Topical Antibacterial
Reviews
3.8
501 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
34.5%
4
31%
3
18.3%
2
8.9%
1
7.3%

Used Azelaic Acid? Rate It:

Choose from 1 to 5 stars
November 2, 2007

Pros:

Works better than anything else i've ever used in the 10 years i've been struggling with acne. Clears up breakouts while i sleep so i wake up to clear skin.

Cons:

its kind of costly if you don't have insurance

I've used everything for my face, and i mean EVERYTHING over the counter to prescription and this is by far the best cream i have ever used. it doesn't make my face red, itchy, or flakey. i have had big red cystic pimples and small "normal" ones and my advice (well for girls i guess) i went on the pill, used minocycline, and used azelex, has worked better than any other combination ever! it finally made me feel normal again instead of the girl with acne. SO bottom line is! AMAZING and i would recommend it to anyone
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 27, 2007

Pros:

cheap, has worked better than anything else!

Cons:

doesn't completely clear my skin, but makes a noticeable improvement ; first few days of using it it burns a bit, but that eventually stops

definitely recommend! every other topical I've tried dries my skin out to the point that it's so painful i can't touch my face to wash it, and no oral antibiotics have worked.
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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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September 29, 2007

Pros:

I guess this is more for rosecea? I dont know why they gave it to me for Acne. It did not help my acne and actually made it MUCH worse. This stuff should NOT be marketed as an acne treatement if its mostly for scars and redness.

Cons:

I guess this is more for rosecea? I dont know why they gave it to me for Acne. It did not help my acne and actually made it MUCH worse. This stuff should NOT be marketed as an acne treatement if its mostly for scars and redness.

Made my acne worse.
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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 24, 2007

Pros:

Lightened up my hyper-pigmentation and scarring from monster zits. (I don't get many pimples, but frequently get the big painful ones that seem to last for weeks, with scarring that had lasted for months)

Cons:

Lots of itching and burning, I was afraid it was causing a chemical burn, but it did not.

I would definitely try it! Makes large pores tighter as well. Also decreased oiliness of skin.
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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 28, 2007

Pros:

improvement after the first week

Cons:

itchy!!!

it really gets rid of stubborn 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.