Items marked with red have tested a 3 or above (out of 5) in comedogenic (pore-clogging) testing.
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This stuff is fantastic. I tried everything to clear up some hormonal body acne (after going off birth control pills) for months: salicylic acid body wash, BP, AHA, Retin-A. I had bright red, rashy acne all over my chest, neck and back and after a week, it's 80% gone. GONE. This started to work after only four days (applied twice a day). Coincidentally, that is how long the burning and itching occurred after use. It was almost unbearable the first 4-5 times of using it (for about 30 minutes after application) but it gradually got better and by the fourth day, there was no irritation at all. Stay with it!
I love this stuff. My doctor prescribed it to me to use in the morning with my Benzoyl Peroxide and since that time I've noticed a difference in my skin. My skin went from having several new pimples a day to one or two a week. It stings a little and leaves the skin a but sticky to the touch BUT putting the benzoyl peroxide on after really helps. I also use Retin-A at night alone. I started at the same time at the Azelaic Acid so I think it's all three together.
I came off the pill to conceive and my teenage acne that I left 10 years behind me reappeared! Because I was trying to conceive there were very few options open to me- I took erythromycin but added this to my regime and it made a big difference. I wanted to recommend this to anyone in the same position. It stings a little but no redness or peeling and should be used twice a day for max results. Im hooked until I can start back on Dianette! Also- maxfactor 24 hour concealer is brilliant for spots.
I've used retin-A, clindamycin, benzaclin, and azelex over the years and azelex is the only one I still use. My derm prescribed it because benzaclin was making me peel like crazy, and once I switched all the redness and flakiness went away. I don't think it controls major cystic acne, but for those in their mid-twenties who still suffer from breakouts azelex is perfect. I always forget how much of a difference it makes until I run out and have to wait to see the doctor to get a new prescription. When I stop using it I get the same old breakouts I used to get.
I would definitely recommend it for those with mild-moderate adult acne. My skin can't take any of my other prescription products anymore and I think the Azelex is gentler but just as effective for me.
I used this for a month and it didn't help at all. It didn't make things worse but it didn't help them either. But that doesn't mean it won't work for you what I learned is everyone is different and will respond differently so you just gotta keep trying and see what works for you.
My skin has been a NIGHTMARE since using this. DO NOT USE THIS. I read a review or two with people claiming similar results and I shrugged them aside. I thought, "That won't be me!" Well, it was me and I feel horrible now. :'(
It is not miracle cure, but I find this product much more effective than BP for me. Also with BP my chin and skin just turned red, and that kind of highlighted my acne and scars, rather than improve them.
I've been on Azelaic acid 20% for 6 months now. I really like it. It works. And I don't get redness on my face like before.
I find that it also prevents new breakouts. Before sports I would wash my face and put on the treatment, I find that this helps reduce new breakouts.
I have used various versions of azelaic acid for 15 years and I loooove it. It stings for the first week or so, but after that, there is no discomfort. I use it morning and night with my BPO and it really keeps my skin from becoming red, which is important, because BPO on its own will make my old marks very red/purple. It also fades old marks and reduces flakiness.
My insurance does not cover it so I have been ordering it from various online pharmacies in faraway places. It usually costs me $50 for a four-month supply, which is not bad. I have not found a difference between any of the foreign 20% creams. I have never used the 15% gel.
Give it time. In chronic or acute acne, you will always get worse as the product lifts what lies beneath to the surface. Once that occurs, you will begin to see improvement!
Tip: Wash your face well am and pm and apply. Go to bed with a dirty face....
Live with your acne!
Best of luck!
I do not recommend this product. I was on it for 7 weeks and it continuously made my skin worse. I have been off of it for 2 weeks now and my skin is STILL worse. Some of the pimples it created have been on my face for over a month and will not go away. I only had moderate acne at worst, and now I have big pimples that I have never had before. I was so disappointed because I really thought this product would work.