Finacea is a topical rosacea treatment made by Intendis. Its main active ingredient is azelaic acid 15%. Officially, finacea “is a topical treatment for the inflammatory bumps and lesions of mild to moderate rosacea”.
Other topical and systemic treatments exist for the papules and pustules of rosacea, so finacea is not your only choice for treating these rosacea symptoms.
A 20% cream formulation of the drug (Azelex, Allergan) has been marketed since 1996 for treatment of acne.
In the last few years several papers have been published comparing finacea to other topicals, and most importanly for us, assessing finacea’s efficacy in treating some rosacea symptoms.
A 2003 article titled A Comparison of 15% Azelaic Acid Gel and 0.75% Metronidazole Gel in the Topical Treatment of Papulopustular Rosacea found that “Azelaic acid gel was superior to metronidazole gel in reduction of mean nominal lesion count and mean percent decrease in inflammatory lesions”. Neither treatment had a clinically appreciable effect on telangiectasia. Benefits from using metronidazole plateauxed after 8 weeks, but continued to be seen by those using azelaic acid.
This study showed azelaic acid was better than metronidazole, even more so than the 1999 study titled A comparison of topical azelaic acid 20% cream and topical metronidazole 0.75% cream in the treatment of patients with papulopustular rosacea. This 1999 study concluded that 20% azelaic acid cream was merely a safe and effective alternative to metronidazole 0.75%.
Another 2003 article titled Efficacy and safety of azelaic acid (15%) gel as a new treatment for papulopustular rosacea: Results from two vehicle-controlled, randomized phase III studies showed that 15% azelaic acid gel was significantly better at reducing papules and pustules than the vehicle gel (i.e. compared to a preparation without the active ingredient).
A followup paper in 2004 titled Azelaic Acid 15% Gel: In the Treatment of Papulopustular Rosacea summarized the 2 cited 2003 papers above. Additionally one can find published papers relating to azelaic acid and the treatment of perioral dermatitis and acne.
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With regards to treating the erythema (redness) of rosacea, only erythema in the presence of papules and pustules has been studied. Thus finacea’s affect on transient erythema is unknown.
Finacea is not suitable to those with a sensitivity to propylene glycol. About 20% of various trialists report mild side effects from using finacea, compared to 14% using just the vehicle gel. See the prescribing information for more warnings and safety usage information.
A 2004 paper titled Noxious sensory perceptions in patients with mild to moderate rosacea treated with azelaic acid 15% gel was unable to prove via the lactic acid facial sting test (and others) that azelaic acid caused increases in the senstivity of 40 mild to moderate rosacea sufferers.
A 2005 paper titled Cumulative irritation potential of metronidazole gel compared to azelaic acid gel after repeated applications to healthy skin found that when applied to healthy skin, metronidazole gel was less irritating than azelaic acid.
What has been your experience with Finacea ? Would you recommend it to other rosacea sufferers ? Feel free to leave a comment below.
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112 comments ↓
I have found Finacea very helpful reducing chronic
inflammation with redness and burning, on my forehead.
Thanks Chris,
great to hear that finacea has worked so well for you.
davidp.
I’ve had Rosacea for a few years but it came and went with varying levels of redness etc. About two years ago I started taking Financea and was using this to treat the rosacea – with moderate success. However, about a year ago I started having other problems – gynocomasita – and was told to stop taking the Finacea. The gynocomastia problems subsided and I therefore started using topical OTC cortizone cream to manage flair-ups. Now that winter has settled in and an agressive flair up occurred, I’ve decided to go see my dermatologist. He has prescribed me with metronidazole topical lotion 0.75% that I put on twice a day, and he told me I needed to stay away from OTC cortizone. I’ve been taking the metronisdazole for 1 week and find that my redness is worse. Is this normal? In addtion, I’m very active and particpate in bike racing and other high stress sports – ice hockey, skiing etc. -, do I need to stop doing them to get over this? Appreciate this site, it very helpful.
Thanks in advance,
Jim
Hi Jim, when you say `take finacea’ do you mean orally or just topically ? You are doing the right thing to steer away from regular use of cortisone, even in the otc strengths. It can cause thinning of the skin, and even bring on rosacea itself. Some people do react badly to metronidazole, but in general it is well tolerated. You may also be suffering from withdrawal from the topical steroid. You may need to gently wean yourself off the cortisone.
Vigorous exercise may cause a flush, but this doesn’t mean that you can never do these things, just that you need to be aware and try to keep cool.
Hopefully you will be able to get over your steroid withdrawal and get back to a normal routine soon. Here are some hints on how to treat steroid induced rosacea symptoms http://rosacea-support.org/treating-steroid-induced-rosacea
davidp.
Finacea has been working for me. I have suffered 17 years with rosacea metro gel 75mg made my skin more inflamed. I am glad i found finacea thank you dr sidney.
I have suffered 17 years with rosacea. I was using metro gel 75mg.the flare ups and pustilès was getting worse.finacea has saved my life the flare
ups diminished and no more papules or pustiles.
Finacea has been a wonderful discovery. I started using it two weeks ago and I am thrilled to “have my face back.” Roseacea causes redness of course, but I also look older and more tired when it gets really bad. Finacea has made it all dissapear. There is some redness but it is so manageable now.
I am curious about any toxicity or contra-indications, side effects, etc. of Finacea gel. Are there any?
Hi Kt,
The Finacea prescribing information lists some contra-indications. See
http://www.finacea-us.com/legal/finacea_pi.pdf
for more details.
ADVERSE REACTIONS:
Overall, treatment related adverse events, including burning, stinging/tingling, dryness/tightness/scaling, itching, and erythema/irritation/redness.
…
In patients using azelaic acid formulations, the following additional adverse experiences have been reported rarely: worsening of asthma, vitiligo depigmentation,
small depigmented spots, hypertrichosis, reddening (signs of keratosis pilaris), and exacerbation of recurrent herpes labialis.
davidp.
i have just started using finacea, and it works great. I am a teenager, and unfortunitely have a mild case of rosacea, which i had mistaken as acne. after irritating it so much with acne products, i got finacea, and i could see a difference the morning after i first used it. each day my skin is becoming less red. i have found that if you put on a moisturizer first, like purpose redness reducing moisturizer, and the put the finacea on before the moisturizer is completely dry, it cuts down on the slight itchy feeling. i would recommend finacea.
