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
August 16, 2007

Pros:

Reduces red marks, reduces acne by about 70%

Cons:

Stings on application, itches.

I think it works very well I use this as well as being on Dianette and so far so good, it's getting rid of scars and for the first time in 8 years I don't have to wear thick horrible layers of make up to cover the acne up, just have to use a concealer for the red marks on the most part. The itching and any drying affect faded away in the first few weeks.
August 5, 2007

Pros:

Helps red and brown marks on sun damaged skin with adult acne and rosacea. Seemed to help reduce new acne lesions or shorten time to healing, not a miracle traeatment.

Cons:

Prickling feeling when freshly applied not intolerable but may bother some. Not available in my country.

I order this from NZ pharmacy with an extremely helpful pharmacist, cost is reasonable. It was not available for some time and replaced with a lotion that rolled off the skin. Skinoren product seems also to blend with makeup with a little effort so works for daytime too, not greasy at all. All this is pointless unless you use SPF >45. I will continue to use it daily and recommend it to others.
May 17, 2007

Pros:

Reduces redness, helps acnew

Cons:

itching at first

I had been on accutane for years and this seems to do the trick. Using morning and night. I love it! I can see my acne scars fading away!
March 28, 2007

Pros:

No irritation, skin looks smooth, brown spots from previous acne are begining to fade. Safe to use while pregnant.

Cons:

Gave me a initial breakout

This med in my opinion works slower than a vitamin A based treatment. I noticed that it shrinks the pimples slowly.
March 4, 2007

Pros:

fades red marks

Cons:

itches...goes away after like 3 weeks, seems to do nothing for acne, still breaking out

used it morning and night, i need to get on something else this didn't work.
December 30, 2006

Pros:

Cleared up blackheads and heavy breakout areas such as forehead in about 2 weeks.

Cons:

My face feels dry. I was prescribed Chylindamycin (SP?) during the day for it and now my face just feels oily which makes me think I am producing more breakouts! Must use as prescribed

I just started getting acne at 23 so this is my first prescription. I helped clear up my forehead but did nothing for my rash looking acne around my nose which is where I am most self conscious. Also I get random pimples on my cheeks...Hopefully it will continue to improve my skin but I may seek other options.
December 16, 2006
I think the stuff is good.....but my acne (the small bit tht i get) comes back every now and then and i have been using this stuff for bout 2 months.........anyone else get this?????
November 13, 2006

Pros:

has made my skin look and feel calmer

Cons:

stings when you apply it also can dry your skin a bit but oil free mousturiser is ok for that

i have been using azelaic acid for about 7 days now and already i can feel an improvement in my skin it feels smoother and looks a lot less red it isnt clear yet but i have only been using it for a week
April 26, 2012

Pros:

Gentler than Benzoyl Peroxide products.

More effective (I found) than BP.

Doesn't cause redness on face.

Cons:

Minor sting at first, but goes away.

It is not miracle cure, but I find this product much more effective than BP for me. Also with BP my chin and skin just turned red, and that kind of highlighted my acne and scars, rather than improve them. I've been on Azelaic acid 20% for 6 months now. I really like it. It works. And I don't get redness on my face like before. I find that it also prevents new breakouts. Before sports I would wash my face and put on the treatment, I find that this helps reduce new breakouts.
December 29, 2008

Pros:

Works wonders for my inflamed acne, cysts and comedones. Makes skin smooth and matte, bleaches scars and red marks.

Cons:

Stings and itches the first weeks.

Wash face with rich amounts of water ONLY, pat dry, then apply A LOT of the azelaic acid cream. (You might want to start with less, then ramp up the dose). My skin is now smooth and even, no pimples/cysts. Have tried: Differin, topical tretinoin, benzoyl peroxide, oral antibiotics, topical antibiotics. Azelaic acid beats them all in my experience.

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.