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
April 25, 2008

Pros:

I started Azelex with oily, scarred and blemished skin. After using Azelex for an approximate 4 months, my skin tone has become evenly balanced in color and natural oils. No more major breakouts. Skin looking 95% better than 5 months before.

Cons:

Price
Tingling sensation (does wear away a few minutes after application)

Works wonders
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April 12, 2008

Pros:

For me helps a little even when used just twice a week, once a day. Does not bleach textiles. Skin turns very smooth after the peeling effect.

Cons:

Does not cure the acne even in regular use, though reduces blackheads. Delays the healing of red spots. The itching can be quite unbearable, especially on hot weather (so I opt to using just occasionally)

Has positive effect for me even when used occasionally, so why to suffer from the itch daily. Not many treatments work for me, so this is well worth recommending.
April 8, 2008

Pros:

seems to work, is over-the-counter

Cons:

stings if your skin is very dry, and you need to avoid sunlight

better than nothing
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April 7, 2008

Pros:

Essentially cleared up the disaster that Retin-A Micro made of my face. Within 5 days, my scars lightened, I have not developed any new acne, and the old acne is disappearing. What would I do without it?

Cons:

Itchiness, but I hear it goes away. And well worth it, if you ask me.

Finacea 15% is a miracle drug.
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March 17, 2008

Pros:

finecea 15% has done wonders compared to azelex acid 20%

Cons:

none yet

odorless, stainless, has worked wonders
March 12, 2008

Pros:

I use the 15% azelaic acid product (Finacea) I had no irritation or initial breakout like I got with retinoids.

Cons:

My insurance does not cover it, so its pricey to pay for it out-of-pocket.

It works great in combination with my other over the counter acne products. I like that it addresses multiple causal factors of acne - it prevents comedone formation, kills the acne bacteria, reduces inflamation, and helps fade red marks from past breakouts.
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March 5, 2008

Pros:

over time it removes almost all acne and redness. you still might get a pimple though, but when your face is in your natural colour one zit or two does'nt look that bad.

Cons:

still had two breakouts after i starting using it. one year after i started, then six months after that. maybe because i got lazy and did'nt use it frequently enough when i looked good. hope so..

your acne itches, but i saw it as a signed of it working. and in a while, it sure did. i cleared up fine and got my selfesteem back.
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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.
February 13, 2008

Pros:

Having rosacea azelaic has worked great for me. I know there are 2 versions, one gel and 1 lotion, both of which I have tried. the fineca gel @15 works better than anything the derms have tried so far. Cool calm & corrected from dermadoctor for after

Cons:

price. the burning and itching stops after a few days.

Stick with it, We all know if somebody tells us a product will work we will buy it. In this case I have tried them all and this one DOES WORK
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February 1, 2008

Pros:

works very well. Nothing else helped before. Took about 2 weeks to notice the difference but now it left my skin smooth and clear. Though I use it once a day, otherwise it's too drying.

Cons:

Itchy on application.

I would recommend it.
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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.