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:

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November 17, 2007

Pros:

this is an update from the post below by me, titled "no more cystic pimples, something..."

But anyway, I have I don't think it's cystic but it is one of those underthe skin pimples that hurt on my cheek and corner of my chin since using.

Cons:

no more itching or burning afterwards, in my original post I was still itching and burning for about 3 weeks

Great product, Only had a couple of hurtful pimples since using it. I have been using it for a month and a half. normally I have had a lot of pimples by now. Over-all complexion is better. Have not seen much improvement in red marks though.
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September 27, 2007

Pros:

Acne started to diminish after only one night of use!

Cons:

Burns / itches quite a bit when you first apply it.

I have adult acne which worsens around that time of the month. Azelex works so much better than Retin-A (tretinoin) for acne. It keeps my skin clear - so far! I have combination skin and tend to develop cystic acne. Azelex is the only acne stuff I use daily.
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September 26, 2007

Pros:

It works. Nothing else worked before. Skin feels smoother after a few days.

Cons:

itches, but for a very short time. You can not use it longer than 6 month and skin can get sensitive to sun. I use it from october to april, then I am only on some cosmetic stuff.

The fist weeks it itches and seems do not have much effect, but after one month you see big improvement. About the same time it stops itching, then you can help dead-skin removal with scrubs one-two time a week - skinoren gets even more effective. Though now, when I ahve used it for 4 or 5 years 6 months per year, the effect is lower - my skin seems have got used to the acid in skinoren and does not respond as good as before.
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September 16, 2007

Pros:

Easy-to-apply, soaks in to skin, doesn't sting or dry

Cons:

Under-the-surface white heads

I am using this as well as Spirotone for 3-4 months. It goes on easy, but has some little grains in the cream sometimes. My skin has improved, but I am not sure if it is the cream or Spiro.. I think Spiro mainly. This has kept large nodules at bay, but it gives me lots of under-the-surface white heads, I don't know if these would otherwise be big nasty spots, if so maybe I should be grateful! But they are annoying and easy to pick at and make worse.. so I'm back to square one really!
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August 1, 2007

Pros:

it cleared up small acne straight away

Cons:

i have red acne scars that are lightening up, but are not completely gone yet. the itching isn't too bad.

i like it, and with my health plan; it's free!
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June 24, 2007

Pros:

cleared small zits and pimples which are not fully developed yet

Cons:

didnt help at all at big fully-developed acne; only small ones. in fact it made them worse than before. and it itches a lot!!

okay. i just started using this for one week. but i can see a bit results. well it cleared up all my small pimples, and it made my skin much more smoother. but it didnt help at the big pimples at all. it made them worse, and it itches ALOT. but just have patience. i recommend you guys to try it out ;] tips: drink at least 7cups of water everyday!!!
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June 18, 2007

Pros:

My skin looks much younger and healthier now. Far fewer pimples, improved over-all appearance. Short list of very manageable side effects.

Cons:

Itching directly after application - wannt to scratch my face off.

My skin looks much younger and healthier now. I still get the occasional pimple, but my over-all skin tone is very much improved. I recently had surgery on my nose, (about 4 months ago) and the scar has completely disappeared - the doctors couldn't even find it when I went in for a follow up - this was an inch-long scar running straight up and down my nose, complete with stitch scars on either side! I am very pleased. Wish I could skip the itching, though...
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April 12, 2007

Pros:

non

Cons:

skin is red,dehydrated,irritated,tight,stings like hell

it made every thing WORSE!!!
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April 11, 2007

Pros:

whitening effect of acne marks
kills pimples fast
natural antioxidant, makes skin looking young.

Cons:

stinging itchy feeling for first couple uses
bad smelling

it works and lightens up the dark/red acne marks at the same time.
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March 19, 2007

Pros:

seems to work, im now starting to see huge results.

Cons:

unbearable itching in the begining which seem to have slowed down drastically lately. There is still itching but it last for about 5 minutes no and is not so as intense as before.

I used the product in conjuction with tretinonin( rentin A) and doxycline. I started out with the retin A for about 2 months and really didnt see any good results. After returning to the dermatologist, i was given the antibiotics and azelex. Its been a little over a month now and something is working. My skin feels so smooth, the bumps have slowed down, and my complexion is becoming more even.
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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.