Finacea

Finacea is a topical gel containing azelaic acid at a concentration of 15%, prescribed primarily for the treatment of mild to moderate papulopustular rosacea.

It is also effective in treating acne vulgaris.

Azelaic acid is a naturally occurring dicarboxylic acid with antibacterial, anti-inflammatory, and keratolytic properties, making it a versatile option for inflammatory skin conditions affecting the face.

In rosacea, Finacea reduces the inflammatory papules and pustules that characterise the condition, while also helping to even out skin tone by inhibiting abnormal melanocyte activity.

Unlike some other rosacea treatments, azelaic acid does not cause photosensitivity and can be used throughout the year without concern about sun-related reactions.

Finacea gel has a light, non-greasy consistency that suits most skin types. It is generally well tolerated and may be used as a long-term maintenance treatment.

Improvements are typically seen within four weeks, with continued progress over three to six months of regular use.

Wash the affected area with a mild cleanser and pat dry. Apply a thin layer of Finacea gel to the entire affected area twice daily, in the morning and evening. Avoid the eyes, lips, and mouth.

Allow the gel to dry before applying sunscreen or make-up. Wash your hands after application.

Consistency is important with azelaic acid; regular daily use for at least four weeks is needed before improvement becomes apparent.

Continue treatment as directed, even after symptoms improve, to maintain control.

Apply approximately 2.5 cm of gel (roughly a pea-sized amount for each cheek) to the affected facial skin twice daily. The total daily dose should cover the affected areas thinly and evenly.

Do not exceed the recommended amount. Treatment duration is typically three to six months initially, and your prescriber may recommend ongoing use for maintenance if rosacea is recurrent.

Common side effects (affecting up to 1 in 10 users) include a transient burning, stinging, or tingling sensation upon application, mild redness, dryness, and scaling of the skin.

These effects are usually mild, occur in the first few weeks, and tend to diminish with continued use. Uncommon effects include itching and contact dermatitis. Serious adverse reactions are rare.

If severe irritation occurs, reduce the frequency of application or speak to your prescriber.

Finacea is for external use on the face only. Avoid contact with the eyes, as the gel may cause irritation; rinse thoroughly with water if contact occurs.

Although azelaic acid does not cause photosensitivity, patients with rosacea should protect their skin from excessive sun exposure, wind, and temperature extremes.

If severe irritation develops, reduce application to once daily or discontinue temporarily and seek medical advice. Inform your prescriber if you are pregnant, planning pregnancy, or breastfeeding.

Finacea is contraindicated in individuals with a known hypersensitivity to azelaic acid, propylene glycol, or any other ingredient in the formulation.

There are no absolute contraindications relating to systemic conditions, but caution is advised in patients with very sensitive or broken skin, as the gel may cause increased irritation on compromised barriers.