How do I take Doxycycline and apply Azelaic Acid gel?

When taking Doxycycline, you should be sitting or standing up. It is best to take it with a meal, lots of water and well before you go to bed.

Azelaic Acid gel (generic Finacea) should be applied to a freshly cleaned, dry face once in the morning and once in the evening.

How does Doxycycline and Azelaic Acid gel work?

As Doxycycline is an antibiotic, it works to eradicate the bacteria that cause acne, therefore preventing further acne from forming.

Azelaic Acid gel is a chemical exfoliator that works to breakdown blockages that clog up pores and feed the bacteria that cause acne. Like Doxycycline, Azelaic Acid gel also kills acne causing bacteria, therefore the combination of the two medications will improve your chances of reducing acne.

Will this combination of acne treatments be effective?

This pairing of acne treatments is likely to be most effective for those who have sensitive skin as Azelaic Acid gel isn’t as harsh on the skin as other topical acne treatments can be. It also can be effective for those who experience nodular or cystic acne, as well as experiencing papules (small red spots) as well as pustules (red bumps with white tips).

What are the side effects of Doxycycline or Azelaic Acid gel?

Doxycycline can increase sensitivity to the sun, so it is important to not overexpose the affected area and wear a suitable SPF. Some people who take Doxycycline can also cause nausea, dizziness, fast heart rate, abdominal pain and diarrhoea.

Generally, Azelaic Acid gel is easier on the skin than other acne treatments, however some people may experience itching, burning sensation or tingling feeling to the affected area.

For full information on side effects and correct use, see the Doxycycline and Azelaic Acid gel patient information leaflets.

Is it safe to take Doxycycline or apply Azelaic Acid gel during pregnancy or breastfeeding?

Neither Doxycycline or Azelaic Acid gel should be used while pregnant or breastfeeding.

Will these medications interact with anything else I am taking?

Make sure you let us know if you are taking other medications when our clinicians prescribe you your acne treatment, as Doxycycline can interfere with the effectiveness of other treatments. It is also best to avoid other topical acne treatments or cosmetics while using Azelaic Acid gel, particularly those that contain high levels of alcohol.

Alternative treatments for acne

Instead of taking oral antibiotics, some women may be prescribed the oral contraceptive Co-cyprindiol alongside a topical solution to treat their acne. Some people who experience acne may just prescribed a cream or gel along to tackle their condition. 

Reordering treatment

We will contact you through your Patient Record 6 weeks from your order to see how you are getting on with the medication. We may ask for some photos at this time as well to assess the response to treatment. It will also be an opportunity for you to give us feedback on your acne. To reorder your treatment, go to your Patient Record and select ‘reorder’. You will be required to fill in the online questionnaire each time you reorder.