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
August 27, 2014
Didn't really do anything
My acne kept on slowly getting worse, which made me hopeful that this was helping in some way, but I think it was just my skin itself that got worse regardless of what was on it. Skinoren didn't really do anything for me at all. Maybe it helped diminish the pimples a little bit after about a month or so, but it worked very very slowly. I used it for two and a half months, didn't renew my prescription. maybe it works if you use it longer, but I feel like a topical treatment should give quicker results. It is gentle, though, so maybe it could be worth a shot for someone with sensitive skin.
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June 19, 2014
Excellent topical for morning use.
I have used Finacea as part of my morning regimen for about a year. I love it!! My breakouts clear much more quickly, it smooths out my skin tone, and eases redness from current breakouts. One of my favorite parts--it wears fantastically under makeup! Other topicals I have used in the morning look greasy, cause peeling, or make my make up look just plain gross. But I have found that finacea works somewhat like a makeup primer as far as smoothing out skin and giving a good canvas for foundation application, it controls oiliness due to its matte finish, and it fights acne at the same time so its a win-win in my book. Even after a year of use, my face does sometimes itch for a few minutes after application, but it is very bearable and worth it. That is the only side effect--no peeling, red, raw feeling skin like some of the harsher topicals cause. I have found that it works best on the smaller pimples and does not do too much for cysts. However, I generally have many small pimples and only 1-2 cysts a month that clear somewhat quickly, so it is a great product for me. I have very problematic skin and moderate acne, so even though it has not completely cleared my skin or anything, I am very pleased with the results and would hate to see my skin without it!
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July 10, 2015
What face wash do you use with Finacea?
December 22, 2013
fades hyper-pigmentaion left by acne!

Pros:

fades hyper-pigmentation
clears mild acne

Cons:

expensive

finacea 15% gel works good on acne it makes pimples come to its head then they pop on there own. but i have notice that this topical is AMAZING at fading my hyper-pigmentation left by my acne. -also it is very expensive if you have no insurance.
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November 26, 2013
2 week review

Pros:

Easy to use
Deep penetration of getting into pores
Reduces inflammation

Cons:

Burn/sting
Expensive retail 300.00 insurance made it 100.00
Takes time to see results

So far it's only been 2 weeks of using this product I have moderate acne with past scars from cystic acne. My dermatologist prescribed this cream to me with benzoyl as my face wash. I apply twice a day after washing my face it does burn and sting for a little while and then goes away, so far I'd say its working as far as minimizing the cystic acne I have broke out a little more from using this product but not too much, and the inflammation has gone done but il give it some more time and see what better results il have
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November 8, 2013
works for first months, not in long run
Skinoren cream. Used it for months and cleared a lot of my skin, after some month treatment (for weeks). After using it few months more it just stopped working and acne came back, and the skin was really terrible, did not stopped using it, but nothing did work anymore. I started taking accutane(took it 6 months) got clear for months but after stopped using it, acne came back almost the next day,, and I was still alive and did not had any side effects, "thanks god!":D. Doctor described again new medicine, that did not work at all.(don't go to the doctor). "Products that irritate your skin and cause more acne". My skin was sometimes really clear, did not know why, but now I realized that i was using a product with BP and should not have stopped using it(it was a exposed skincare kit, the daily serum(it's too expensive)). Now my skin is clear thanks to BP only, and I will use it daily, works now almost a year, I have pretty good skin. !!!!About the BP miracle (I had acne over 10 years, now my skin has scars) -- I have noticed more better results than BP clean solutions, I recommend Dr. Wolf , Acne fug (it's was the only thing with BP in my country, and now I can not stop using it!!!), Acne fug is 5% BP and has alcohol and some other clearing skin agents(it's stored something like 2-7 decrees) (the paper recommends it for hormonal acne (hormons cause acne etc), the acne that other products can't fight), I use it once a day and works much better than any BP solution so far (It can't get any better, so I stay at this product. If I will not use acnefug for several days(without showering etc) the acne comes back, some pimple or pimples appear, but if using this product they disappear after 2-3 days completely), no flakiness or anything(BP makes skin look a bit lifeless). Only once a day!!!!(I shower once a day!)(it's quite effective so please not use that often) I also use moisturizer with lipids and after that my skin is not try and feels good.
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September 15, 2013
Very good product!

Pros:

Cleared skin.
Renewed skin. Did not cause wrinkles.
Lasted a long while.

Cons:

RX prescription only.
Picky conditions.
Expensive

This product was amazing. I used it for quite a long time (mid-2008 to summer of 2010) and while it was for rosacea, it combatted my acne better than any other product. Unfortunately, it is a bit expensive as well as a prescription, and preserving the medication takes a bit of effort because it is sensitive to temperatures and needs to be kept chilled. This was not practical for my life longterm, but I have yet to find a product that works better.
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September 4, 2013
skinoren works for me!

Pros:

slow but effective
prevents redness and reduces breakouts

Cons:

very itchy at first time

I am 40 yrs old. My skin is not flawless but always been good enough to the point that im satisfied. I have few blemishes and pores but can fix them with a little bit of foundation or face powder. I wasnt been an acne prone person but 5 months ago, I started noticing some big pimples with puss and really hurts when I do my night facial regime. I didnt pay attention so much b/c I thought it will pass. But day after day after day my breakout is getting worse and so I started to be worried. I was scared that Im developing rosacea. Last month I went to see my dermatologist for a consultation and she confirmed that im having acne and not rosacea so I was a bit relieved. She prescribed me skinoren and dalacin 10mg. Been using skinoren and dalacin for 20 days now and im happy with the results. My face is clearing up and smoother. Skinoren works for me but apparently it has different effects to others.
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August 23, 2013
Fingers crossed its working
I am 47 years old and have suffered with acne since my teens. I myself have tried every cream, facewash etc but then came across Skinoren by accident. I ordered some from Amazon and have been using it for about 4 weeks. I have had no breakouts at all since I started it. Usually my chin area has at least 2 massive painful spots but since I started using the cream I have had one tiny spot in 4 weeks. May just be coincidental but I am going to keep on with it in hope....
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August 18, 2013
skinoren experience

Pros:

...

Cons:

force my face to breakout often
worsen my condition
didnt do anything for red marks

worst treatment i have, i had 1 pimple in a week then i started using skinoren and i have 1 new pimple per day!!! i used it for month then i gave up and after two weeks i still have new pimple everyday, i dont know whats wrong... even cyst i have which i never had before, it may help someone but my opinion hands off! and yeaa... didnt help with red marks after 1 mont a bit!
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July 30, 2013
Happy with it, will continue. Need to take extra stuff though

Pros:

Dries pimples very fast
Really smooths skin texture

Cons:

Leaves white residue (if you put on too much)

I hope this will be helpful to someone, I will try to be short: I have PCOS and have had acne for... 7 or 8 years now D: I've taken Roaccutane, birth control pills, tried all sorts of creams. Right now I'm still taking birth control pills but I'm quitting in a few days. I don't want to depend on them for the rest of my life, plus, they never cleared my face completely. I started using Finacea about a month ago, and at the same time I started taking zinc, chromium, and primrose oil. Even though my face gets kind of oily, especially now that it's summer, I have no blackheads and no pimples whatsoever, I'm really really happy right now, I hope I can keep things this way. After I quit the pills I plan on taking DIM and maybe licorice extract, or some sort of anti-androgen. Also, I drink lots and lots of tea! Green tea and spearmint tea are great.
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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.