How does one diagnose rosacea vs acne? I have a 16 year old daughter that is always battling acne and nothing has worked for her (although she hasn’t yet tried oral antibiotics, which we’re trying to avoid). I have rosacea and Finacea works very well for me.
Hi Corena, rosacea and acne can share similar looking symptoms – especially with the papules and pustules that you see see with rosacea. I had a go at answering this question in the FAQ:
see http://rosacea-support.org/frequently-asked-questions
Section 1.2
“Is is common that Rosacea does not present with blackheads that are seen with Acne Vulgaris. Also the age of onset, and the location of redness is a clue. Rosacea is commonly an adult disease, and is generally restricted to the nose, cheeks, chin and forehead. It can coexist with acne vulgaris.
Some rosacea sufferers have a significant acne component in their symptoms so it can be easily confused with acne vulgaris. The papules and pustules of rosacea tend to be less follicular in origin.”
Many rosacea treatments are suitable for acne sufferers, but the reverse is less true.
davidp.
Hi David,
I started using Finacea about 2 weeks ago. I am seeing what I believe to be “good skin.” I am too skeptical to get really excited over it just yet. I was diagnosed 2 years ago and have tried many things out of desperation…metrogel, doxy, nizoral, otc’s, herbals, yogurt, vinegar, oils, antibacterials, $2500 light treatments, even urotherapy. The hardest part is how long it takes me to put on makeup. My kids think I am obsessed with my face. I hate makeup. I never had to wear it.
I have rosacea on my face, arms, ears, neck and chest.
Maybe TMI for some, but first, after bathing, I had to sit with a 10x mirror and remove the multitude of peeling scabs, many “invisible.” Meaning, you couldn’t even see them until you scrape your nail over an area and then a dry round scab would appear, that was as thin as a layer of skin from, say a sunburn. The reason I had to go thru such lengths, is because all those flakes and scabs become really pronounced when foundation is applied to them. I was actually losing my left eyebrow from the scabs, the hair wouldn’t grow back because of them.
But since using the Finacea gel, I don’t have them anymore. Every pore on my face was enlarged and full of something that I couldn’t sqeeze or scrub out. It is all disappearing. I actually can slide my fingers over my skin and feel smooth, soft skin. It’s been years. I mixed some in a small spray bottle and spray it into my scalp, all other areas, uses less and gets into those areas better.
I still have a really bad outbreak around my nostril and between my eyebrows, but every day is looking a little more hopeful.
What product could I use next to ensure the proper washing, and restore the proper microbes to my face?
Thank you and the persons that created and made this drug available.
Hi Liana, good luck with continuing to use finacaea. Have you ever tried an anti-fungal like nizoral to see if it might help any seborrheic dermatitis you have ?
Hi David. In the first paragraph, I talk about using nizoral, yes prescription strength and the shampoo.
I was recently diagnosed with Rosacea. I had redness on my neck, face, and chest every time I got out of the shower. It went away after about 30 minutes, but I didn’t know what was causing the red blotches. It is typical for acne to appear? I have clear skin except for the redness. Will it definitely progress to stage 2? Does that happen to everyone eventually? Does it go away with age? I am 34 now.
Thanks,
L
I’ve been using finacaea for about 5 weeks now and have noticed little difference. In fact, I just had a break-out today. Would it be working for me by now or should I continue with it another 2 weeks until I go back to the derm.? What else would work for me?
How long can you safely use finacea? I have been using it for close to two years without problems.I only have patches of rosacea now that flare up when heat is on, or it gets humid otherwise I am pretty clear.It has also lightened my melasma.I would like to continue using it.
Hello I just was diagnosed with a mild case of rosacea and have been taking finacea for a week today and tonight I was getting ready for a party I was hosting and was really stressed and hot and then I had the most awful dizzy spell.Should I be worried?So far finacea has been working and I have been so excited to hope my face will return to normal,but wonder if I should continue using it.Please Help
Thanks Marla
Hi Marla,
It is possible that the finacea has side effects that are not mentioned in the prescribing information. It could also be stress of course. Take it easy and get back to your doctor if you notice more dizziness.
davidp.
Are there any reports of Finacea making heartburn worse?
I was diagnosed with rosacea in Mar 2008 (though it may be adult acne from changes in hormonal birth control). Treatment with oral doxycycline finally controlled the outbreak after 8 weeks. 2 weeks later, I had a horrible and sudden outbreak on the opposite side of my face and went back on doxycycline. I also got my first Finacea Rx 3 days ago. I saw OVERNIGHT improvement, and this is continuing daily. I have heard reports of tingling or burning–I don’t have that, but I do have an odd sensation like insect bites/stings starting about half an hour after application. It’s not bad and hardly noticeable. The improvement in my skin is amazing–even the red patch on the opposite side from the previous eruption is better!
I can’t believe it. Liana, You’re details were almost spot on for me. No pun intended. I spend countless hours peeling scabbed skin and dead skin from my face where old spots were and where I’m picked and squeezed. I’ve been suffering from skin problems for about 12-14 years (since I started college). Started mild, Progressively worse each year, and me in the pits from the emotional trodding a decade and a half of continuous and weird acne-like lesions on my forehead, scalp, and neck bring to a person’s self-esteem. Oh yeah, and lately they’ve been showing up on my chest, doing really big damage to the particularly fragile skin.
Was vaguely diagnosed a few years ago by a equally vague dermatologist with a “autoimmune skin condition of some sort, we don’t know really what, but here’s some super steroid cream and good luck with all that.”
Although starting out as rather rashy looking spots on my scalp and forehead(red, rough skin) over the years mine have consistently become quite pustular, with deep inflammation and the rest of my skin seems to be terrible. My forehead, that which isn’t currently in pustules, seems fully clogged (not with blackheads, but with visibly clogged pores that can be squeezed out). This was never the case in the past. My lower face has become quite bumpy too, not pustular but flesh colored giving my face a rough appearance.
