Finacea (Azelaic Acid 15%) User Reviews

 

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 Azelaic Acid (Azelex, Allergan) and (Skinoren, Schering) has been marketed since 1996 for the 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.

Does Finacea Treat Redness?

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.

Finace Adverse Reactions

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.

Finacea Coupons

From time to time Finacea offers discount coupons. Here is an offer to save $10 per prescription.

Is Finacea a Winner?

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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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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212 Reader Comments

  1. Julia says:

    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

  2. Susan says:

    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.

  3. Rebekah Henke says:

    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

  4. Lori says:

    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!

  5. Lori says:

    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.

  6. Susan says:

    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.

  7. Lori says:

    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. : )

  8. Sarah says:

    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?

  9. lyubobg says:

    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

  10. Julia says:

    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

  11. Lori says:

    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.

  12. Aimee says:

    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?

  13. Robin says:

    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.

  14. Artist says:

    How long were you on the Oracea for?

  15. pitanjara says:

    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

  16. Robin says:

    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.

  17. Lori says:

    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.

  18. Isabel says:

    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!

  19. Julia says:

    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!)

  20. Laurie says:

    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.

  21. Mike says:

    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].

  22. Lori says:

    Question: Has anyone asked the dermatologist how long Rosacea is expected to last? Am I going to be 80 years old with pimples?

  23. 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.

  24. rachel says:

    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.

  25. pitanjara says:

    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

  26. Denise says:

    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

  27. Mike B says:

    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

    • Laura says:

      Mike, When I read your post it was like reading pieces of my own “story.” I , like you, most likely have neurogenic rosacea. It was been the hardest and most difficult thing I have ever dealt with. I have been to 3 dermatologists–the first 2 had never even heard of the term neurogenic rosacea and when I explained that my face was in constant pain, stinging and burning relentlessly they just looked at me like I had 3 heads. After researching on my own and emailing and calling doctors directly, I was finally able to find a dermatologist who was familiar with the condition. He says that while I have all the symptoms, he is not yet ready to diagnose me with it because I have the papular form of rosacea and in the study none of the participants had it–but he said there could always be an exception. Regardless, having a diagnosis does not change the fact that my face feels like it is on fire for most of the day–a deep, intense, searing burn. I am prescribed 2700mg of neurontin which helps to blunt the pain but it never ever takes it away. I first started experiencing this pain last May. At first it ws just a day or two a week but by August it became everyday. Also, during this time my skin became extremely sensitive!!! I had no problems, I had been using proactive (wash & toner) for 13 years and retin-a micro for 3 years–my skin was fine. But then, a few months after the pain started I began to get small outbreaks of pustules and papules. I eventually went on antibiotics which I am still on and they help to a degree, I guess. But it’s the pain that is so hard to live with—to just try and cope. It’s hard to do much of anything, I used to work out everyday but now I can’t do it at all. I am extremely sensitive to heat, the heat makes my face burn even worse. Also, during this period my skin became very, very oily—like I have to blot ever hour, its terrible!!! I’m not sure how or why this happened. I also have what my doctor called “burning mouth syndrome” which also appeared a few months after the face pain.
      How are you doing? Have you found any solutions? I have talked to my doctor about low dose accutane as their have been cases where it helps with the burning and stinging. I am aware of laser (ipl) therapy but I am very wary about the potential side effects. (fat loss, burns, etc)

  28. Denise says:

    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

  29. Denise says:

    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

  30. Vera says:

    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

  31. Devin says:

    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

  32. Linda says:

    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.

  33. BenG says:

    Hello. I’m a 32 year old male, who began to suffer from rosacea around 27 and only on my forehead. It started out with small pimples around my temples and seemed to eventually spread to cover all of my forehead. Then I started to get big monster pimples every now and then mixed in…I’ve tried all different stuff over the years and to be honest nothing has really worked to “get rid” of the problem. Some treatments are just worse then others, i guess just depending on the skin type, BUT you would think a dermatologist would know this…BUT not the case. Because I’ve seen a few different. In any regards, I was using Benzaclin for about 2 years and that worked the best in controlling the problem but never rid me of those small tiny pimples under the skin. It also dried my forehead nice and good. So my latest trip to the derm, I was offered to try Azelex Cream and I’ve been on it for 2 weeks and its made my skin worse then before I started it. It also burns and itches for about 5 minutes after you apply it. But my forehead is worse then ever!! It looks like a mountain landscape full of disgusting looking pimples. I’m hoping by week 3 to see some of this “MIRACLE” results i frequently read about Azelex. So will see…But as of now, it hasn’t done anything but get worse. Nothing has cleared up and nothing has got better. NOTHING. But I’ll be patient and try a couple more weeks, its just a pain in the ass since i work in the public and see hundreds of people on a daily basis. Not good for the self-esteem or not good to look away from people and try to hide looking at the floor all day.!! Ill keep you posted.

