Female facial hair

Eligible women affected by unwanted female facial hair (hirsutism) can buy Vaniqa cream online from Dr Fox pharmacy.

Read medical information and answer medical questions to buy treatment online.

Selecting treatment

All medicine supplied is UK licensed.

Vaniqa medicine pack

Vaniqa cream (60gm)

1-4 tubes from £66.00

Buy treatment


Medication Quantity Cost
Vaniqa cream (60 gram tube) x1 (2 months) £66.90
Vaniqa cream (60 gram tube) x2 (4 months) £129.20
Vaniqa cream (60 gram tube) x3 (6 months) £192.40
Vaniqa cream (60 gram tube) x3 (6 months) £257.60

Price match guarantee
Prescription issued online - small prescription fee per order.

Compare prices: Dr Fox prices are 25%-50% lower cost than other online clinics.

Prescription fees

Dr Fox supplies medicine on prescription and charges a small prescription fee based on the order value of each prescription.

Prescriptions are issued by our doctors online and sent electronically to our pharmacy.

Order value Prescription fee
up to £10 £1.00
up to £20 £2.00
up to £40 £3.00
over £40 £4.00

If you have your own private or NHS paper prescription please post to our pharmacy (details).

Dr Fox prices are 25%–50% lower than other UK online clinics.

*Dr Fox adds a small prescription fee not included in table above.
Comparative costs of Vaniqa cream from UK online clinics (10 November 2021) - qualifying notes
  1. The prices shown are listed by the online clinics named after a customer first enters consultation information and is offered prescriptions. It is possible these clinics may have special offers or lower prices for repeat supplies.
  2. Prices may change and are, to the best of our knowledge, accurate on the date stated. All products in stock and new condition.
  3. Dr Fox does NOT claim to provide a superior service to any of the online clinics listed. All the clinics listed, as far as we can tell, comply with all regulation and, as far as we can tell, operate to high ethical standards.
  4. Dr Fox adds a small prescription fee not included in the table (between £1 and £4 depending on value of the order).
  5. To amend the information in this table please contact us
  6. The prices listed in the table do not identify the cost of prescription medicine as online clinics charge a single fee to cover services which includes advice, consultations, prescriptions and dispensing and supply of treatments.
  7. Where services include free delivery this is using the slowest delivery option available. Dr Fox uses Royal Mail Tracked 24.
Vaniqa (eflornithine 11.5%) Dr Fox* Lloyds Superdrug Independent Pharmacy
60 gram tube x 1 (2 months) £66.90 £80.50 £90.00 £79.99
UK delivery £2.90 included included included

Delivery charges

UK delivery only: £2.90 per consultation via Royal Mail Tracked 24 Signed For (1-2 working days with tracking).

Parcel forwarding services are not permitted. Use only UK home or work delivery address.

Returns and refunds - unwanted items can be returned within 14 working days for a full refund.

Medical information

Written and reviewed by a team of doctors. Dr Fox is regulated by the CQC & GPhC.

Causes of female facial hair

Hirsutism (including excessive facial hair) can be normal, running in families and may appear at puberty, at the same time as underarm and pubic hair.

Women and men both have both male and female hormones, however their balance is different, whether a woman, or a man. Female facial hair is usually caused by either an increase of male hormones (androgens), or the hair producing follicles being more sensitive to the male hormone.

It is more often found in women of South Asian and Southern European ethnicity. Other causes of female facial hair include Polycystic ovary syndrome (PCOS), a common medical condition in which some women have increased facial hair associated with weight problems, acne, and irregular periods. Female facial hair can also be due to the hormonal changes which take place around the menopause. Some prescription medicines and older type contraceptive pills can cause an increase in facial hair. Less commonly other hormone abnormalities can be linked with the problem.

It is important that women who are considering using Vaniqa for facial hair have consulted with their own GP, to exclude any serious medical cause. An underlying medical condition is more likely if:

  • the hirsutism has developed quickly over the previous 1 to 2 years,
  • there are also menstrual problems,
  • there are other male hormone effects such as thinning hair over the scalp or balding or deepening of the voice,
  • there is associated obesity or diabetes.

Vaniqa cream

Vaniqa cream can be used by most women over 18. It should only be used on the face and chin.

If you have severe kidney or liver disease there are no documented problems. However, the manufacturers recommend that you discuss with your doctor before using Vaniqa.

Vaniqa is not known to interact with any other prescription medication.

Vaniqa cream (eflornithine 11.5%) is applied to areas of facial hair growth twice daily.

Studies show 7 out of 10 women improve with Vaniqa treatment.

There is no other UK licensed non-hormone cream to treat female facial hair.

How does Vaniqa work?

Vaniqa contains the active ingredient eflornithine, which penetrates to the base of hair follicles. It affects an enzyme which plays a part in hair growth, reducing new hair growth. Vaniqa can be used with hair removal products and procedures. Other prescribed medicines and tablets to reduce hair growth can also be taken at the same time.

Vaniqa is used in the area of the top lip and around the chin. One 60gm tube will normally last two months.

How to use Vaniqa

Vaniqa is applied twice daily. A small amount is rubbed-in to areas of increased hair growth, usually the top lip and under the chin. Vaniqa is not for use on other parts of the body, where it is unlikely to be effective.

It can take 4-8 weeks for changes to be noticeable, i.e. less need for hair removal by plucking, waxing, shaving, etc. Unfortunately Vaniqa does not work for everyone and the cream should be stopped if there is no improvement after 4 months.

