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
December 1, 2006

Pros:

AWESOME!!! within days my skin tone was clear and the littler acne I had was gone. Withing 2 months I was 85% clear, and COMPLETELY clear in 3 months. It's been 5 months and i cant remember my bad skin. And it lightens my scne spots. LOVE IT

Cons:

Deal with the stinging for 1 month - its so worth it. After that, it never stings again. It DOES make my skin feel a little shiny, but dabbing it w/ napkins a couple times a day in the bathroom is so worth the clear skin that comes along with it.

USE IT! It works...btw, my acne was mild-medium....but still i hated it! was on accutane twice in my life and my acne came back, but am so happy with this!!! Your confidence will sky rocket :-)
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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
October 29, 2006

Pros:

making my skin tone more even, lasts for a long time

Cons:

i thought it would work faster. have to wash your hands right after b/c it has a slight bleaching effect and may bleach your clothes if you are not careful.

i've read previous posts and i have to say - i have never had any stinging sensation after using this medicine and have been using it since August. I put it on once a day in the morning after using a 6% benzoyl peroxide face wash and never had any stinging or redness. it does feel a little too dry at first, but a little moisturizer over it works fine (i use cetaphil w/ spf15). i was put on this medication b/c my acne went away, but left me with dark scars on my skin which aren't going away. the derm wanted me to try this since it has the bleaching effect to even out my skin tone. it has worked pretty well, just wish it would work faster!!
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October 12, 2006

Pros:

I've used this on my face for over 7 years; it's the only thing that works consistently over time. Yes, it takes a while to get used to the stinging, but after a couple of weeks, it was fine for me.

Cons:

You need to keep on top of it and use the product every day. I have lapsed and the acne comes back. Depending on whether you have insurance coverage or not, $ 100 USD every few months might be quite a bit of money to spend than some folks have.

I've used Accutane and while that worked to stave off cystic acne for many years, it was so difficult to go thru the harsh initial breakout and dryness symptoms that I cannot imagine using Accutane over Azelaic ever. I have also used skin systems like Obaji that included Retin-A, if eliminating deep pigmentation isn't an issue, I'd stay with Azelex and a topical antibiotic.
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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.