Azelex : Azelaic Acid (20%) Cream

Brand:
Reviews
3.7
312 Reviews

Active Ingredient: Azelaic Acid (20%). Inactive Ingredients: Cetearyl octanoate; glycerin; glyceryl stearate and cetearyl alcohol and cetyl palmitate and cocoglycerides; PEG-5 glyceryl stearate; propylene glycol; and purified water. Benzoic acid is present as a preservative.

Items marked with red have tested a 3 or above (out of 5) in comedogenic (pore-clogging) testing.

The list of ingredients above is provided for informational purposes only. Always check the actual product label in your possession for the most accurate ingredient information due to product changes or upgrades that may not yet be reflected on our web site.

5
29.8%
4
34.9%
3
18.9%
2
10.3%
1
6.1%

Used Azelex : Azelaic Acid (20%) Cream? Rate It:

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August 31, 2011

Pros:

fades red marks slightly (new ones)

Cons:

broke me out in small bumps after the fourth week, some of them have started to head.
left me with more red marks than before I used the cream.

I wish I didnt try azelex. My skin was looking pretty good before I went on it but I really wanted to get rid of those red mark.. I don't think what I had was an initial breakout since I got little bumps at the end of the 3rd week of use.
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August 10, 2012

Pros:

Clears red marks over time
absorbs quickly and easily

Cons:

stinging upon initial application

I've used retin-A, clindamycin, benzaclin, and azelex over the years and azelex is the only one I still use. My derm prescribed it because benzaclin was making me peel like crazy, and once I switched all the redness and flakiness went away. I don't think it controls major cystic acne, but for those in their mid-twenties who still suffer from breakouts azelex is perfect. I always forget how much of a difference it makes until I run out and have to wait to see the doctor to get a new prescription. When I stop using it I get the same old breakouts I used to get. I would definitely recommend it for those with mild-moderate adult acne. My skin can't take any of my other prescription products anymore and I think the Azelex is gentler but just as effective for me.
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July 21, 2015
Wonder Drug
I have had Rosacea for many years. I take antibiotics two times a day and have used Metrojel 1 percent with no relief. I felt so frustrated because it just got worse. My internist told me there was nothing else that could be done at this time. I received a coupon in the mail for $30.00 for a new product called Azelex Acid. I asked my doctor to write a prescription. With insurance I paid $130.00. I have used it only 5 days and already my skin is improving. I can't believe it. My skin has cleared up and is soft and smooth. The redness and pimples are gone. It is worth every penny.
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July 28, 2015
I've been using Azelaic acid for a couple of weeks. No improvement yet. I'm shocked that you have to pay so much. In the UK, all prescriptions cost about £8, regardless of the medication. I know the cost to the NHS is only about £3.50 per tube. It's a really cheap drug. I'm really hoping that there's a cheaper way for you to purchase this.
May 24, 2013

Pros:

no strong odor
clear on the skin

i just started using azelax yesterday and maybe im just seeing things but my skin looks different. looks a little less inflamed and a little softer. im concerned about one thing i see everyone feels burning i didnt feel anything what so ever when i applied this cream. could that be bad? hoping this stuff really works. ill write another review soon w my results.
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September 22, 2017
do you still recommend it??
November 21, 2012

Pros:

Skin cleared,
acne scars reduced,
Reduced redness

Cons:

Itchy,
Dryness

i have had acne for 15 yr now....i have tried almost every single medicine out there...most are effective but after i stop using them my acne comes back. I don't want to use accutane because of the bad side effects. ive been on azelaic acid for 3 weeks now...so far its working good...lets wait and see what happens after a month or two.
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August 7, 2009

Pros:

Clears up acne in the cheek area.

Cons:

Take almost 4 weeks to start working, itches and tingles for about 15 minutes and doesn't help on my chin acne

It's ok.
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September 1, 2009

Pros:

Didn't experience any of the painful itching or stinging other people have.

Cons:

Painful cystic breakouts, worse than before I started!

I've only been using this product for 2 - 3 weeks. I keep hoping that things'll settle down as my skin gets used to it, but so far... no sign of improvement. The acne on my chin and jawline is worse than ever! So far... definitely not recommended. I'm going to try it for one more week; then it's back to Proactiv for me. If I really do have rosacea, per the dermatologist that prescribed this stuff, I'll try a new pair of creams from Prescriptives.
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January 6, 2008

Pros:

Good treatment if you are pregnant and need something for acne. Works well. I use to use it once a day- saw 50% reduction in moderate hormonal acne in three weeks. Almost completely gone in six.

Cons:

Super itchy for a while- takes about 30 minutes to settle. Used it for about six months saw results but irritation never got better- I just had to get use to it.

Since having a baby- I moved on to treatments that don't make my skin itchy. It is nice to know that there is something effective for people who are pregnant- when I become pregnant next time- I will use this again. The irritation is really annoying but better than getting a face full of acne. Also the cream in not too dry or greasy- it really is a good formula to use in the AM and under make up.
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February 7, 2016
Works extremely well on cystic acne!
Azelaic acid seems to work amazing well on deep cystic acne, lessening the inflammation and clearing it up or bringing it to a whitehead in a matter of 3-4 days! Unfortunately, it doesn't seem to work on inflammatory acne for me. I highly recommend this product!
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April 6, 2012

Pros:

Moisturizes lightly
Fades marks
Reduces redness
Makes skin very soft
Prevents open zits from "regrowing" overnight

Cons:

Stings for the first week
Won't control inflamed/cystic acne on its own
Expensive depending on your insurance

I have used various versions of azelaic acid for 15 years and I loooove it. It stings for the first week or so, but after that, there is no discomfort. I use it morning and night with my BPO and it really keeps my skin from becoming red, which is important, because BPO on its own will make my old marks very red/purple. It also fades old marks and reduces flakiness. My insurance does not cover it so I have been ordering it from various online pharmacies in faraway places. It usually costs me $50 for a four-month supply, which is not bad. I have not found a difference between any of the foreign 20% creams. I have never used the 15% gel.
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