I used steroids for too long (gee it’s great to find out that I may have been increasing my rosacea problems with it), and have now given them up for good. They would work on the inflammed spot briefly but would never completely dissipate the spot. I’m sure I’ve skirted the line with skin athropy. In looking for a better name for my diagnosis, I had dismissed Rosacea for a long time as a possibility because I had mistakenly thought I needed to have experienced large red patches of inflamed skin. In fact, I now believe my early red spots were very small “patches” which have worsened into stage 2 papules and pustules. Seems to be bit more uncommon presentation of rosacea.
I have just started a sulfur treatment two days ago(soap and ointment) and and will be adding azelaic acid in two weeks when I receive the product. The sulfur soap (probably from the licorice root extract) had a slight immediate anti-inflammatory effect, which was a relief to the most sore spots that I’ve picked and squeezed at. what a disorder to have when you’re a natural picker). Spots are still present, less inflamed, and no new ones have appeared. I’m trying not to get my hopes up, but I am hoping azelaic acid will be a helpful step for me.
Also, a bit confused here, where did Liana mention that she had seborrheic dermatitis?
Thanks for the site.
My roscea started slowly about 5 years ago (aged)75 and became really bad. Tried most available creams. At night I apply a thin layer of SAVLON cream. The big change came for me with the use of a drug (prescription ony) AROPAX (paroxetine) 20mg in the morning; prescribed by a specialist. Very little rosacea now. Somtimes in very Hot and Humid situations a little. David C.
Hi David,
Did the Paroxetine help with flushing or in other ways help you cope with rosacea ? Did you notice any other side effects ?
Great to hear that you are getting a handle on your rosacea.
davidp.
I had really bad acne starting around age 12. Benzoyl peroxide was nightmare! It left my skin feeling raw. Eventually, I went through two rounds of Accutane and that made a huge improvement. For some reason, my dermatologist kept trying other treatments… Retin-A (didn’t help much), tetracycline (I turned out to be allergic), erythromycin (useless), and the worst… chemical peels (which made my skin very inflamed).
Now I’m 32. People have been telling me for a few years that I always looked “flushed” or ask if I have a sunburn. I have noticed that my skin is very dry and sensitive to sunburn, wind, and heat, but I had pretty much given up on trying new products. They all just seemed to make the problem worse. Big surprise… I started using Finacea a few days ago and I’m already noticing a difference! I never thought about rosacea, even though one of my great-grandmothers had a terrible case. Looks like I have it too.
Thanks for this website. It’s so helpful to hear about other peoples’ experiences.
I have mild to moderate acne. I’m on retin-a for 6 months now and obagi nu-derm for 3 months and I’m liking the results. But I asked my derm if we can replace retin-a with something I can use during pregnancy coz I don’t want to worry about it if I get pregnant, and she prescribed Finacea. I still get one or two pimples every now and then and the hyperpigmentation due to the 1st 3 months with retin-a is fading. I’m scared to start Finacea because of the warning of hypopigmentation. I’m a Filipino and don’t have very white skin.. What are the odds of me getting it? Is there an initial breakout? And do you really blush when you drink something hot because of it – if so did it go away?
I was diagnosed 25 years ago (i’m 42 )and tried just about everything under the sun I had the worst experience with Metro-Gel and doxycycline did nothing
I just started using Finacea and so far I’m pleased with the results and it’s been two weeks
Hey that is great news Christine, especially after having had rosacea for so long ! All the best for finacea continuing to help you.
davidp.
Until 6 months ago, I had great skin. Then adult acne started to creep in. I have tried facils, products, nothing has helped. My doctor prescribed finacea and I have been using it twice a day for about a week. First few days we good. Now I am experiencing redness and burning. My face sometimes get warm and looks like I have wind burn. It has never looked like this before so I am not sure what to do. Should I continue with txt or stop? Thank you for your time and help.
Hi Jenn, these are common adverse effects. It would be best to return to the doc to advise whether to try to continue or not.
I have been using finacea for three weeks and see a big difference. I was diagnosed with rosacea about 10 years ago and have been getting photoderm treatments about twice a year since. They helped somewhat but in the three weeks since I have been using finacea my redness is greatly reduced. My pore size has shrunk and my skin is much smoother.
I can actually get through my workout without my face turning beet red.
Do you know if it is safe to use finacea indefinitely?
Hi, I’ve been using Finacea for about a year now. On my perscription bottle it has a discard date of November, 15, 2008… is it still safe to apply it to my skin even though its past that date?
I am 58 years old, my dermertologist says I have roscea. However, I never had the “symptoms” of roscea, I went to the Dr. because of an acne problem – at my age!! I’ve been using finacea for over a year. I find that my skin is thin (from age?) that when I attempt to press out a blackhead or postule under the skin – I end up wih the area being so bruised and red that it’s look like I’ve been burned with a cigarette, because it then scabs over. I take good care of my skin, but the pores seem to be larger than ever and makeup just don’t fill the “pits”. Any suggestions out there? Do I need a different treatment? Why am I still having acne at 58, when my mother told me at 14, I’d outgrow it!!
Thanks
Hi All
I have a bit on an update since I was last here Nov. 2008
It’s been two months since I began the Finacea treatment and I cannot get over the unbelievable results ! My nose still shows a little bit of redness but not as pronounced as it used to be, even the skin on my cheeks has greatly improved.
This product is amazing!!!
Hi! All…with regards to FINACEA…( http://www.egofarm.com )supply an Azelaic acid 20%w/w..Brand ACNE DERM..
Having used it for 6months I have noticed no difference between them regarding end results. David C.
With regards to my previous entry that should have been (www.egopharm.com)..Sorry..DavidC.
I think the link from David above should be this one ;
Acne Derm Medicated Lotion
Interesting that it appears to be available without a prescription in Australia.
Finacea is 15% azelaic acid, and Acne Derm is 20%.
davidp.
I was diagnosed with rosacea in Russia in 2005 and was prescribed (over the counter there) Skinoren gel, which is Finacea in the U.S., in combination with a 10% sulfur/.4% hydrocortisone acetate cream called Sulfodekortem, after neither erothromycin or Rosamet (sp?) helped with my acne rosacea. The combination worked fantastically. I’m also on a low-dose European contraceptive pill, which keeps my hormones in check and has acne-reducing properties.