Vaniqa slows down the growth of new hair. It is not a hair remover and does not cause hair to fall out. For this reason, hair removal techniques and products should be continued at the same time.

Vaniqa is only effective if its use is continued. After Vaniqa cream is stopped, its effects wear off after about 8 weeks.

Vaniqa does not replace other prescription medicines and tablets, and these should NOT be stopped without talking to a doctor.

Vaniqa is not more effective if it is used more frequently than recommended. If an application is missed, catch-up extra applications are not required.

Vaniqa side effects

Most women do not experience side effects when using Vaniqa cream. Stinging of the skin, tingling, soreness, and redness can occasionally occur. It is unusual for treatment to be discontinued because of side effects.

Further information about possible side-effects of Vaniqa and other aspects of treatment can be found in the manufacturer's patient information leaflet.

Vaniqa and pregnancy or breastfeeding

Vaniqa is not known to harm pregnancies, however as a precaution, women who are pregnant or planning to become pregnant should not use Vaniqa. Similarly women who are breastfeeding are advised not to use Vaniqa at the same time, although there is no proven risk.

Other treatments for unwanted female facial hair

As female facial hair is usually linked with excess male hormone (androgen), most other treatments work by reducing the amount of androgen activity in the body.

The simplest way to do this, is to take the combined contraceptive pill, and before the menopause, that is often a good choice. Vaniqa can be used at the same time.

Two more specific anti-androgen combined contraceptive pills - Dianette containing cyproterone acetate, or Yasmin containing drospirinone - can be used, but they have a greater risk of thrombosis (blood clots) than other combined hormonal contraceptives. In extreme cases, endocrinologists may prescribe androgen blockers.

In obese women, significant weight loss will reduce the levels of androgens and can therefore help to reduce unwanted facial hair.

How else to manage facial hair:

  • Shaving.
  • Waxing.
  • Depilatory cream which dissolves the hair shaft.
  • Bleaching.

Permanent hair removal

Electrolysis, laser, and Intense pulsed light (IPL) are all methods of permanently destroying the hair follicle so stopping hair growth. They are not usually provided on the NHS. It is important to use a professionally registered practitioner. Potential side effects can include scarring.

Depression and stress

Some women who are troubled by excess facial hair find it embarrassing and even depressing. Women who feel this way are not alone and should not suffer in silence. It is important that low mood and anxiety are discussed with a doctor.

Buy treatment

Dr Fox supplies Vaniqa cream on prescription - you are required to answer a short medical questionnaire before your order can be completed.

Dr Tony Steele

Authored 28 May 2013 by Dr Tony Steele
MB ChB Sheffield University 1983. Former hospital doctor and GP. GMC no. 2825328

Reviewed by Dr C. Pugh, Dr A. Wood, Dr B. Babor
Last reviewed 09 November 2021
Last updated 19 January 2024
Editorial policy


  1. Medical questions
  2. Choose treatment
  3. Complete order

Answer medical questions to order(female facial hair)

Women only

Honest & accurate responses are necessary for safe medical assessment

Have you read the medical information for Vaniqa?

Read important medical information for Vaniqa.

Have you seen your doctor before about your facial hair problems?

I understand Vaniqa is for long-term use and may take up to 4 months to work

I understand Vaniqa slows down hair growth, but Vaniqa is not a hair-remover

I understand I should NOT stop prescription medicines when using Vaniqa

I understand Vaniqa is used only on the face and is untested and NOT likely to work on other parts of the body

Are you pregnant or breastfeeding or intending to become pregnant whilst using Vaniqa?

Do you have any further medical information or questions?

Is there anything you do not understand or do you need further help?

Do the following apply to you?

  • The medication is for my own use and I will not share with anyone else
  • I will read the information leaflet supplied with Vaniqa
  • I am over 18 and I agree to identity verification checks
  • I have completed this questionnaire myself and fully understand all the information
  • My responses are honest and accurate, and I understand that this is necessary for a safe medical assessment
  • I agree to the terms & conditions, privacy policy, data sharing policy & consent to cookies

The order process

Choose medication, register, and pay

Dr Fox issues prescription online

Pharmacy team post medication direct

Customer reviews

Off to Botswana - used Dr Fox for generic malarone. Well what a FANTASTIC service, from the price, ordering and delivery I cannot believe just how efficient the process was.

I am perfectly satisfied. Dr Fox is cheaper than the other online pharmacies I know of. Still the service and delivery were perfect., London

Everything from beginning to end was totally professional and discreet. I recommend this service to anyone., Prudhoe

Great company and always smooth trouble free shopping - highly recommend., W. Sussex

No fuss, quick delivery and great service., Glasgow

Excellent arrived in a couple of days. Great service. Definitely recommend., Billingham

Cant fault this service. Delivered the next day. Brilliant., Sheffield

I've purchased it from my local pharmacy and also online from Dr Fox. Both are the same package and quality., Luxembourg

Cannot fault the service. Order placed online very easily, and to my surprise arrived the next very morning by post. Excellent product [and] price., Cardiff

No complaints re: product or service. I've used this service many times and Dr Fox has been faultless. Newcastle-upon-Tyne

Better than waiting for appointment with my GP great service will use again if needed to., Manchester

What an excellent service at a very competitive price. I would highly recommend them to anyone., Norfolk

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