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Note: You must complete a short online consultation so that our doctor can ensure that the treatment is suitable for you. The above pricing should only be used as a reference. The final decision to issue this treatment lies with the prescribing doctor.

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Efracea is a type of oral medication that commonly comes in the form of capsules that is taken to treat Rosacea. Inside this medication is a low dose of an active substance known as Doxycycline. Doctors commonly prescribe Efracea to reduce symptoms such as inflammation, pimples, spots, veins, and red bumps that occur on the skin and face due to Rosacea.

How it works

Rosacea tends to be a lifelong skin condition that fluctuates between being inactive and active. To help deal with this long term condition, the low dose of Doxycycline inside the capsule is released slowly, causing a steady anti-inflammatory effect on the body. Doxycycline helps calm the skin, reduce redness and irritation on the face and skin.

Dosage information

You should only take Efracea if you’ve been prescribed it by your doctor. Most doses come in 40mg modified release capsules and users are advised to take each morning. Always stick to the prescription guidelines given by your general practitioner. If you take more than the recommended dose, consult advice from your doctor immediately.

How to use

You should take this medication on an empty stomach with a full glass of water, no food. Preferably you should take it one hour before eating or two hours following your meal. You should never crush the tablets and avoid taking them within a close time frame of milk or antacids, as this can decrease the effectiveness of the medication.

Side effects

Consult your doctor immediately if you experience any of the following side effects when taking Efracea:

  • dizziness
  • vision problems
  • allergic reactions
  • little or no urination
  • difficulty swallowing
  • severe weakness
  • swollen glands

Common side effects

If you take Efracea, you may be prone to experience some common side effects:

  • sinus headaches
  • fungal infections
  • diarrhea
  • anxiety
  • dry mouth
  • skin rash
  • upset stomach
  • vaginal itching
  • discharge

These side effects may only occur in a select number of users; however, if you do experience them, they tend to be minor and not long-term. If you notice they persist while taking, speak to your doctor for advice.

Before beginning your Efracea treatment, you should read the patient leaflet inside the medication box. Doing this will enable you to learn more about the potential side effects of this medication and will allow you to seek medical advice when required.


Taking Efracea alongside other medications or specific foods may reduce its effectiveness or trigger adverse reactions. Therefore, do not take Efracea and consult with your doctor first if you are taking the following:

  • Medication for acne, in particular isotretinoin. It can increase your risk of pressure on the brain.
  • Treatment for heartburn or ulcers.
  • Antibiotics can limit the effectiveness.
  • Sleeping pills and seizure medication. It can decrease the amount of time Efracea remains in your system.
  • Diabetes or blood-thinning medication. Your doctor may have to change your dose.
  • For women who are taking the contraceptive pill, its effectiveness might be reduced.

If you take any products, supplements, or medication containing calcium, aluminum, sucralfate, iron, magnesium , bismuth, activated charcoal, and cholestyramine, speak to your doctor first. Taking these at the same time may reduce the effectiveness of Efracea.


Presentation Topical treatment (gel)Capsules
  Active ingredient(s)
Active ingredient(s) Azelaic acidDoxycycline (antibiotic treatment)
  Side effects
Side effects Can cause skin irritationNot very common
Effective Within 4 weeksAfter 6 to 16 weeks
Instructions Rub into the affected areaTake 1 hour before food
Breastfeeding Not recommendedNot recommended
Pregnant Not recommendedNot recommended
Alcohol AvoidAvoid
Posology Apply twice dailyOne tablet daily
Precautions Avoid sensitive areas and lacerationsCombination with minerals and dairy products
Price £19.99£21.99
View treatmentView treatment

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All parcels are plainly labelled; there is no logo or any indication of its contents. Inside, you will find your treatment as well as a patient leaflet in your chosen language.

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