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Efracea

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About Product
This content has been written and checked for quality and accuracy by
Mohamed Imran Lakhi Content Administrator GPhC: 2060586 Updated on: 18/12/2020 Next review: 18/06/2021

What is Efracea?

Efracea contains the active ingredient doxycycline, which is an antibiotic that fights bacteria causing the inflammation, redness and acne associated with rosacea.

Doxycycline belongs to the tetracycline class of antibiotics, used to treat a variety of infections including chest infections, acne, rosacea and STIs like chlamydia and syphilis.

However, Efracea is formulated to specifically treat rosacea in adults.

Efracea treats rosacea by killing the bacteria which builds up inside clogged pores. However, rosacea responds slowly to antibiotics which means that a long term course of treatment is required - typically this course of treatment lasts a couple of months.


What is Rosacea?

Rosacea is a skin condition which causes redness and inflammation on the face, including the cheeks and nose. The rash may cause irritation such as a stinging or a burning sensation.

Rosacea can present with different symptoms depending on the specific type. The 4 main types of rosacea are:

  • Erythematotelangiectatic rosacea is characterised by flushing, redness of the skin and blood vessels becoming visible.
  • Papulopustular rosacea causes breakouts similar to acne. Skin often appears red and swollen.
  • Phymatous rosacea thickens the skin and causes it to have a bumpy texture.
  • Ocular rosacea affects the skin around the eyes. Eyelids appear swollen and may cause a sty-like lump. Eyes can also be red and irritated.

These 4 types of rosacea affect people differently. If you are unsure which variant of rosacea you have, speak to your doctor.

What causes Rosacea?

There are no clear causes for rosacea but some triggers have been found to cause occasional flare-ups in some people. These include:

  • Alcohol
  • Spicy food
  • Cheese
  • Caffeine
  • Intense exercise like running
  • Hot drinks
  • Weather changes
  • Stress

Once a trigger is known, it can be avoided to prevent a flare up from happening in the future.

If rosacea is left untreated, it can become severe and cause nasal disfigurement (rhinophyma), leading to breathing problems. The ocular rosacea type could also cause eye infections like conjunctivitis.

Can rosacea be cured?

Although there is currently no cure for rosacea, antibiotics, like those found in Efracea have been proven to help reduce the signs and symptoms of rosacea during flare-ups.


How do I take Efracea?

Take one 40 mg tablet a day with plenty of water, preferably early in the morning on an empty stomach. If taken later in the day, you should take your tablet at least one hour before a meal or two hours after a meal.

Do not take Efracea with milk or antacids as these can reduce the absorption of the medicine. Leave 2 to 3 hours after taking Efracea before drinking or eating dairy products.

Do not increase or decrease the dose without your doctor’s consent.

When taking antibiotics, it’s important to always follow your doctor’s advice and complete the course of antibiotics.


Efracea side effects and cautions

All medications carry the risk of side effects. Educating yourself on the side effects of any medication you take, is imperative for your safety.

The full list of side effects and cautions of taking Efracea, as well as the full list of its ingredients, can be found in the patient information leaflet that comes with your medicine.

View the patient information leaflet for Efracea online (PDF)

Some common side effects of taking Efracea include:

  • Anxiety
  • Back pain
  • Diarrhoea
  • Dry mouth
  • High or increased blood pressure
  • Increased risk of fungal infection
  • Inflammation of the nose, throat and sinuses
  • Pain in the upper part of the abdomen
  • Sinus headache

If you experience any side effects when taking Efracea, consult your doctor or pharmacist as soon as possible.

Cautions

You may not be able to take Efracea if you:

  • have liver problems
  • are pregnant or breastfeeding
  • have had abdominal surgery
  • allergic to any of the ingredients in Efracea

If you have any of the conditions listed above, you should tell your doctor before taking Efracea.

Allergic reaction

Do not take Efracea if you are allergic to doxycycline, or if you have previously experienced an allergic reaction to doxycycline.

If you experience an allergic reaction after taking Efracea, stop taking the medicine and seek immediate medical attention by going directly to your nearest accident and emergency department. Remember to take the packaging and any remaining medicine with you so that doctors know exactly what you have taken.

Signs of an allergic reaction include:

  • Chest tightening
  • Dry, red and cracked skin
  • Itchy, red watery eyes
  • Raised, itchy, red rash (hives)
  • Swelling of the lips, tongue, eyes or face
  • Tummy pain, nausea, vomiting or diarrhoea
  • Wheezing

Other safety information

Our online doctors can review your consultation to determine whether Efracea is safe for you.

Please inform our doctor of all medicines are you currently taking, including those prescribed by your doctor, or bought over the counter, as well as any vitamin supplements.

Do not use Efracea past the expiry date printed on the packaging. The date refers to the last day of the specified month. For example, “EXP: 03/2025” refers to the 31st of March 2025.

Never throw away medicine via household or water waste as this can damage the environment. You should take any unwanted or expired medicine to your local pharmacy and ask them to dispose of it safely on your behalf.

Always store Efracea out of sight and reach from children and pets.

Never share your medicine with anybody else, even if they are experiencing the symptoms or have the same condition as you.


Frequently asked questions

Can I use make-up when taking Efracea?

Yes, you can use make-up while taking Efracea.

If you have rosacea, you may want to use cosmetic products which do not exacerbate your symptoms. Look for products made for sensitive skin.

Is it safe to take Efracea while pregnant or breastfeeding?

Efracea should not be taken by women who are pregnant or breastfeeding as it can cause permanent discolouration of the child’s teeth and affect bone growth. If you suspect or find out you are pregnant while using this medication, speak to your doctor or pharmacist as soon as possible.

Can I shave while taking Efracea?

There are no indications that taking Efracea will affect your ability to shave. For men, shaving can pose a significant threat to their rosacea, potentially worsening their symptoms.

It may be more suitable for men to use electric razors instead of normal razors to reduce the level of irritation on the skin.

You should also avoid shaving creams, lotions and aftershave products, which may irritate your skin. Instead, use shaving products which are suitable for sensitive skin types and use a moisturiser or balm after shaving to soothe the skin.

Will taking Efracea affect my ability to drive?

No, taking Efracea should not impact your ability to drive.

Will Efracea affect my contraception?

Efracea does not interact with oral contraceptive pills, including the emergency contraception.

If you experience vomiting or diarrhoea for longer than 24 hours after taking Efracea, you may no longer be protected. Read the leaflet which comes with your contraceptive pill for information on what to do in this case.

Can I drink alcohol while taking Efracea?

You should not drink alcohol while taking Efracea.

Alcohol can worsen your rosacea symptoms or interact with doxycycline.

Will Efracea give me thrush?

Some people taking doxycycline may develop thrush, as the antibiotic can kill harmless bacteria which protects you from fungal infections.

If you develop thrush after taking antibiotics, speak to your doctor a pharmacist for advice.


Treatment information

  • Product Name: Efracea
  • Active Ingredient(s): Doxycycline
  • Manufacturer: Galderma
  • Administration: Oral
  • Presentation: Capsule
  • Available Strength: 40 mg
  • Exemption: Prescription only medication
  • Application: Men and women over 18 with rosacea
  • Dosage: Take once a day
  • Description: Efracea is an oral antibiotic used to treat rosacea
  • Drug Class: Antibiotic
  • Alcohol Consumption: Do not drink alcohol
  • When Pregnant: Do not take when pregnant. Speak to your doctor for further advice.
  • When Breastfeeding: Do not take when breastfeeding. Speak to your doctor for further advice.
Click here to view the Efracea - Patient Information Leaflet

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