Finacea Gel


116 reviews

79% would repurchase

Package Quality: 3.7

Price: $$$

Package Quality: 3.7

Price: $$$


Each gram of FINACEA Gel, 15%, contains 0.15 gm azelaic acid (15% w/w) as the active ingredient in an aqueous gel base containing benzoic acid (as a preservative), disodium-EDTA, lecithin, medium-chain triglycerides, polyacrylic acid, polysorbate 80, propylene glycol, purified water, and sodium hydroxide to adjust pH

on 8/1/2015 9:57:00 AM

Age: 56 & Over

Skin: Sensitive, Fair, Cool

Hair: Silver, Wavy, Fine

Eyes: Blue

Works fast and you can put moisturizer and makeup over it, after it dries. Cost 300.00, but with insurance my co pay is 39.00. Seems to change the surface of your skin and my skin is smoother as well as redness reduced in the first week...

I think some people may be having a reaction if they use products like a toners as that can cause burning. Just wash face and dry, apply Finacea , let dry about 10 minutes, apply moisturizer and makeup and you are good to go.

Never rub skin or use scrubs while using this product.

on 7/14/2015 3:13:00 PM

Age: 36-43

Skin: Sensitive, Fair, Neutral

Hair: Blond, Straight, Medium

Eyes: Blue

This is a prescription topical medication. A dermatologist has to prescribe this for you.


Azelaic acid is the active ingredient and it really works. It stops the growth of bacteria that cause acne. With regular use, it unclogs pores, eliminates blackheads, and can reduce redness associated with zits. It is prescribed for mild to moderate acne. It improves texture. Sometimes dermatologists prescribe it for people with rosacea to smooth out the surface of the skin.

I love the Finacea gel base. It doesn't smell or feel like alcohol, the way Metrogel does. A well-formulated gel base is preferable to waxy cream bases when fighting acne. Creams never work as well for me - they seem to clog the pores they're supposed to clear.

It's strong and effective.

If my skin is in a calm state (no inflammation from dermatitis), this does not trigger any flare-ups or cause irritation at all.


If your skin is already red from an inflammatory condition (rash, hives, rosacea, eczema, psoriasis, contact dermatitis, sunburn), this can cause tingling or itching.

You have to get a doctor's prescription for it.

Expensive if you buy the name brand and if your insurance won't help cover it - roughly $275. I was unable to find a generic for Finacea gel.

It works beautifully but may be too strong for some people. It may dry you out and cause flaking if you use it every day for weeks.

This is not necessarily a solution for everyone. Something that does have a generic that also fights acne is Cleocin T gel. It contains the antibiotic clindamycin, which is an effective topical treatment that also stops acne-causing bacteria. I have used it off and on for years. It can dry you out, but most acne treatments do. The brand name Cleocin T gel is somewhere around $70 but the generic is around $30. Unfortunately you need a prescription for that, too.

When I'm using any prescription topical medication, I try not to go overboard with other skin care products. I use a gentle cleanser, maybe a gentle toner, and forgo "treatments" from other brands. This reduces the risk of having a bad reaction.

1 out of 1 people found this review helpful.

on 4/26/2015 12:40:00 PM

Age: 25-29

Skin: Very Oily, Fair, Neutral

Hair: Red, Wavy, Fine

Eyes: Blue

I was prescribed this a few years ago after being misdiagnosed with Rosacea. My skin barrier had been majorly screwed up and was imitating some common Rosacea symptoms as a result (flushing, redness, irritation bumps). My insurance would not cover it, so I ended up ordering from Australia for around $30.

Unfortunately this was way too irritating and drying for me, even though I have extremely oily skin and waited to test it until my skin had healed. I used it every other night. The stinging never seemed to stop and time did not change that. I'm bummed that it's not an option for me now that I'm having acne problems again, but glad that this works for some people.

