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 20, 2008

Pros:

It quickly reduced pimples.
my dermatologist gave me like 12 mini boxes for free....

Cons:

And then it made my face red, inflamed, burning and look like sh*t for a week solid.

If this does work well, I have yet to see it do so. Acid Bath anyone? My background is 3/4 Sicillian and 1/4 Finnish. My skin is incredibly thick, smooth and strong. Nothing ever irritates it. this did. I am going to let it do its thing though as it did stop the pimples in 24 hours. Now it just looks really really raw.
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March 21, 2008

Pros:

Doesn't bleach clothing

Cons:

Made my acne worse, delayed healing of spots

I used this for two months. It gradually made the acne on my chin worse and worse. It has been worse that it has ever been and the spots that are appearing take ages to heal and remain red. Normally my spots disappear within a few days. I didn't have much stinging or itching on application-just occasionally. I have hormonal acne, I flare up on my chin twice a month normally with between 2-5 spots. Since using skinoren I have about 10 spots and that has been all month long, I keep getting new ones and the old ones aren't disappearing. I cannot recommend skinoren at all. Perhaps it is because my acne is hormonal and adult acne-I am 29. I have stopped using skinoren today and have some DIM on order as my next product to try, if that doesn't work I'll have to try spiro
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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April 12, 2007

Pros:

non

Cons:

skin is red,dehydrated,irritated,tight,stings like hell

it made every thing WORSE!!!
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March 13, 2007

Pros:

It did fade my red marks a little bit.

Cons:

Made my face itch really badly for the first few minutes after application. Like you want to scratch off my whole face. No burning. Itching decreases after a few weeks of daily use.

I used this for 2x a day for 3 months and had zero change in my acne. If anything I think it got a little worse.
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
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.
March 1, 2007

Pros:

It seemed to clear my skin a little at first

Cons:

Stinging on application, tight stinging itchy dry skin, acne as bad as ever but now with the addition of the dry red areas around my mouth and nose

Horrible stinging when you first apply it, having been using for nearly 7 months (by the way I read in the instructions that its not advised for use for more than 6mths-is this true?). I went back to my GP a month ago and he told me I wasn't using enough- so that night I applied the amount he suggested... by next morning the entire lower half of my face was covered with a red rash. I have stopped using it on the lower half of my face because of this, but even so 2 months later I am still experiencing really unslightly and sore dry peeling skin around my mouth and nose. My forehead, where my acne is worst has never been so oily, I have to keep blotting it during the day. At certain times of the month I don't really have any pimples as such but the texture of my forehead is really lumpy and oily, its almost like there are pimples without any redness or a head. At other times of the month, I get pimples in addition to this uneven texture and dry skin. I'm going to go back on the pill!
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January 5, 2007

Pros:

NONE

Cons:

severe itching and burning, my face peeled miserably when I washed it off. then i started to break out even worse when I went back on BP. It has been 4 months since I used it and I am still living in the aftermath.

Do not use this if you have even slightly sensitive skin, try Klaron or Clindamycin instead. They prescrtibe this for sensitive skin, but it is not for sensitive people at all. If you have the slightest sensitivity to BP (redness, dryness, itching) do not try this it will make your skin so much worse. Also, the skin can hold on to an allergic reaction for months, so you can't go back to whatever you used to use until it clears completely.

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.