Updated October 2026
TL;DR
Azelaic acid gel, best known under the brand Finacea, is in short supply at pharmacies across Australia after a wave of social media attention drove demand well beyond normal levels. It is a Schedule 2 pharmacy medicine, so you do not need a doctor's prescription to access it, only a pharmacist. When the commercial product is unavailable, a compounding pharmacy can often prepare an equivalent azelaic acid formulation to order. This guide explains why the shortage is happening, what your options are, and how HolisticChem's compounding process works. As of October 2026, Finacea is still showing as out of stock at some major online pharmacies.
Is Finacea Still Out of Stock in Australia?
Yes, supply was still patchy in October 2026. When we checked on 10 October, Healthylife Pharmacy listed Finacea 15% gel 30 g as out of stock, with a "notify me" option for when it returns.
Stock can change week to week and differs between pharmacies. Call our pharmacists on 03 8204 6600 and we can tell you what is available today.
Azelaic acid gel has become difficult to find at Australian pharmacies in 2026, after a wave of skincare content on social media sent demand climbing sharply. If your usual pharmacy or online chemist has told you it is out of stock, you are not alone, and you do have options.
This guide covers what azelaic acid gel treats, why the shortage is happening, whether you need a prescription, and how a compounding pharmacy can help when the commercial product is unavailable.
What Is Azelaic Acid Gel Used For?
Azelaic acid gel is a topical treatment for mild to moderate acne and rosacea. It works by reducing the bacteria associated with acne and calming the skin cell buildup that blocks pores.
The best known Australian product is Finacea, a 15% azelaic acid gel. Most people apply it twice daily to the affected area, and visible improvement typically takes one to two months of consistent use, with fuller results after several months.
Common side effects include burning, stinging, redness, and dryness when treatment starts. These usually settle as the skin adjusts, though anyone with a propylene glycol allergy should avoid this specific formulation.
How Should You Use Azelaic Acid Gel?
Azelaic acid gel is generally applied twice daily to clean, dry skin, using a small amount over the affected area rather than the whole face. Using more than directed does not speed up results and increases the chance of irritation.
Mild burning, stinging, or dryness in the first week or two is common and usually settles as your skin adjusts. A pharmacist can advise on pairing it with a gentle moisturiser if dryness becomes uncomfortable, and on which other actives to avoid combining it with.
Consistency matters more than speed here. Most people see initial improvement after one to two months, with fuller results taking several months of regular use, so it is worth planning for a supply that will last.
Can You Use Azelaic Acid With Niacinamide?
Yes. Azelaic acid and niacinamide are generally well tolerated and are often used together in the same routine.
Niacinamide is a form of vitamin B3. DermNet reports that it improves the skin barrier and hydration, that a 4% gel performed as well as 1% clindamycin gel in one acne trial, and that a 5% product improved pigmentation and red blotchiness over 12 weeks.
Azelaic acid works on acne in a different way. DermNet explains that it reduces bacteria in the hair follicle, helps unblock pores and calms inflammation.
A simple way to combine them is azelaic acid as your treatment step and a niacinamide serum or moisturiser for barrier support. Introduce one product at a time so you can tell which one is responsible if your skin reacts.
If you have sensitive skin, eczema or rosacea, ask a pharmacist before layering actives. Our pharmacists can check what you are using now and suggest an order that is gentle on your skin.
Is Azelaic Acid Good for Rosacea and Dark Marks?
Azelaic acid is used for the bumps and redness of rosacea, and it may also help fade the brown marks acne can leave behind.
Healthdirect lists Finacea 15% gel for mild to moderate acne and for papulopustular rosacea, the type with red bumps. DermNet notes that rosacea can take up to 12 weeks to improve, so give it time before deciding whether it works.
For pigmentation, DermNet says azelaic acid helps reduce post acne brown marks, which is especially useful for darker skin tones. It can sometimes lighten normal skin too, so stop and seek advice if you notice patches lighter than your usual skin colour.
Daily SPF 30 or higher sunscreen matters for both rosacea and pigmentation, because sun exposure can trigger flares and darken marks.
Why Is Azelaic Acid Gel Out of Stock in Australia?
Azelaic acid gel is out of stock at many Australian pharmacies because demand has spiked well beyond typical levels since early 2026, driven largely by skincare content on social media. Search interest in over the counter azelaic acid alternatives rose from around 10 searches a month in early 2026 to more than 5,000 a month by May, a pattern consistent with a genuine social media driven surge rather than normal seasonal demand.
Several Australian online pharmacies are now limiting purchases to manage the shortfall. Pharmacy Online currently lists Finacea 15% 30g with a one unit per order limit, a common signal that a supplier cannot keep pace with demand. Individual pharmacies may see stock return at different times, so availability can vary from store to store.
