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
December 28, 2008

Pros:

Reduces amount of new acne, fades red acne scars, evens out skin tone, improves skin texture, controls shine from excess oil.

Cons:

Costly, stings/itches a bit for first 5 minutes after applying.

I stopped using birth control pills a few months ago after being on them for 9 years. My skin became an oil slick and now I have huge problems with blackheads and acne. This product has helped control the oil, hence clearing the acne. Using this product, along with regular washing, exfoliating and extracting has helped clear some acne so far, but I still get some new pimples. I've only used Azelex for 2-1/2 weeks and am planning to try it for at least 2 months.
February 25, 2009

Pros:

great skins cleared up really good already only been using 4 a week hope it continues like that skin feels smooth aswell made cyste spots smaller :D:D

Cons:

does sting verry little when first aplied
little peeling of the skin

really good this was the second last treat ment for me but scared its too soon to talk
March 1, 2008

Pros:

It seems to help prevent acne without irritating my skin at all. I would definitely recommend trying azelaic acid.

Cons:

expensive! a tube of brand name Finacea cost me $90. one tube seems to be lasting about 2-3 months with twice a day application. But, I have no other cons to speak of! That's unusual for any kind of acne treatment.

It's hard to tell, but my azelaic acid topical cream (Finacea) seems to be helping prevent acne for me. I have sensitive skin, and yet it doesn't cause any itching or burning unless my skin is very dry. I use Cetaphil lotion with Finacea. I also apply it underneath my makeup and it doesn't clump up or anything. It's as if the Finacea isn't there. It also doesn't have an obnoxious smell or any color. I see no down side to using it except the price.
March 7, 2007

Cons:

itchy...

i have a mild acme in just one part of my face and it just wont go away... skinoren was good for the first couple of months, ofcourse it was itchy but didnt care.. now my problem is worse than ever plus plus my skin is de-hydrated..:-( its the only product that was actually working though, even for a little while
March 11, 2007

Pros:

it seems to work at first

Cons:

it's kind of useless

the bottom line is, it's better than nothing, but still,i d go for something better. i got it for free , since it was compensated so i didn't really care if it worked or not.personally i think that my back acnee is worse than before
August 5, 2008

Pros:

Pro's It came highly recommended. My first application was today.

Cons:

A generic version is not available. I paid $86.00 and that was after the insurance paid their portion.

I will write back and let you know if it worked!
September 4, 2009

Pros:

worked the first time i ever tryed it on ma face,
price is cheap and can be perscribed by derm 4 free

Cons:

can cause skin to look more red, itchy, may not work 4 everyone.

im jo, used this medication twice, last year and this year. used it last year for 5 months, this year 6 months. firat time used worked great for the first couple of weeks, no break outs at all. could see improvements. but this came to a hault when went on holiday to dubai last year, where the cream waz findin it hard to cope wit da heat. so it stopped workin. the second year (2009) i used it 4 a long time, more than 6 months, dis time it made ma face worse got some scarring 4rm it. i think it didnt work, cauz maye i didnt use enough cream or cauz need to use plain water to wash it off, or cauz u might have to use da cream on ur whole of ur face. but worth a try 4 a newcomer, jut try and follow what the instructions say.
June 28, 2011

Pros:

none yet

Cons:

burns itches causes dry skin

i have been using it for a few days now so idk yet
December 4, 2007

Pros:

ok

Cons:

ok

I bought it today,its the last medicine ill ever use for my face,i hope its gonna work

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.