The dermatologist here in the States recommended I just use the Finacea gel alone because most Americans don’t like the sulfur smell (unnoticeable after moisturizer and makeup). Finacea generally worked fine alone, but I really find it to be more effective in the sulfur cream combination. I still have redness in a couple of areas, maybe because I refuse to give up red wine and spicy food, but I am very pleased with Finacea.
This site is in Russian about the sulfur cream: http://www.nizhpharm.ru/user/products/p1212.html
This article talks about sulfur in combination with topical rosacea treatments (English):
http://www.accessmylibrary.com/coms2/summary_0286-3910361_ITM
I got a prescription for Finacea in December, 2008. It stopped the burning and itching on my nose at once but after using it twice daily form 2 months it became an irritant. My nose was sore and tender and the pores enlarged. I stopped using it and the pores decreased in size and the tenderness went away. I coudln’t use it on my checks at all –it burned severely.
I have suffered from rosacea for many years. I have been on metrogel for at least 6 years. It doesn’t make it better but it seems to keep it from getting worse – unless I am out in really cold weather. My dermatologist wanted me to try Finacea – to alternate it with metrogel. One in the morning, one at night. The Finacea seemed to have no ewffect at all. So i stopped using it. I am now trying VB Laser treatments. It has only been 2 weeks since the treatment. My dermatologist said i should see a 40% reduction in redness. I haven’t really seen it yet – but i am hopeful. I tried the aveeno ultra calming daily moisterizer with spf15 and it worked really well for me.
How long did you use the Finacea. Finacea has been amazing for me, but I had to muscle through the first ten days of slight worsening as the skin adjusts before improvement started. Big results came at about four to six weeks for me, and still continue many months later. Rosacea treatments can really improve things a lot, but they do take several weeks to start working and you have to methodically try them over time until you find the right one for your skin, as your dermatologist hopefully told you. Artist (Not medical advice. Ask your doctor first).
I concur with Artist. My dermatologist told me to try each treatment for 30 days to give it time to work. Like I said before Finacea in combination with a sulfur cream really got my acne rosacea under control. I occasionally get small pimples, but rarely the nasty, painful boils I used to get.
Incredible and immediate effect!
Only 3 days after using Finacea, my nose is 90% fine !
I just can’t believe it and I hope that this effect will last long.
For Aussies look at a much cheaper but equally as effective brand of Finacea: ACNE DERM by Ego available at most Chemists. AU $10.00, less than half the price of Finacea.. No I don’t hold shares..A little news…Two of Americas most famous OLD TIME comedians..W.C. Fields and..”Snozzle”Durant both suffered from Rosacea..Queen Elizabeth the 1st of England painted her face with WHITE LEAD to mask the same complaint..DavidC
My dermatologist told me I had rosacea and recommend Finacea. I noticed results almost overnight and was so excited. I didn’t realize that my skin could be so smooth. One problem is that my insurance won’t cover it and it is $150.00. Anybody know what a good face wash would be? My skin is really sensitive.
Thanks
I use it, too, and do really well with it. Finacea does dry out skin, so you will likely need to moisturize really well. I like Vanicream Moisturizing Skin Cream for moisturizing, and Toleraine Dermo Cleanser by La Roche Posay for cleansing. They are both super gentle and popular for those with rosacea. Good luck!
Artist
Hi ! Lisa. Is that an error re $150.00 for Finacea. ?Perhaps it should be $15.00. Is it USA dollars? All the best. pitanjara
Boy,
I wish I was kidding about the price. It is actually, $149.99. I am trying to talk my insurance into paying for atleast part of it. The other lotion they had me try totally burned my skin and made it itch like crazy. That is the one the insurance company wants to pay for!
Also, anyone know of a good “base” for my face to wear on a daily basis?
Thanks,
Lisa
Very very very strange and unusual – buy a one from internet with shipping. It’s going to be a lot cheaper.
I bought mine finacea in Bulgaria for $13
I get my Finacea mail order from Caremark (thru Blue Cross of NJ) I asked Caremark what it would cost if I had to pay the full amount and they told me it would be $60 a tube. Fortunately I have a fifteen dollar co-pay. Where did you get quoted $150 a tube?
Susan
Comment via email from Lisa:
Susan:
I was quoted $150.00 from CVS pharmacy. I have blue cross/blue shield with a $20.00 co-pay. They want my Dr.’s office to call them and tell them why I need this pricey lotion. I have to have it, though, even if I have to pay full price. It has already made such a difference in my face. They kind of have me over a barrel. I forgot what it was like to have smooth skin. I thought my issues were just age related.
Lisa
Azelaic acid with MOISTURISING base (20%) ACNEDERM by Ego Australia, (US$6.27=25g). FINACEA 15% by Schering, (US$17.29=30g). The above available onlie at (chemistwharehouse.com.au). Ordering from here (buying more than one item) should be a lot cheaper even including airfreight. I find that ACNEDERM by Ego much kinder to my skin. Perhaps it is because of the added moisturiser. ?A lot cheaper.pitanjara
CVS owns Caremark((mail order) so that is really strange that they charge so much when getting it thru a CVS pharmacy.
Yes, Finacea in the US is horribly expensive. I complained to my dermatologist about the greasiness of the Metronidazole topical, so she gave me a prescription for Finacea.
The Walgreens pharmacist asked me if I was aware that this would cost $118. And that was under my insurance plan which generally lowers my prescriptions considerably.
So far I’ve noticed that my skin feels softer after one weeks use but I am now having my first nose outbreak in 6 months. : (
finacea 15% made my skin painful, a bright red rash, red hot skin, and spots when i put the cream on for the 1st time. the next morning my skin had spots on it and worse is this normal should i carry on using the cream? metrogel i used before and that seemed to work a little.
would lazer surgery work to take away some blood vessels on my face would it get rid of the redness or do you reckomend anything else
I had a consultation for laser to get rid of redness and the fourth question they asked was did I have a nickle allergy and I said all my jewelry comes out of a nickle free catalog and my eye glass frames have to be titanium or I break out with blisters. They said the tip of the laser would have to touch my skin and its nickle. They told me to buy make up and ended the interview.
