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
March 10, 2009

Pros:

It helped clear moderate rosacea and probably helps with my acne as well.

Cons:

Drying/stinging at the beginning. Need a prescription in North America or must order online from Australia.

I used this cream because in addition to acne I was getting rosacea like red bumps (no pus inside) on my face that wouldn't clear with the acne meds I'm already on (Clindamycin lotion, Retin A 0.025 and Diane 35). The bumps would get worse when my face got hot, especially from sleeping with face touching my pillow. I tried oral antibiotics but didn't tolerate them very well so I tried Finacea. It has been a few weeks and I'm 90% clear, definite decrease. Also I've noticed I don't break out around my period which used to happen all the time. It stings at first- be very careful not to over apply (hard when you're all bumpy!) or else you will burn your skin. I use it morning and night, wait 5 mins, apply Complex 15 oil-free moisturizer. 2-3 nights a week I switch it up for Retin-A for maintenance of acne. So far so good - oral antibiotics were easier and 100% effective, less skin irritation, but ultimately they made me sick. Finacea is safe, just don't over apply!
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March 3, 2009

Pros:

wow calmed my skin down.
Worked quickly!
Easy to apply!

Cons:

Slight irritation at site of application but I've experienced MUCH worse with other topical meds. More like a feeling of getting lemon juice on your face or somethi than an actual burning, intense itching feeling than say a strong glycolic acid peel

I used this for the redness and burning feelings on my face and it works great so far like nothing else! I often at night get feelings of unusual warmth, irritation, sensations of feverishness due to ski being hot only on my cheeks, ears, and elsewhere where my skin is thin. Ibuprofen, religious moisturizer application (helped a little), benzaclin, high-potency corticosteroids such as triamcinolone, and tazorac failed to help nor did discontinuing all my topical meds. Azelex cooled down my skin, naturally! Its amazing. My skin feels much more calm, less hot, and is visibly less red after one application, even if the azelex itself itches a tad. Can't wait to keep using it!
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December 26, 2008

Pros:

This stuff works pretty well. I've been using it for about 4 weeks. The trick is to put a lot on. Even though this might increase the stinging, putting a lot one will improve inflammation and redness a lot more (it worked this way for me at least).

Cons:

stings...that's about it though

very good at reducing all kinds of acne--but use a lot for maximum results
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July 18, 2008

Pros:

Nothing

Cons:

Itches a lot, makes skin red and irritated.

There are much more soothing acne medications available out there. This has never worked for me, ever.
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July 12, 2008

Pros:

my skin looks amazing. I tried differin, the pill, and several other thing before and they didn't do a darn thing.

Cons:

It does burn. I started using it just once a day or every other day and I use it sparingly and this has helped. Don't just slather a bunch on... it'll most likely burn and irritate your skin!

Fantastic. my skin has never looked better.
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March 12, 2008

Pros:

I use the 15% azelaic acid product (Finacea) I had no irritation or initial breakout like I got with retinoids.

Cons:

My insurance does not cover it, so its pricey to pay for it out-of-pocket.

It works great in combination with my other over the counter acne products. I like that it addresses multiple causal factors of acne - it prevents comedone formation, kills the acne bacteria, reduces inflamation, and helps fade red marks from past breakouts.
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February 13, 2008

Pros:

Having rosacea azelaic has worked great for me. I know there are 2 versions, one gel and 1 lotion, both of which I have tried. the fineca gel @15 works better than anything the derms have tried so far. Cool calm & corrected from dermadoctor for after

Cons:

price. the burning and itching stops after a few days.

Stick with it, We all know if somebody tells us a product will work we will buy it. In this case I have tried them all and this one DOES WORK
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January 21, 2008

Pros:

This works right away to clear skin. Gives skin a nice dewy glow.

Cons:

Itchy, stops working after a few weeks

For me, this cleared up my skin very fast and prevented new breakouts. But after a few months my face got used to it and it was like I had never even used it.
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December 28, 2007

Pros:

i found it to work after two weeks i found that it got rid of my white and balck heads and my skin was smoother!

Cons:

it did itch to begin with, and the price was really expensive here, i paid 31 dollars for a 30gram tube

even tho your skin itches for the first couple of weeks stick at it! i was so relieved to find something that actually had an effect on my skin, i was on doxycycline at the time aswel but once i stopped using the skinoren my acne came back!!
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December 16, 2007

Pros:

it prevents the swelling of pimples and whiteheads.

Cons:

left my face with slight burns, skin peels off sometimes.

it's an ok product, i would recommend it to someone with light acne.
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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.