Topical Antibacterial
Reviews
3.8
506 Reviews
Topical Antibacterial
Efficacy
68%
Based on All Available Studies
Strength of Evidence
1
2
3
4
5
Topical Antibacterial
Side Effects
Low-Medium
Topical Antibacterial
Acne.org’s Real World Take
At prescription strengths (15 - 20%) studies show it should help reduce mild-to-moderate acne by a significant and noticeable amount after 3 months or so of treatment, so that’s not too shabby. However, it is unlikely to completely clear the skin on its own.
Topical Antibacterial
How to Get It
Azelaic acid is available in 15% - 20% by prescription. Have a dermatologist? Make an appointment to get this medication. Don't have a dermatologist? See The American Academy of Dermatology Physician Database to find one. Azelaic acid is also available over-the-counter in strengths 10% and lower. Here are some places you can find it online.
Read All About Azelaic Acid
Compare To Other Treatments
5
34.6%
4
30.8%
3
18.2%
2
8.9%
1
7.5%

Used Azelaic Acid? Rate It:

Choose from 1 to 5 stars
August 30, 2008

Pros:

I have been using this product for a few weeks now and overall i think it has made my acne worse.

Cons:

Makes skin really red and itchy and makes breakouts look even worse.

My doctor told me to try this after having been prescribed many other creams/gels, which also did not work but overall this has got to be the worst cream out of them all, i have stopped using it for now and i have another appointment this tuesday so ill keep my fingers crossed she gives me something that actually works.
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July 29, 2008

Pros:

everything... it has helped my skin alot. its making my red scars fade and I have less brakeouts. I only have two pimples right now im so happy.

Cons:

none

I am wondering thogh if anyone has an answer. it the gel better than the cream. is there a difference at all?? thanks
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June 20, 2008

Pros:

It quickly reduced pimples.
my dermatologist gave me like 12 mini boxes for free....

Cons:

And then it made my face red, inflamed, burning and look like sh*t for a week solid.

If this does work well, I have yet to see it do so. Acid Bath anyone? My background is 3/4 Sicillian and 1/4 Finnish. My skin is incredibly thick, smooth and strong. Nothing ever irritates it. this did. I am going to let it do its thing though as it did stop the pimples in 24 hours. Now it just looks really really raw.
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March 12, 2008

Pros:

Clears skin nicely (I have cystic acne), evens out skin tone

Cons:

Slight burning/itching for a few minutes after application.

Great product, works very well. It's not available 'pre-made' in Canada yet, so you have to find a pharmacist who makes "Magistrale" or "Compounds".
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February 1, 2008

Pros:

works very well. Nothing else helped before. Took about 2 weeks to notice the difference but now it left my skin smooth and clear. Though I use it once a day, otherwise it's too drying.

Cons:

Itchy on application.

I would recommend it.
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July 7, 2007

Pros:

I was using Finacea for my complexion for a while. Then, on my last trip to Greece I decided to get something there. The pharmacist gave me SkinOren. I love it. It goes on great, feels smooth where the Finacea went dry and turned white-ish.

I am very happy with SkinOren. I like it better than any other creme I have tried. Finacea WITH co-pay is $30 and SkinORen OTC was just 8 Euro....
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June 20, 2007

Pros:

It Works. I have dark skin and it really works. I had extremely dark spots and I went to different dermatologists and used what was said to be stronger and Nothing. I had acne spots that were MONTHS and YEARS old, YES YEARS and this worked for me.

Cons:

Dont use it on un-affected skin. Will discolor slightly.

It works.
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April 10, 2007

Pros:

Worked!

Cons:

stings slightly(but who cares)

i was always trying in vain to get rid of my acne that was now leaving scars. The doc gave me this cream and it took away 80percent of my acne and lightened scars i still have scars but not very noticeable.It does sting (slightly) but anyone who has suffered from acne for a long tym will no what i mean when i say "im not bothered" i was just happy that this thing was working. Give it a month maybe less and you will see the difference.
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October 29, 2006

Pros:

making my skin tone more even, lasts for a long time

Cons:

i thought it would work faster. have to wash your hands right after b/c it has a slight bleaching effect and may bleach your clothes if you are not careful.

i've read previous posts and i have to say - i have never had any stinging sensation after using this medicine and have been using it since August. I put it on once a day in the morning after using a 6% benzoyl peroxide face wash and never had any stinging or redness. it does feel a little too dry at first, but a little moisturizer over it works fine (i use cetaphil w/ spf15). i was put on this medication b/c my acne went away, but left me with dark scars on my skin which aren't going away. the derm wanted me to try this since it has the bleaching effect to even out my skin tone. it has worked pretty well, just wish it would work faster!!
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June 29, 2012

Pros:

NOTHING

Cons:

This RUINED MY SKIN. I had a standard case of mild acne before trying this. While using it, all of my small pimples seemed to go away, but HUGE PAINFUL CYSTIC pimples cropped up on my cheeks. I used this for a month, thinking I was allowing some kind of purging process to occur and it would get better. I WAS HORRIBLY WRONG. I stopped using this about 2 months ago. Since then, I have had the ugliest and worst skin of my life. The pimples that happened while using this multiplied.

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. :'(
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Finding a Doctor

The right dermatologist can make a big difference to your patient experience and the success of your acne treatment plan. Here are the steps to find a dermatologist who is a good fit:

  1. Use the search feature on the American Academy of Dermatology website to look for board-certified dermatologists in your area, and filter the search results for doctors with a special interest in treating acne.
  2. Read online patient reviews of any dermatologists you are considering and ask people you know whether they have any experience with these dermatologists.
  3. Do your research and go to your first appointment with questions prepared.
  4. Listen to what your gut feeling tells you once you see a dermatologist in person. If you are not completely comfortable, try a different dermatologist.

Finding a Doctor

Only a select few plastic surgeons specialize in acne scar revision surgery. Be certain to find a provider who specializes in acne scar repair and who is passionate and experienced in this area.

Be sure to:

  • Look at before and after photos, the more the better, especially patients with similar scarring to your own.
  • Be realistic about results. Look for improvement, not a cure.

Questions to ask a potential scar revision specialist:

  • Are you board certified? Be certain that they are board certified.
  • How long have you been performing these procedures? Normally, the more experience the better, however, some younger surgeons may be more on top of the latest procedures.
  • Can I speak to some of your other patients? Ask for references for several patients who had similar scarring and speak to them about the process and their satisfaction with results.

Red flags:

  • Their story changes: As you discuss different treatment options, if they tend to change their mind easily, or agree with whatever you say, consider this a red flag. A confident, experienced surgeon will possess strong, unwavering opinions.
  • Your gut tells you "no": Trust your gut. If you just don't feel that the doctor is the right fit, trust that and move on. On the other hand, if you feel they are the perfect specialist for you, trust that feeling.