  34. Lori says:

    Ben: Have you been on doxycycline at all? I had some pretty severe pustules and went on 150 mg of doxy and it cleared it up within a few weeks. Used that for about 6 months and now I’m on a maintenance dose of 50 mg and use Finacea cream. I’m mostly clear most of the time. I understand about the self-esteem issue. I hated that I could see people’s eyes glance at the gross bumps first. I tried make-up which made it look like covered up gross bumps so I just gave up. I’m so sorry you have to deal with this. Keep trying things. It took me several attempts to finally find something that works. Hang in there.

  35. Lisa B says:

    I was diagnosed with papular pustular rosacea many years ago after being misdiagnosed time after time as acne vulgaris because I am African American with brown skin. I have tried EVERYTHING. Some treatments work for a while and then stop. I even tried Accutane, which controlled the condition for several years but eventually the bumps came back. About 6-7 years ago my derm made his own concoction which worked for a long time but he no longer makes it. I had 8 laser treatments that didn’t work at all. I always use a gentle cleanser and moisture and I hate foundation (makeup). I tried Finacea a couple of years ago and it didn’t do anything but burn and itch. I am so desperate now that I am going through to try different combinations of the (seemingly) hundreds of creams and hope that something will work. The red itchy bumps are just so ugly on my face. Starting with Finacea and a Dr’s mix of Desonide and salicytic acid. There is some science to this, it’s not random, even though I am a lawyer, not a scientist.

  36. Vera says:

    Hi Devin,

    Azelaic acid will irritate upon first use. Maybe try lowering the strength by combining it with a little light sorbene cream to dilute it before putting it on. After a while, it will get better.

    Giving up on sugar and using green KTP laser done by a qualified doctor will help! It did for me and I was pretty bad. Now I love my skin!! =)

    Hi Lisa B,

    I recommend you try stopping moisturising (if your skin feels comfortable after washing). Not everyone needs moisturising and if you have to use it, use it only on the areas that feel dry, not the whole face. Secondly, stop using and changing different skin care products – that will only irritate your already sensitive skin further.

    Make sure any skin care you use has:
    – no fragrance
    – no coloring

    Keep to the salicylic acid treatment, it can actually remove oil by penetrating pores. If Finacea doesn’t work long term, try Ego Acnederm from Australia.

    Reduce added sugar and trans fat intake – this act will reduce inflammation of the capillaries and balance your hormones more (sugar promotes production of cortisol – stress hormone which pumps more testosterone into the body).

    Remember, people who eat tribal diets have no papular pustular rosacea or acne (the less processed foods you eat, the better your condition will be). It will take 3 months to see results from changing your diet, that’s how long it took for me. Well worth it!

  37. Lori` says:

    I wanted to let everyone know that I’m finally off doxycycline and am using Finacea as my only treatment. Lisa…Finacea irritated my skin at first…I’m fair skinned and lots of things do that. I only use the Finacea at night and that seems to have made the difference. Morning and night is just too much for me. You might try that for awhile to see what happens. I too, hate wearing makeup. Finding the right combination of treatments is difficult, but feels so good when you finally get there. Hang in there.

  38. Darren Kinahan-Goodwin says:

    I’ve suffered with skin problems on my face now for 20 years, and the past 5 years or so has been the worse with some horrendous flare-ups of rosacea, acne, folliculitis, usually all in combination.

    I’ve had tetracyclines, high and low does isotretinoin, metrogel, rozex, dalacin T lotion, and combination therapy of Rifampicin and Clindamycin, (and probably many other topical medications and antibiotics inbetween).

    Thanks to these forums I’ve discovered Finacea which I’m sticking with. I’m almost 4 weeks in and have found a general improvement so far (after many years any product that doesn’t make my skin worse is at least a good thing!).

    I have found the redness, papules/pustules generally a little bit better, but i’ll stick with Finacea for at least 3 months to give it a good shot.

    I’d like to hear from people who alternative day and night between Finacea and Metrogel/Rozex… is dual therapy effective?

    Also, I’d love to hear from anyone who has combined topical medication with gut bacteria eradication treatment (Rifaximin or Helicobacter Pylori eradication triple therapy)

  39. Laura says:

    Just started Finacea myself and already I see improvement in the redness and tone. Here’s hoping it continues, I’ll keep you posted!

  40. Jaison says:

    I have been using Finacea for about a year and it effectively keeps rosacea in check. Would someone please recommend an over-the-counter/prescription product to combat Finacea-related dryness and redness? So far, I have experienced little success using Beauty Naturally Rosacea Cream and Good Skin All Calm Moisturizing Cream.

    Thanks,

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