I used Finacea after being diagnosed 3 months ago. The results were immediate, my skin was so smooth. I would put my Finacea on at night atleast 30 minutes after washing my face. I loved it! Then, my skin started getting really dry and slightly red. Once in a while it would burn, not too much. I had to go to every other night. Insurance wouldn’t cover it and it cost $150.00. So, after two months of using samples, I received a prescription for Azelex. It is the same azelaic acid, but in a 20% concentration. The cost is much cheaper. The base of the acid is in a cream, not a gel. I do not get the dryness with this product., not stinging, either. I use it every night after washing my face. I use CerVe cleanser for my face morning and night and it has made a world of difference! Another tip, don’t apply anything on your face for atleast 20-30 minutes after washing, your face is very sensitive at that time. I almost can’t believe that my face looks this good, no outbreaks and my bumps are almost gone. I would have loved to continue using Finacea, but I can’t afford it. This Azelex seems to be working well and I don’t have to use moisturizer at night.
Good luck!
I’ll give my feedback again – after one month of using Finacea it stopped working so fine as in the beginning.
I’ve changed it with Rosacea Cure which seems to be working better for now.
I’ve always had a problem with redness on my face and recently it has been constantly red. I’ve tried so many products, expecially natural products.
I went to my Dermotologist and she diagnosed rosacea with some dermatitis. I told her I was trying to get pregnant and she prescribed Finacea.
I’m a bit nervous to try it because I’ve been trying to get pregnant for over a year after having a miscarrage. I’m 41… Everything I’ve read says to avoid unless absolutely neccesary. My face is driving me crazy as it’s red and itchy all the time now… What are your thoughts?
Thank you!
Terri:
Hi,
First off, after being diagnosed with Rosacea about 4/5 months ago, one thing I have learned is to be patient. Stop switching and/or changing your skin care routine too often. I was in a panic and tried so many different things that I wasn’t even sure which ones were making my skin worse.
One thing that has really saved my skin was Cerave face cleanser and lotion. I don’t know about using fineacea when you are pregnant. I personally wouldn’t use anything if I was pregnant or trying to get pregnant. Also, things with zinc oxide in them are really healing to the skin. Look for products with minimal additives in them.
good luck
Lisa
Just started Finacea, wish me luck!!
I really hope it works as i’ve been experiencing redness throughout the face since High School and now i’m 29 and have finally decided to do something about the appearance of my face.
Here’s to progress!
Julia
Hi Lisa,
Thank you for your advice… the Cerave is great! my skin seems happy again. There is still redness sometimes but not as bad as it was.
Best,
Terri
how long is it safe to use finacea? I was told that because it is an acid, I shouldn’t use it longer than 6 months, because long term use could cause thinning of the skin. I really love it, have great results, and don’t want to stop using it. However, I don’t want to cause thinning of my skin (which will eventually cause ageing) or damage to my skin. Furthermore, as a woman, am i at risk of getting hormonal problems from long term use of finacea? Apparently finacea mutates the testosterone in the body (causing hair growth)…
Yeah I have the same question as Irene, how long is it safe to use finacea? I ordered mine from Australia instead of paying to see a dermatologist. The packaging says no longer than six months. I also was wandering after I stop using it, when is it safe to start it up again?
I am an African- American woman who was prescribed finacea to use for steroid induced rosacea (a decade of cortizone 10 use at night). I could not use it at all. It made my symptoms 10x worse! I could not sleep due to the swelling and pain. I only used it for 3 days and it lighten my skin. After having to sit with cold compresses on my face in the area I used finacea overnight, I called the doc. I told her I had to quit. So I’ve been using purpose cleanser and Aveeno ultra calming moisturizer with spf 15. This seems to work okay. I have a 2 week check up this week and have several concerns but my most pressing one is ….
What is a good overnight moisturizer to use? I would like to find one that tones the skin to address the lighten area on my face.
So sorry your skin reacted like that! Finacea works for me, but there are other medications to try like Elidel, metrogel, antibiotics, and non-prescription options. Have you checked out the online rosacea support groups? http://health.groups.yahoo.com/group/rosacea-support/
…also, my favorite moisturizer for my sensitive rosacea skin is Vanicream Moisturizing Skin Cream. It’s sold at Walgreens and I get the thicker one in the bigger tub, not the “lite” version. Some others that are good for rosacea include Cerave and Cetaphil.
I am a 50 year old female who had acne as a teenager and young adult. Finally, about 15 years ago my skin cleared and even the dermatologist commented on how nice my skin was. Then wham mo, Rosacea appeared. We’re not talking the “looks like a sunburn” kind but the “what is wrong with your face!” kind with lots of whiteheads, painful pimples, pustules, etc. I am so disappointed! This all started when my son moved back in after losing his job. He’s a good kid, but I guess the stress of it all was the trigger.
I tried Oracea and a sulfur wash which helped at first but then began to irritate. I discontinued the wash and started using Cetaphil. Some clearing. At my next dr apt. they were surprised that things weren’t improving and switched me to Doryx and Finacea. I haven’t used the Finacea yet but am hopeful. They even did a biopsy to be sure it wasn’t Lupus. It came back that it was Rosacea and Seborrhea. I am not a “pill popper” and hate having to use medications every day, but I also hate the painful, ugly mess on my face. Question….Can you “outgrow” rosacea, or will I be using medication for this in the nursing home?
Hopefully I can report improvement later on. Thanks everyone.
I was diagnosed with Rosacea five years ago after suffering from it for so many years. At that time, I was given antibiotics to reduce inflammation and was put on Metrogel. I had moderate to severe redness but not too many papulus/acne. Metrogel worked for me, most of the redness went away and my skin was so much better. The redness was never completely gone but no more flare ups with just a little redness. In my dictionary, it was a success. Overall, I lived free of rosacea for years (I stopped using metrogel almost two years ago).
Recently I gave birth to my son and perhaps due to hormonal changes, I noticed that I have a lot of bumps that look like acne except you can’t really pop (nothing inside). The bumps are so severe that I went to a dermatologist who prescribed finacea. I have been using it for close to two weeks but haven’t noticed any improvements at all. I feel itching and stinging and my face appears more red. Because of my acne history and rosacea, my skin is already thin as it is. I am concerned that Finacea will make my skin even thinner. SHould I continue with Finacea? how long before I should start seeing improvements?
