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
July 18, 2012

Pros:

Nothing

Cons:

Burning, itching, redness, increases skin oil, made me breakout horribly.

I used it for 5 days, and from day 1 my skin blew up. It made my skin more red and more oily than it already was. It itched and burned like hell. I know you are supposed to continue with a product for a month, but I just couldn't do it. Something about it didn't agree with my skin and I couldn't continue with it. I see my derm in 2 weeks and I'll explain to him what happened. I'm also on doxycycline. I'm on a high dose so I'm hoping that helps my acne.
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April 4, 2012

Pros:

May help pimples and redness

Cons:

My skin got so oily, I had to discontinue use
Burning and itching when applied
Expensive

I wish this worked as well for me as it seems to have worked for most people. If I had read these reviews, I would have said "Whoo-hoo! Sign me up!" But I have found that azelaic acid makes my skin unbearably oily. I don't have naturally oily skin to begin with, so this was a new feeling. I had to blot throughout the day, and my makeup was sliding right off. Any benefits weren't outweighed by how oily my skin became.
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July 17, 2009

Pros:

Rids the red pimples; prevents new breakouts; lightens old healed pimple scars.

Cons:

Itches for first 5-10mins but goes away.

Got rid of my forehead and all breakouts; had to get off of birth control pills cause i'm trying to get pregnant---the BCPs kept my skin beautifully clear for many years. Azelex helped me a whole lot!!!!
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April 24, 2009

Pros:

i have tried lots of acne treatments, including oral antibiotics, nothing seemed to last this cream is great could feel diff after two days skin alot clearer no new cysts formed very happy with it

Cons:

stings a little at first but it doesnt last

I am really pleased with this so far i will keep you informed, my skin looks so much clearer already
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January 31, 2009

Pros:

acne scars do seem to fade faster

Cons:

made me break out in cystic acne in areas of my face that used to be clear.

not worth the money, time, or stress.
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January 6, 2009

Pros:

Helps kill the bacteria hels with the redness and the Bumps soothens the skin and keeps it soft

Cons:

When i first applyed this cream i got a pins and needels feeling and slight burning sensation for about 5 mins but then it calm down rapildy

Only been useing this cream for 2 days now but as soon as u put it on a few hours later u can really feel it working.. Just hopein it now helps as other creams like Panoxy havent worked And duax..
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November 10, 2008

Pros:

Reduces oilyness...

Cons:

I've been using the product for 2 months now and my skin hasn't improved at all. I still get breakouts, I still have whiteheads on my cheeks and the red spots are still there also... I'm very disappointed with this product.

Didn't work for me.
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September 16, 2008

Pros:

Doesn't dry the skin out and really works (for me at least!)

Cons:

Takes a bit of getting used to - it can sting if applied to damp skin or used too frequently.

I LOVE htis product. I have moderate acne and after a month of nightly use it really keeps my spots at bay. I stopped using it last month when I found out I was pregnant and immediately came up with horrible acne. I started it again this week after my doctor told me it was safe and they have already started to clear up - along with a reduction of scars. I know that everyone's skin is different - what works for me may not necessarily work for you - but Azelaic acid is natural, non-drying and has worked where nothing else has on my skin. Give it a go - be patient - only use it at night (any more will cause problems) and be patient!! best wishes
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September 13, 2008

Pros:

The only good thing is that it works great under makeup because it gives skin a matte appearance.

Cons:

Made me break out all across my forehead! There is a burning sensation in the beginning, but it's not that bad.

After reading the great reviews on this site, I was really excited to use it. Within the first few weeks, there was no reduction in pimples, i actually had more! I searched reviews to find out if purging was a side effect but couldn't find anything. I knew there was a problem when i broke out all across the top of my forehead with painful pimples. I went back to my derm after two months of using azelex and he told me to only use azelex in the morning and gave me samples of retin a micro for every other night. In the morning i would wake up and my pimples were dried out and i believe that was 100% because of the retin a micro. I was still getting new pimples though, almost daily. So last week i decided to stop the azelex and continue with the retin a micro and it was an excellent decision...so far. I haven't had any new pimples and my acne scars are fading!
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June 17, 2008

Pros:

It appears to be working quite well on my skin and i am not nearly as oily asin times past.

Cons:

Burning/itching to the point that I have to wash it off

I like the product but may have to discontinue use if I cant stop the burning
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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.