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Topical acne and rosacea treatment

Azelaic acid: uses, side effects & precautions

Also known as Finacea, Skinoren, Azelex.

Esta información es solo orientativa de carácter general y no constituye un consejo médico. Consulta siempre a un profesional sanitario cualificado para cualquier asunto médico personal. En caso de emergencia, llama al número de emergencias de tu zona.

What it is used for

  • Mild to moderate acne
  • Rosacea (redness and bumps on the face)
  • Uneven skin tone and post-acne dark marks (when advised)

How it works

Azelaic acid reduces acne-causing bacteria, helps unblock pores and calms inflammation, and can also reduce the redness and bumps of rosacea.

How it is taken

Comes as a gel or cream. Apply a thin layer to clean, dry, affected skin exactly as the label or your clinician directs. It usually takes several weeks of regular use to see a benefit; keep using it as advised and avoid the eyes and lips.

No doses here on purpose. The right strength and schedule depend on you — only a doctor or pharmacist should set them. Always follow your prescription and the label.

Common side effects

  • Burning, stinging or tingling, especially at first
  • Dryness, itching or peeling
  • Mild redness of treated skin

Serious effects — get help

  • Severe irritation, blistering or swelling
  • Worsening skin lightening or unusual colour changes
  • Signs of an allergic reaction such as facial swelling, widespread rash or difficulty breathing

If a reaction is severe — for example trouble breathing, swelling of the face or throat, or collapse — go to the nearest emergency room now or call your local emergency number. Do not wait for an online consultation.

Interactions to watch

  • Other strongly drying or exfoliating products on the same area can increase irritation

Who should take care

  • Avoid the eyes, mouth and other mucous membranes; rinse with water if contact occurs
  • Tell your clinician if you are pregnant or breastfeeding
  • If you have a deeper skin tone, watch for unwanted lightening and tell your clinician
  • Be patient, as it works gradually over weeks

Frequently asked questions

Does azelaic acid help rosacea and acne?
Yes, it is used for both, reducing spots in acne and easing the bumps and redness of rosacea. A clinician can advise which is right for you.
Why does it tingle when I apply it?
A short burning or tingling sensation is common early on and usually settles. If it is severe or persistent, reduce use and ask your pharmacist.
How long until I see results?
It generally takes several weeks of consistent use. If there is no improvement after the period on the label, seek advice.
Can it lighten my skin?
It can occasionally cause skin lightening, more noticeable on deeper skin tones. Tell your clinician if you notice unexpected colour changes.
Is Azelaic acid safe to take?
For most people it is safe when taken exactly as a doctor or pharmacist advises and as printed on the label. Tell your clinician about your other medicines and health conditions, and seek urgent care for any serious reaction.

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