CG, I saw my improvements in a week
CG, I have had rosacea for over 20 years and am using Finacea, which I like. It did sting when I started it and took a few weeks to stop doing that. Now, along with using Cetaphil and a sulfur wash, my redness is reduced, but like you I also have strange little bumps clustered on my cheeks that two dermatologists could not explain! They appeared in the last year, and nothing makes them go away, not even the Finacea. Wish I knew what they were. I intend to keep up with my regimen as I know my rosacea could be much worse.
HEllo Everyone,
I was giving this for a pigmentation mark? Will it help it or make it more red?? The derm said try this before bleaching cream. I also am having some microderm done. I am very confused on why she would give me this to help a pigmentation…has anyone ever used it for that reason and how long did it take? I also have thin skin..should I seek another opinion I only used it so far 3x.
I would be very cautious until you find out a good reason for using this for pigmentation. I have used it for burning and itching during a flare up but cannot use it day in and day out as it becomes too irritating. I had a bad experience earlier this year when a dermatologist talked me into a “slush’ treatment which is normally used for acne earlier this year. I do not have acne- jsut severe redness. It damaged my skin. But it was covered by insurance and he wanted the money. As much as you want to trust your doctors you have to be very careful about treatments they want to do.
Hi Everyone…thought I’d update on what’s going on with my face. Well, I have switched to Doryx which is 150 mg of timed released doxy. It’s working great! My face is completely clear for the first time since January. I still haven’t used the Finacea because I just havn’t needed it. Thank God! I do, however, have a new development. Looks like I have Ocular Rosacea now. Lots of little “stye” type whiteheads along my upper and lower eyelid on my left eye. I use warm compresses which helps alot but it’s painful and I haven’t been able to wear contacts in a week. Anyone else have this? Best I can figure, it comes and goes. What next? Thanks!
Last August I developed the first stye I had ever had and went to an eye doctor thinking it was an infection. He told me it was a stye and said to use warm compresses. I had been having sensations of dust in my eyes from time to time but it was so mild I didnt mention it. A month later things got really bad. The dust sensation progressed to feeling I had sand in my eyes and my vision got blurry. I also was getting increasingly red and inflammed on my face and nose. My nose got so sore I couldn’t touch it. At first I thought this was some kind of allergic reaction so I stopped using makeup and cut out everything I could think of. I kep checking drug interactions and googling my symptoms. I finally read on the Mayo clinic’s website that this was all a rosacea occular and facial flareup and it said that blood pressure meds that dialate the blood vessels can cause this!!!! I then realized that the dust sensation and mild flushing which I had erroneously thought to be hot flashes began when I was put on 75 mg of Avapro and the severe symptoms began when the dose was increased to 150 mg. My face looked like a 4 alarm fire. I threw the pills out and the eye symptoms began to rapidly improve in 48 hours. It took 3 months for the face and nose to get over the flare up. I have some permanent enlargement of the nose tissue. I cant blame the doctor who prescribed it as there is no warning in the drug literature which is why it took so long to determine the culprit.
Hi! Susan,
I thought Avapro (irbesartan) was for high blood pressure. Yes it can cause flushing but is meant to lower elevated blood pressure? Guess your taking an alternative?
Thanks for responding Susan. I do take blood pressure med (tenorman) but have been taking it for over a year without any flareups. This all started in January 2009 when my son moved back in. The derm doc said he thought that may have been the trigger. I hope it’s not my blood pressure medicine! My eyes have cleared up pretty much. I never had the “sand” feeling just soreness and the styes and itching. I’m gonna try to wear my contacts tomorrow and see how it goes. I HATE ROSACEA!
I am taking a diruetic now. Anything that lists “may cause erythema” as a possible side effect is a huge red flag for those of us with rosacea.
I am using finacea for rosacea, and found that an excellent cleanser that reduces redness is Avar Cleanser. The Avar is by far the greatest improvement in my rosacea symptoms.
Does Axelex cause the skin to thin?
Has anybody used Oracea? My dermatologist just prescribed me this oral medication because finacea just wasn’t cutting it with my rosacea symptoms. It would be great to hear about experiences with this oral medication (good or bad).
My rosacea can be moderate to intense during certain periods of the year. Still haven’t figured out the pattern.
Thanks,
Julia
I took it for 2 months. They say it doesnt have any antibiotic acitvity but I still got yeast infections from it just like with regular doxycycline.
For anyone who is interested.. i have used acnederm (20% az.acid) on and off for acne for many years. It is very cheap in Australia ($10). However, it is in a cream base and i have read research that suggests Finacea (15 % az.acid in gel base) is far more effective as a vehicle in delivering the active ingredient into the skin for Rosacea sufferers. Finacea in Australia is ($30 approx). I have had overnight using Finacea to treat my papopustular rosacea (no real flushing) which I have had for the past 5 years (I had been misdiagnosed in the past with perioral derm, kp and just plain old adult acne). I am over the moon at having baby soft skin again and just hope it keeps working as sometimes my skin can become ‘tolerant’ to treatment.
Cheers
Bek
To Julie, re post 81….I tried Oracea for awhile. It worked great at first with no side effects and then my acne rosacea came back with a vengeance. I am now on Doryx tablets 150 mg (timed release), and my face is completely clear. Guess Oracea works great for some people but unfortuanately I’m not one of them . Hope you are! By the way, if you go to their website you can get a discount card for your perscription. I never paid anything for mine (my insurance paid all but $30 and the card discounted the rest). Good luck!
Susan…just wanted to let you know that I went to the eye doctor and he said I didn’t have Ocular Rosacea. Yipee! He said it’s just a condition where the oil glands in the eyelids block up and the warm compresses thin out the oil and clear them away. I don’t have any symptoms right now but he said it can come and go.
Styes, chalzions and blocked membian (SIC?) glands can all be symptoms of occular rosacea. So keep that in mind. If you feel like you have dust or grains of sand in your eyes and/ or get blurry vision then its a flare.
Yikes! Didn’t know that. Haven’t had any other symptoms though, thank God. I’ll watch for them. Hopefully, this is the extent of it. Way to burst my bubble, Susan. : )
I have been using Finacea for a few months now but I know I am missing something in my routine. I bought a Toning Mist from Aveda and a Exfoliant from Aveda. Both stay on my skin, exfoliant at night…tonight mist during the day. Should I put finacea before or after?
