Azelaic Acid or Azelex is used to treat acne. It is applied to the acne areas.
Azelaic Acid or Azelex is a heptanedicarboxylic acid which has antibacterial plus anti keratinizing actions.
A 20% cream is applied twice daily, but a 60-70% strength may be needed in moderate acne. Azelaic Acid or Azelex is less effective in severe acne.
Local skin irritation can occur, however the irritation is less serious than benzoyl peroxide or tretinoin. Itching, burning, stinging, tingling, and redness can also occur.
Azelaic Acid or Azelex can cause bleaching, however it is less likely to do so than benzoyl peroxide or tretinoin.
Any product that can cause skin irritation will increase Azelaic Acid or Azelex's effects on the skin.
Med Letter 1996;38(976):52
Int J Dermatology 1995;34:75
The relevant product monographs must be regarded as the appropriate sources of prescribing information.