Azelaic Acid 15% Gel
Generic For: Finacea
Azelaic acid 15% gel (brand name Finacea) is a prescription topical treatment FDA-approved for the inflammatory papules and pustules of mild to moderate rosacea. It helps reduce the bumps and blemishes associated with rosacea when used as directed. After a licensed provider reviews your information, your medication ships from a licensed U.S. pharmacy.
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25-day supply · $1.00/gram
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A topical dicarboxylic acid gel for rosacea, including inflammatory papules and pustules
Azelaic Acid 15% Gel Quick Facts
| Drug class | Topical dicarboxylic acid |
|---|---|
| Treats | Rosacea, inflammatory papules, pustules of rosacea |
| Form | Gel |
| Typical dosing | Gently wash the affected area then pat the skin completely dry. Apply a thin layer of the gel to the affected area twice daily, once in the morning and once at night. |
| Prescription required | Yes — prescription only |
What Is Azelaic Acid 15% Gel?
Azelaic acid is a naturally occurring dicarboxylic acid formulated as a 15% topical gel, sold under the brand name Finacea. It is FDA-approved to treat the inflammatory papules and pustules of mild to moderate rosacea in adults. While the exact way it works in rosacea is not fully understood, azelaic acid has antimicrobial and anti-inflammatory properties. It is applied directly to affected areas of the skin and requires a prescription in the United States.
What Does Azelaic Acid 15% Gel Treat?
Mild to moderate rosacea
Inflammatory papules of rosacea
Pustules of rosacea
Rosacea-related bumps and blemishes
Azelaic Acid 15% Gel Dosage
Apply a thin layer to affected areas topically twice daily (morning and evening).
Wash and dry skin before applying; massage gel gently into the skin.
Reassess with your provider if no improvement after 12 weeks.
Your prescriber will determine the dose and duration that are right for you. Always follow the directions on your prescription label.
Azelaic Acid 15% Gel Side Effects
Common side effects
- Burning or stinging at application site
- Tingling sensation
- Itching (pruritus)
- Skin dryness
- Scaling or peeling
- Redness (erythema)
- Mild skin irritation
Serious side effects
Stop taking this medication and seek medical attention right away if you experience:
- Skin lightening (hypopigmentation), especially in darker skin tones
- Severe or persistent skin irritation
- Allergic reaction (rash, swelling, difficulty breathing)
- Worsening of asthma (rare reports)
- Eye pain or irritation after accidental contact
Warnings & Interactions
For external (topical) use only; not for oral, ophthalmic, or intravaginal use
Avoid contact with eyes, mouth, and mucous membranes; rinse with water if contact occurs
Monitor for skin color changes, particularly in patients with darker complexions
Avoid alcoholic cleansers, astringents, abrasives, and peeling agents during treatment
Rare reports of worsening asthma; contact your provider if asthma symptoms change
Discontinue and seek care if signs of hypersensitivity develop
Safety in pediatric patients under 18 has not been established for this indication
Tell your prescriber about all medications, supplements, and health conditions before starting azelaic acid 15% gel.
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