A few new thoughts:
1.The finacea gel I’m using has different colors than the one on this page
2.On the eye-drops there is a text saying – don’t use it one month (30 days) after it is first opened. I’ve bought yesterday a new packing of finacea gel and when I started using it, it was a lot more powerful. Just like the eye drops – they don’t function properly after 30 days. This fact is not documented anywhere, but I’m starting to believe in it. The gel is a bit cheap in my country – about 14 USD so I can afford it. It’s not like in the US to cost above 100 USD :X
Sarah,
I was told by my dermatologist that finacea should be applied to the skin after cleansing and before using a moisturizer. My thoughts are that if both of these products stay on your skin then you should use the fnacea before but i’m not the expert. Also, my doctor advised me as a rosacea patient to steer away from exfoliants but do whatever works best for you since we all react uniquely and experience different symptoms of rosacea.
Julia
Susan…went to the dermatologist today and he said the eyelid problem is not rosacea. I was glad. I hope I never develop ocular rosacea….it sounds awful. Thanks for all your advise.
I have just recently been diagnosed with Rosacea. I was prescribed Finacea 15% gel and have been using it for almost a month now. I saw positive results already within the first week of use. It has virtually stopped papule breakouts and the skin is much calmer. However the skin is still red. I have read on the internet that Rosacea has connection with too low stomach acid and that taking Betaine HCI might help?
I used Oracea for a couple of months. It didn’t really help and caused some gastro-intestinal problems. I just started with Skinoren (20% azelaic acid) a few days ago, and it has definitely helped (I rarely have pimples but just overall redness/inflamed skin). I used it many years ago for regular acne. It always worked great for a while but the effects seemed to lessen over time. After giving it a break, it would work great again. I suspect this will happen with the rosacea as well. I’ve used the AcneDerm in the past, and it seemed pretty similar to the Skinoren/Azelex to me (though I never compared side-by-side). I’ve purchased mine (both Skinoren and AcneDerm) from the US with no prescription at http://www.4cnrs-skincare.com/. I’ve purchased from them for many years now off and on, and have never had any problems.
How long were you on the Oracea for?
Hi! Robin,
Curious about AcneDerm availability in the US. ? It is produced by Ego Aust. and I was not aware that it was available there (US).. I find it an excellent product (20% Azeleic Acid) as against 15% in other prducts..If you want your skin to LOOk GOOD they produce another Skin product just called (Skin Cream). There is no indication what is in the cream..Apply it over the top of the AcneDerm after about 10 mins. and it drys to a greasless matt finish. It is very cooling and reduces flushing within minutes. It can be mixed with a foundation cream such as TRUBLEND 3 or similar until you get the required tint. It is a complete finish leaving the skin smooth and white, and it will see you through all day if applied in the morning, and at night if required.. Care has to be taken that any container used to store the mixture is thoroughly sterilised, including your hands etc..All the Best pitanjara
AcneDerm is not technically available in the US. I purchase it from an overseas company that sells to the US.
As I said about the Oracea, I used it for a couple of months.
Hello Everyone: Well my doc cut my Doryx in half so the putules etc started back right away. I have begun using the Finacea gel sample they gave me to try and it is making a difference. My breakouts are healing quickly so we’ll see what happens in the long run. I’m supposed to eventually go down to 50 mg of doxy within 3 months. Maybe the combination of Doxy and Finacea will work for me.
I have been using Finacea for about 2 months now and seen a huge improvement – no more spots or flaking and a lot less redness too. I’m using it with a mild hydrocortisone cream which I think was to reduce the flaking.
I couldnt tolerate oral antibiotics but a topical treatment is a much better solution.
Could more patients could use Finacea instead of antibiotics if it were better researched/publicised?
The best moisturiser I have used is Double Base which is great and cheap too!
I went to the dermatologist yesterday because I have some mild hyperpigmentation on my forehead and he prescribed Finacea.
I was shocked to learn it was for Rosacea as he hadn’t mentioned to me that I had Rosacea. I came home and did some research and found that Finacea is also prescribed for hyperpigmentation.
My question is….has anyone successfully treated hyperpigmentation with Finacea? If so, how long did it take for the brown patches to fade? Also, does the hyperpigmentation return when you stop using Finacea?
Thanks so much (in advance!)
My new dermatologist diagnosed me with rosacea approximately two months ago. I had always thought I had acne (since I was a teenager – I’m fifty now). My skin was doing okay on an anti-acne regimen (benzaclin and clenia) until about six months ago when I added retin-a and my face went wild — painful, under the skin cysts and pimples. I dropped the retin-a and tried my old program but continued to experience cysts. After that I saw the new derm who put me on Oracea, Metrogel and Finacea. It’s hard for me to really tell how well they are working. I still always seem to have at least one or two large angry pustules going — currently my nose is the hot-spot. It does look very much like the photos on this site. What’s weird is that none of past derms have mentioned rosacea and I do have blackheads. My skin is red but I do not flush easily. How do I know if it’s really rosacea?? Also, the pimples I’ve had over the past few months seem to be leaving red marks that don’t go away (and picking makes it worse, of course). Sorry for the long message, but it’s great to have some place to share this stuff. Thanks.
I have mild Rosacea with some bumpiness. I never had any symptoms until 2 weeks after I had finished a 6-month round of Accutane [40mg/day]. My skin also became very very oily. It would almost seem I had a reverse effect once the Accutane was stopped. Now I take Finacea. I have been using it for about 1 week. it seems to work a little, but not a miracle by any means. It does seem to ’smooth’ out the bumps I get, but my skin is still pinkish hued. Worse spots are directly to the sides of my nose [inner cheek]. But of course Derm says it can take months to work. I use Murad cleanser, then Finazea, then CeraVe lotion [due to being recommended on Finacea website].
Question: Has anyone asked the dermatologist how long Rosacea is expected to last? Am I going to be 80 years old with pimples?
Hi Lori,
Sadly there is no real answer to this question. Rosacea can be episodic – the symptoms come and go, sometimes seemingly with no connection to exposure to triggers.
The aim of many rosacea sufferers is to get their symptoms to the point where flareups are less common and you feel like you are pre-rosacea.
The good news is that the vast majority of rosacea sufferer do get good relief from their papules and pustules – in comparison to other symptoms they are relatively easy to treat.
davidp.