2 out of 2 people found this review helpful.

on 1/30/2015 11:45:00 PM

Age: 30-35

Skin: Acne-prone, Fair-Medium, Warm

Hair: Black, Other, Other

Eyes: Brown

I was on accutane about 13 years ago for cystic acne which was leaving hyper pigmentation - that cleared my skin beautifully. About 4 years ago I started breaking out again just prior to getting pregnant for the first time. I was put on retin a micro between my pregnancies but I didn't feel it was effective, it really dried my skin out and I continued to break out, I tried that for about a year. I visited my dermatologist about 13 months ago to discuss pregnancy safe options for acne control - we decided on finacea with benzaclin for spot treatment. The first few days I noted itching/burning but nothing unbearable. It took months for this to work but it really does work. For the past few months I have been mixing it with indeed labs hydroluron & rosehip oil with great success (I live in a dry climate & it's a cold winter) no dryness, and skin is looking more even. My underground cystic acne has all but disappeared. I use a aloe/tea tree oil mixture for the occasional surface acne (uncomplicated non-cystic).

2 out of 2 people found this review helpful.

on 1/16/2015 8:42:00 PM

Age: 19-24

Skin: Acne-prone, Other, Not Sure

Hair: Other, Other, Other

Eyes: Other

I first started using Finacea 6 months ago. I didn't get any of the itching or irritation although I did purge for a couple of weeks. I will say this worked really great at getting rid of most of my clogs and keeping my skin pretty clear. Recently though my skin has been clogged and I have been getting a few breakouts. It has also not done anything for my hyper pigmentation. Right now I don't know if I will repurchase again although I am on my second tube. It be something else that is breaking me out (although I have not used any new products.) so I will wait it out a couple more weeks before I decide if this has stopped working for me. I thought I had found the products to keep my skin clear and it had been the only thing to make a huge difference in my clogs. I'll wait and see.

UPDATE 03/08/2015: I stopped using it for a bit after this review and I've realized the difference it makes to my skin. It doesn't prevent breakouts or keeps clogs 100% away but it's the best product I've used. It is a bit drying but doesn't irritate my skin. When I stopped using it I was testing out a mandelic acid product and the first few days were great but it eventually irritated my skin. I won't stray again or get discouraged if it does not keep me 100% clear all the time.

1 out of 1 people found this review helpful.

on 1/14/2015 12:04:00 PM

Age: 30-35

Skin: Acne-prone, Olive, Not Sure

Hair: Brunette, Other, Other

Eyes: Hazel

I went off birth control about two years ago, and 7 months later I started to break out horribly. Cysts all along my jawline, chin and cheeks, and small bumps everywhere else. I literally hid my face everywhere I went and was mortified at work and social functions. Finally in October 2014 I went to a derm and she prescribed me Finacea. After about 2 weeks of use all of the small bumps were gone and my cysts were disappearing. She had told me that it doesn't usually work on cysts, but they are definitely healing faster and are less frequent. I've noticed a slight change in my moderate hyper-pigmentation, so hopefully it will help with that too. I've been using it for 3 months now and couldn't be happier. With my insurance, the cost for one tube is $35, and if you register on the Finacea website they will send you a discount card for $30 off each prescription - no limit on how many it's good for. This leaves me with a $5 prescription which is amazing to me.

1 out of 1 people found this review helpful.

on 12/6/2014 9:18:00 AM

Age: 25-29

Skin: Other, Medium Brown, Not Sure

Hair: Black, Other, Other

Eyes: Brown

So I received a sample from my doctor after unsuccessfully squeezing a pimple on my lip trying to get the gook out. It left the area very discolored. Although finacea is meant for patients suffering from roscea studies show azaleic acid is great for hyperpigmentation in those with darker skin tone. So I applied twice a day on lip. My lip was rosy pink again in less than a month and for new post inflammatory acne scars the gel worked amazingly to fade them quickly. It isn't working that well on my older dark spots but is godsent with new ones. The texture isn't thick I just massage it into the new trouble spots, let it dry and then apply my makeup. As an overnight treatment I let the gel sit on new pimples and by morning they are ready to pop. Azaleic acid works well for acne caused by bacteria. My little sample is running low and a full tube is$200.00 although a coupon can be obtained via their website or your dermatologist. I will paying a visit to my dermatologist soon I think finacea is worth every penny.

