online support groups where you can talk to other people with rosacea too.


Can I still wear makeup while using Finacea Gel?

You can still wear makeup while using Finacea gel. If you are applying it after using the treatment, wait for the gel to sink in first. There are camouflage cosmetics available to cover up severe redness.

What kind of foundation can I use to cover redness caused by rosacea?

Using a green tinted base is the best way to even out the redness caused by rosacea. You should also look for foundations which have a high SPF sunscreen in order to protect your skin from sunlight. Brands which are created for sensitive skin are best.

What diet can help rosacea?

Identifying what your triggers are can help you manage rosacea. Common dietary triggers are spicy foods, dairy, caffeine and alcohol. If these cause your skin to flare up, you may wish to avoid them.

Can rosacea cause acne?

Rosacea and acne are two different skin conditions but are often commonly mistaken for each other. Rosacea can include small, red bumps which look similar to acne, whereas acne can cause redness and irritation. If you are unsure, see a doctor for advice as they will be able to diagnose which skin condition you have.

Are rosacea and eczema related?

Rosacea and eczema are two different skin conditions which are not related. Rosacea causes flushing, redness and small spots whereas eczema appears as red, itchy dry patches of skin. They are each treated in different ways.

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