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
May 7, 2008

Pros:

started seeing results with only 2 applications... using in combo with Differin (at night)

Cons:

itching & burning but it goes away eventually

seems worth it so far...
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April 25, 2008

Pros:

First week and I've seen quite an improvement. I've suffered for years and not bothered until my Doc recommended it.

Cons:

Hurts like hell!!!!

I'll persevere because I think it is going to work. My skin is smoother and eruptions are reducing quite rapidly. UK has NHS so it's quite cheap here. I'm not bothered about fragrance.
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April 3, 2008

Pros:

seems to work already very well in the first week

Cons:

the initial itching but no too much

never really used any creams etc. to get rid of acne, although i have had it many times before (22 yrs.) i get the medicine for free from my insurance...so cant say about the price
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March 30, 2008

Pros:

I saw a difference after one day of using it.
My old scars seemed lighter and more even. Acne dries up without drying out your face. I thought it wasn't working at first because my face wasn't dry. Only cost me $10 with insurance.

Cons:

none

everyone is different, but it works great for me.
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March 11, 2008

Pros:

I love it! I went to work right away without any itching, peeling, or redness. I works wonderfully under moisturizer and/or make-up and it also gives skin a smooth and clear appearance. I also love it because it's non-drying, stainless, and odorless.

Cons:

My only issue was a very mild tingling at application for the first week or so. Other than that, nothing.

This works the fastest, and gives the least amount of side offects than anything i've tried in the past. Definitily recommended.
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February 25, 2008

Pros:

it works! No dry skin, as with many other acne treatments; can be used during pregnancy; saw first results in a week, although doctor told me that it should take 8 week. I had sever cystic acnes and azelex helped anyway!

Cons:

I don't see anything that outweights the major results that I have got. I didn't even have any burning and itching that doctor warned me about.

I love it! Life saver!
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November 6, 2007

Pros:

After just one night my deep zits started to heal and were no longer painful. Smaller zits (the kind that would probably turn into nasty little white heads) began disappearing. My complexion is smoother and less red/irritated!

Cons:

Slightly itchy when first applied. I use Kinerase Cream after washing my face w/ a gentle cleanser and let the cream soak in. If my skin were dry I imagine it would be worse. So - moisturize first!

The only thing that truly works for me is blue light therapy - but I was spending $250/month to maintain that treatment (at the derm's office). My skin looked perfect but it was pricey, so I let it go. I have a new job which means stress, and we all know what leads to: zits. I've tried every topical (Retin-A, clindamycin, NeoBenz, ProActiv, etc) and antibiotics, I won't use Accutane but was on the verge of snapping and getting it! My boyfriend told me about this product and I've been using it a few days and I've already noted improvement. I'm very pleased! One tube will probably last me two months and it's already inexpensive. A lotta bang for my buck. For me, it's a good supplement to getting the blue light every now and then.
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October 29, 2007

Pros:

Very very good product; reccomend it to anyone with acne that bothers them. lightens scars and reduces pimples, you almost think that you have makeup on because everything has a reduced appearance.

Cons:

A prickly feeling after you put it on, but i didnt really bother me, but i guess it bothers others.

VERY VERY GOOD!!! TALK TO YOUR DERM AND GET A BOTTLE OF IT A.S.A.P!!!
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October 25, 2007

Pros:

I haven't had any cystic pimples since using

Cons:

Burns like hell and itches. Been using it for 2 and a half weeks. Sometime it feels worst than others. And I started getting those whiteheads on my forehead and cheeks instead of cystic pimples now.

No cystic pimples! That is great! That means no more scars for me. I am getting those little whiteheads though instead. But I'd much rather have those than cystic. REally burns and itches. I'm almost thinking about stopping it because of that, way too bothering.
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August 24, 2007

Pros:

It works!

Cons:

Initial itching but that does subside, takes a while for the effects to take place

I had tried everything out there short of Accutane but I continued to break out and have very oily skin. I started using this about 9 months ago and initially it caused ALOT of itching but that subsided after about a month. I still continued to break out for about 2-3 months after starting this but after that, my skin has stayed pretty consistently clear with an occassional breakout. It has also helped decrease the oiliness of my skin. Also previous acne scars are pretty much gone. The only thing is to have patience cause it really did help me!
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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.