What is Finacea Gel?

Finacea Gel contains azelaic acid 15%. It is the main non-antibiotic topical option for perioral dermatitis, which makes it a sensible choice if you would rather avoid antibiotics, have used them recently, or did not get on with a previous course.

How does it treat perioral dermatitis?

Azelaic acid damps down inflammation in the skin and normalises the way the pores shed keratin, so the small red bumps and pustules settle. Because it is not an antibiotic there is no resistance risk, and it is not capped at twelve weeks in the way the antibiotic options are.

Stinging in the first few weeks is normal

A mild stinging, tingling or warm feeling for the first two to three weeks is common and is not a reason to stop. It usually settles as your skin adapts. If it is troublesome, drop to once a day for a week before going back to twice daily.

Who this is suitable for

Adults with perioral dermatitis diagnosed by a healthcare professional. Our prescribers will also consider your symptoms, allergies, medical conditions, pregnancy or breastfeeding status and current medicines.

When this is not the right starting point

Do not use this if the rash involves your eyes, is weeping or crusting, or if you feel unwell with it. See your GP or a dermatologist instead.

Stopping steroid creams

Perioral dermatitis is very often caused by a steroid cream used on the face. If that applies to you, stopping the steroid is the single most important part of treatment. Expect the rash to flare for two to four weeks after you stop before it begins to settle. This is normal and is not a sign the treatment has failed.

How to use Finacea Gel for perioral dermatitis

If prescribed, apply a thin layer twice a day, morning and evening. Always follow your pharmacy label.

Clean First: Wash the area with a mild, non-soap cleanser and pat dry.
Apply Thinly: Spread a thin layer over the whole affected area and rub in gently.
Avoid: Keep it away from your eyes, your lips and the inside of your nose. Rinse with water if it gets into your eyes.
Wash Your Hands: Wash your hands before and after each application.
Build Up Slowly: If stinging is troublesome, use once a day for the first week.
Do Not Share: Do not share your medicine with anyone else.

If you miss an application

Apply it when you remember, unless it is nearly time for the next one. If it is nearly time, skip the missed application and carry on as normal.

Looking after your skin while you treat it

Use a plain, fragrance-free moisturiser and a daily SPF. Avoid scrubs, astringents and heavy make-up over the area. Stop all steroid creams on your face unless a doctor has specifically told you otherwise.

Who should not use Finacea Gel

Anyone allergic to azelaic acid or to any of the other ingredients, including propylene glycol or benzoic acid
Anyone with an active skin infection at the treatment site, until that has been treated

Off-label use

No medicine holds a UK licence specifically for perioral dermatitis. This treatment is prescribed off-label, which means your prescriber is using it outside the terms of its licence because the evidence supports it. You will be asked to confirm you understand this during your consultation.

Active ingredient

Each gram of gel contains 150mg of azelaic acid (15% w/w).

Other ingredients

The gel contains propylene glycol and benzoic acid, which can cause skin irritation in some people. Inactive ingredients differ between manufacturers. Read the patient information leaflet supplied with your pack for the complete ingredient list, particularly if you have an allergy or intolerance. If you have a known allergy, tell us during your consultation so our clinicians can check the pack before we dispense.

Like all medicines, azelaic acid can cause side effects, although not everyone gets them.

Common or recognised effects

Mild stinging, burning or warmth where you apply it
Redness or dryness of the treated skin
Itching or mild irritation
Flaking or peeling
A warm or tingling feeling in the first two to three weeks

Stinging early on is expected and usually settles. Applying a thin layer, and using a plain fragrance-free moisturiser afterwards, helps. If it is severe, drop to once a day for a week.

Stop using azelaic acid and call 999 or go to A&E if you develop

Swelling of the face, lips, tongue or throat, difficulty breathing, or a widespread itchy rash
A severe rash with blistering or peeling skin
Wheezing or worsening asthma

Contact your GP or call NHS 111 promptly if you develop

Skin that becomes very sore, swollen or weeping
Signs of a skin infection, such as spreading redness, crusting or pus
Any reaction that gets worse rather than settling after the first few weeks