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
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 20, 2007

Pros:

It Works. I have dark skin and it really works. I had extremely dark spots and I went to different dermatologists and used what was said to be stronger and Nothing. I had acne spots that were MONTHS and YEARS old, YES YEARS and this worked for me.

Cons:

Dont use it on un-affected skin. Will discolor slightly.

It works.
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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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June 16, 2007

Pros:

it certainly lightened my PIH

Cons:

stings a bit during the beginning of treatment

my friend recommended differin to me a couple of months ago and i gave it a try. and it worked quite well: it got rid of my pimples in just 3 days but my PIHs (small red and brown marks left after pimple disappeared)are still visible although differin kinda like 'bleached' it a bit. i ran out of that cream so i went to the pharmacy to get another one and i asked the lady about any other meds she knows that can fade my marks away. and that was when i first heard of SKINOREN. the lady said it helps alot with those red spots and can treat pimples too. so i bought it. the first time i used it, it itched my skin but i think it'll b okay after my skin is used to it. i kinda c some improvement after 3 days but not as huge as what differin has done to my pimples. BUT, after a few weeks, IT DID FADED MY MARKS AWAY!! i was so happy, finally those stupid marks are going away. it does get rid of pimples but takes a longer time. like the pharmacist said, it works more for the marks. try it!!!
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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!
May 14, 2007

Pros:

It works better than the other creams I've tried.

Cons:

don't know why, but it gives me dry eyes. So I started applying it further from my eyes and seemed to have taken care of that

I didn't have the itching or stinging that I read about. I think I have acne cause my skin cells really don't turn over fast enough so maybe now they are and that's why it doesn't sting. I also use Aveeno Radiant Wash to wash my face and wait at leasr 5 miutes before applying the skinoren.
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May 11, 2007

Pros:

light skin tone, reduced number of comedos, smooth skin, no redness

Cons:

stinging sensation couple of minutes upon application

after using differin for 2 months straight and the horrible initial breakout i was left with lots of redmarks and still more breakouts. i added skinoren to my treatment and it helped immediately, faded red marks, lightened my redish skin tone and stopped formation of new comedos and acne. it's getting better each day. i've been treating acne for quite some time and i've used everything except accutane, this works very well and the best thing is there's no irritation like with other acne medications.
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May 6, 2007

Pros:

It works on my acne, makes my skin look much better in general.

Cons:

None for me, other than I have to see a doctor every year to get it. When I started using it 10 years ago, I remember it being a little itchy, but that was it.

I have moderate cystic acne, and this is the only thing that has ever helped it. Occasionally, I have not used it, and the acne always comes back. I always try OTC meds before I give up and go back to it.
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April 28, 2007

Pros:

Lightens redness(VERY fast),reduces
inflamation

Cons:

A little itchy at first

I think it's just totally awesome. All around my hairline I started breaking out, really bumpy, but with Evoclin and Finacea It's pretty much gone. But if you have seasonal wheat or grass allergies(like me), it can be really itchy at first, 'cause azelaic acid is found in wheat and barley.
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April 21, 2007

Pros:

relieved redness, Cleared breakout, Lightened red scars

Cons:

Cant think of any

This stuff works. I was on accutane a few years ago which worked very well but i now break out again(not as bad though) Skinoren really helped without the dryness and irritation that other topicals gave me. Iv been told from my derm not to use it for longer than 6 months though which is a downer!!
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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.