2 out of 3 people found this review helpful.

on 10/29/2014 7:21:00 AM

Age: 30-35

Skin: Oily, Fair-Medium, Warm

Hair: Brown, Wavy, Medium

Eyes: Green

I've tried a lot of brands (payot, bioderma, holy land, clarins, clinique, givenchy, shiseido, DDF, clearasil, clean and clear...) for my very oily and very problematic skin for the past 15 years, but when this summer I experienced severe break-out on my face and neck, I ran to pharmacy in Spain and bought azelaic acid products- 15% Finacea gel and unknown% nanosomal Azelac RU serum (it turned out that Azelac is indicated for Rosacea, but I like its consistency and smell a lot, and also it doesn't irritate my skin and still contains azelaic aced -so I use it once-twice daily on my whole face and neck), because nothing helps to get new pimples on the surface and get rid of it as quickly as Skinoren/Finacea.
I usually feel itching near the mouth and under the nose if apply Finacea all over the face, so now I apply it only locally on pimples and post-acne and happy with the results.

1 out of 1 people found this review helpful.

on 10/26/2014 6:06:00 PM

Age: 44-55

Skin: Other, Other, Not Sure

Hair: Other, Other, Other

Eyes: Other

Although I've been reading reviews on this site for awhile, this is my first time posting. That should tell you how much I love this product. I'm 55 and always had pretty good skin (if you're in your 20's, start using retin-A now. I've seen dermatologists who comment on how few wrinkles I have. I tell them why. They nod and say, "When women your age ask me what's the best single thing they can do for their skin, I tell them, 'Start using retin-A 30 years ago.'" When I started using it, it was for mild acne. They didn't really know about/promote the anti- wrinkle thing - yet.)

Anyway, I started using Finacea 15% gel for hyperpigmentation. It's been about 20 days at twice a day, and I can't say I really see a difference in that yet, but it's made a huge difference in my overall skin tone. I glow. I can't really explain it, but I do notice it. What made me decide to post is that last night, I had dinner with some women friends I hadn't seen in months. One of them turned to me and said, "I've been staring at your skin all evening. It's gorgeous." The others quickly agreed.

PRICE: Even with my insurance, it was exorbitant (over $200), so I found an Australian pharmacy online. $45 with shipping, took 10d, no prescription needed in Australia (you do in the US and Canada).

SIDE EFFECTS: After reading about the reaction some people have, I was very careful. I only used it on a small patch, once a day for a week. Then I increased the patch to twice a day. After no reaction at all (not even the itching some people report) I've been going full face for about 20 days, twice daily ever since. Perhaps what also helped, although I'll never know, is that I was using an OTC azaleic acid (Pevonia - quite expensive and much lower concentration) for a few months, twice a day before this.

BOOST EFFECT: I've done a lot of reading on skin care. There are studies that say the effect of Finacea is boosted if you use it with glycolic acid (use first - I use an inexpensive 10% OTC one) and kojic acid (which I do in the form of OTC Civant's Meladerm, which I apply after the Finacea). I've also continued to use my retin-A once a day (I'll be making them apply it to my face in the nursing home).

I'm only giving it 4 lippies b/c I haven't seen any benefit for hyperpigmentation yet, but that's not really fair as I believe one has to use it for 3-6 mos to really notice that. I'll update, but I wanted to get a review in now, especially so people could get the info re price and boosting.

6 out of 7 people found this review helpful.

on 8/3/2014 10:35:00 PM

Age: 25-29

Skin: Combination, Dark, Not Sure

Hair: Brown, Kinky, Medium

Eyes: Hazel

It's been about two weeks since I started using this. My dermatologist prescribed it for me not for rosacea but for the adult acne that I've been dealing with for years (I'm 26 y.o). These 2 weeks have shown a drastic reduction in the acne that I had. But, unfortunately I am still getting new bumps (all over the face, painful ones on cheeks and forehead). My boyfriend said that my face looks and feels softer.

It's kind of pricy (291.00 retail). I'm lucky to have insurance so I paid $30 which is way more than I would generally pay for any type of beauty product. If you go on the Finacea website, there is a coupon for $30 off.

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