If your regular pharmacy is out of stock, it is worth asking whether a compounding pharmacy can prepare an equivalent formulation while supply of the commercial product recovers, covered in the next section.
Do You Need a Prescription for Azelaic Acid Gel?
You do not need a doctor's prescription for azelaic acid gel in Australia. Finacea is classified as a Schedule 2 pharmacy medicine, meaning it can be supplied directly by a pharmacist without a script.
This is different from many other prescription only skincare treatments, and it means a pharmacist can assess your skin concern and supply an appropriate product, or a compounded equivalent, in a single visit or phone conversation. Pregnant or breastfeeding patients should still ask a pharmacist or doctor about the risks and benefits before starting treatment.
Can a Compounding Pharmacy Prepare Azelaic Acid Gel?
Yes. A compounding pharmacy can prepare an azelaic acid formulation individually when the commercial product is out of stock, since azelaic acid is a stable, straightforward ingredient to compound. HolisticChem's dermatology compounding service covers exactly this kind of custom skin preparation.
Because azelaic acid gel is a Schedule 2 medicine, our pharmacist can generally prepare and supply a compounded formulation directly, without requiring you to first see a GP. This makes compounding a practical bridge while your usual brand is back ordered.
Compounding also allows for adjustments a commercial product cannot offer, such as a different concentration or a base suited to sensitive skin, when that is clinically appropriate. Our pharmacist will talk you through what is suitable for your skin before preparing anything.
How HolisticChem's Compounding Process Works
HolisticChem is a QCPP accredited, VPA compliant compounding pharmacy in Bayswater, founded by Keith Lee, an AHPRA registered pharmacist with more than 17 years of clinical experience. Every compounded preparation is made individually under his team's supervision.
Contact our Bayswater compounding pharmacy or message our pharmacist team to check current supply and discuss compounding options. Most compounded orders are ready within 24 to 48 hours, with Australia wide delivery available through Australia Post Express for patients outside Bayswater.
Get in touch with our team if you would like to check whether compounding suits your situation before you commit to a long wait for stock to return.
Azelaic Acid Gel vs Other Acne and Rosacea Treatments
Azelaic acid is one of several options for mild to moderate acne and rosacea, alongside treatments such as topical retinoids, benzoyl peroxide, and prescription only options for more persistent cases. Which one suits you depends on your skin type, the severity of your symptoms, and how your skin has responded to previous treatments. If you are weighing up a prescription retinoid, read our guide to tretinoin in Australia.
Azelaic acid is often chosen because it is generally well tolerated, safe to use during pregnancy under medical advice, and effective for both acne and the redness associated with rosacea. A pharmacist can help you weigh up whether it remains the right choice while stock is limited, or whether a different approach makes more sense in the short term.
Frequently Asked Questions
Why is Finacea out of stock in Australia right now?
Demand for azelaic acid products has risen sharply since early 2026, driven largely by social media attention, and supply has not kept pace. Some pharmacies are limiting purchases to one unit per customer to manage the shortfall.
Do I need to see a doctor to get azelaic acid gel?
No. Azelaic acid gel is a Schedule 2 pharmacy medicine in Australia, so a pharmacist can supply it directly without a prescription.
Can HolisticChem compound azelaic acid gel while Finacea is out of stock?
Yes. Our compounding pharmacist can prepare an azelaic acid formulation to order, generally without requiring a GP prescription, since it is a Schedule 2 medicine. Contact our team to check current turnaround times.
How long does a compounded azelaic acid preparation take?
HolisticChem prepares most compounded orders within 24 to 48 hours, with Australia wide delivery available through Australia Post Express for patients outside the Bayswater area.
Is azelaic acid gel safe to use long term?
Azelaic acid is generally well tolerated for ongoing use, though a pharmacist can advise on your specific skin concern and any interactions with other products in your routine.
Is Finacea still out of stock in October 2026?
Supply was still patchy in October 2026, and some major online pharmacies listed Finacea 15% gel as out of stock. Stock changes often and varies between pharmacies, so call our pharmacists on 03 8204 6600 to check what is available.
Can I use azelaic acid and niacinamide together?
Yes. Both are generally well tolerated and are often combined, with azelaic acid as the treatment step and niacinamide for barrier support. Introduce one product at a time, and ask a pharmacist first if you have sensitive skin, eczema or rosacea.
Conclusion
Azelaic acid gel has become hard to find in Australia as demand has outpaced supply, but a prescription was never required to access it, and compounding offers a practical option while stock is limited. HolisticChem's pharmacist led team can prepare an equivalent formulation to order, with most compounded orders ready in 24 to 48 hours.
If your usual pharmacy is out of stock, message our pharmacist team on WhatsApp at 0403 545 543 or call 03 8204 6600 to check what we can do for you.