I just used finacea for the 1st time and it burned/irritated my skin incredibly bad and made the dry patches/pustules worse. Is this normal? I find it hard to believe that this could be beneficial to my very sensitive skin.
Hi! rachel,
Finacea is not the cure all for Rosacea. If your skin reacted badly to this product perhaps you should just try a skin patch test. Try the inside of your elbow ovanite with a layer of finacea. If this area becomes irritated you may be allergic to it. If not apply the gel to small areas at a time till your skin becomes accustomed. After you have applied finacea there is a skin cream which works wonders with rsacea. Depending where you live. The Cream is “EGO Skin Cream”. I apply it liberally twice daily and it is absorbed into the skin very quickly, leaving it matt and smooth with a beneficial cool response. All the best pitanjara
Hi all,
Nice to find this website. I have been diagnosed with rosacea but do not have any of the bumps or pustule symptoms. My face (nose especially) gets red as do my cheeks.
The doctor gave me a sample of finacea but I am reluctant to use it because I’ve heard it can bring on the bumps, etc.
Does the rosacea get worse if I do nothing and just suffer the facial heat and blushing?
I welcome any suggestions. I have very dry skin.
Denise
I have been living and suffering with both rosacea and chronic sebb dermatitis now for about 20 years.
I am nearly 44 and dont really know which way to turn anymore, as i have severe end stage neuropathic rosacea. ie all aspects at times to varying degrees!
With flushing nearly 100% of the time and burning , redness, stinging and also chronic flaking and redness from the severe adult cradle cap.. (sebb derm.)
Trying to alleviate one condition can cause the other to become worse also, all so easily.
Even water on my face can be upsetting,not to mention
drying it out even further, so forget shampoo of any kind for me, as it upsets my scalp and forehead and risks upsetting my face even further.
I would not recommend cetaphil cleanser at all for
anyone with a dry sensitive skin, as it has sodium lauyl
lauryl sulfate in it (sls) and should not be used , as it makes the skin worse in the long term. So those who promote it i think are very irresponsible (for those who should know better )! If they really care about sufferers such as me and the others on here, then they would get rid of the sls and sles altogether!
I dont see how it can or should be promoted for people
with dry problem skin, epsecially those with rosacea.
I have tried so many things as samples for my
conditions and am very reluctant and scared to experiment any further..due to direct irritations and further transient or permanent damage and discomfort.
I dont go out in the sun at all without a sunbrella and only when i have to, due to the heat and the uvrays.
I cant use suncreen and dont have much of a life that
is enjoyable and productive..and being indoors is very depressing of course and the heat inside doesnt help..
I dont bother with dermos now and laser treatments have failed me.
Any well repected dermatologists here in Oz, that are well versed in Rosacea??? Hard to find if they do exist!
I just thought id let you know how life can become for some of us…I hope not too many others are living
like me here in Autralia.at least ..but i suspect there are just too many!
Some feedback would be appreciated ..
regards Mike B NSW
Dear Mike,
It sounds like you are really suffering, and for this I am so sorry. If you have tried all the treatments out there and still suffer the neurological pain, you may wish to consider some psychological aids such as CBT or DBT therapy. A friend of mine suffered from severe pain related to depression and found substantial relief from using these therapies and mindfulness. I was at first skeptical about how this could work with real, physical pain, but the therapies have a very good record of success even with diabetic neuropathy. I hope this helps and will be sending good thoughts you way.
Denise
Dear Mike,
I am not sure if the first message I sent got through so am repeating here. First, I am so sorry for the clear and awful pain you are in. If you have tried all the medical treatments without success, you may wish to consider DBT or CBT therapy. These are approaches used by psychologists to help patients with chronic pain. They have been used successfully with depressed patients and even with patients suffering diabetic neuropathy. A friend of mine has been doing DBT for a while and says it has helped her pain significantly, letting her lead a more normal life. I truly hope this helps as it is difficult to know someone is suffering the way you are.
Denise
Finacea is over rated. Firstly it’s only 15% and yet it’s more expensive than the cheaper and stronger Ego Acnederm Medicated lotion at 20% using micronised azelaic acid which means better penetration.
Secondly, US citizens should be buying it from Australian online sites because you guys are getting ripped off by big pharma over there. Ego Acnederm Medicated lotion here only costs $8.99 a tube! Ignore the ‘acne’ tag, it works exactly like Finacea. Try http://www.epharmacy.com.au that’s where I get mine from.
Look at the ingredients, Finacea and Ego Acnederm are almost identical except for the strength and price.
Make sure you wear sunscreen! Azelaic acid makes the skin photosensitive which is worse for redness. I get my moisturiser sunscreen from http://www.cyrenorganics.com which don’t irritate my skin. I hate wearing sunscreen but this one is the only one I can tolerate because it isn’t greasy!
I know some of you said you don’t like Cetaphil because of the SLS in it, try foam free cleansing lotions or something. It worked for me. I use to have rosacea. Yes I know they said it’s not curable but it’s resolved for me after KTP vascular laser treatments and changing my skin care. I also reduced sugar intake. Don’t know why but all these combined worked. So never lose hope or give up even if the establishment has given up on you!
How bad was my rosacea? At one clinic, the doctor was horrified when I removed my makeup to show him the extent of my spider veins and redness. He literally was taken aback. How long did I suffer for? Since I was 13, then got progressively worse over the years. Makeup became my bestfriend, my mask and a necessary evil. I dreaded the time it took but now my skin is clear and I don’t have to deal with caking on a new face every morning : )
Hope this helps
I just used finacea for the first time and my face is on fire. Is it always going to be this uncomfortable or will it stop burning after a few days? Also, should I use it twice a day or once a day? I just have a little rosacea on my cheeks.
thanks
I have had a relatively mild case of rosacea for 10 years + and have used metrogel and finacea. Metrogel was relatively useless and finacea worked somewhat but was quite uncomfortable on my skin. In addition, it contains some bad stuff, especially propylene glycol. Recently, I started using Sea Buckthorn oil twice a day and it has greatly reduced my redness and there are no longer any of the rosacea “pimples” or pustules on my face. I’d really like to find something to cure it, but, for now, at least I can control it with a natural product that is effective and won’t damage my skin in other ways.
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