Topical Antibacterial
Reviews
3.8
505 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
34.6%
4
30.8%
3
18.2%
2
8.9%
1
7.5%

Used Azelaic Acid? Rate It:

Choose from 1 to 5 stars
April 11, 2011

Pros:

Smooth skin the morning - after.

Cons:

Stinging after application is absolutely unbearable - especially with a sensitive skin

Burning, burning, itching, itching, please help me fire brigade! I have a very sensitive skin, I have no clue what development team thought they should think of a 20% acidic cream but well, hey, if it seems to work in vitro? Anyway, no one's skin should have to deal with such a harsh acidic product. Made me want to scratch my skin off, tried it three nights in a row but could bear it the third night anymore. Going to hand it back in to the phamacy tomorrow.
This Was Helpful

51 user(s) found this helpful

Report
October 6, 2009

Pros:

It worked for my severe rosacea. I started using it 3 days ago along with doxycicline and can see the results.

Cons:

Expensive, burns and itches like crazy at first.

My rosacea got pretty bad over the last 2 weeks. The cheecks and chin are red like beets, feels like I'm runnig a fever and the face is covered with tiny white bumps that itch. It was getting progressively worse and my doctor prescribed me azelex. She didn't tell me much what it does and the pharmacist said it was an acid, so I was reluctant to use it twice a day, especially that it burns. I used it maybe a cople times and then had to wash it off with water after 1-2 hours of non-stop mild but anoying burning. After reading some of the reviews I sucked it up and started using it as prescribed. It improved my skin condition significantly. Although I'm still red, the bumps are smaller now and the whiteheads come off. I have oily skin and this creme helps to keep it dry. I'm surprised to find out that it supposedly works for blackheads, so I'll try to use it on my nose and forehead as well. Reading all the reviews it looks like it works differently for everyone, but is worth try
This Was Helpful

50 user(s) found this helpful

Report
October 31, 2016
Miracle Cream! Noticeabe Results After First Application!
All I can say is that this product is amazing. I noticed the marks and active acne calmed down and noticeably faded after the FIRST time I used it. I applied it to the areas affected before I went to sleep and when I woke up, it was like 3 weeks had gone by. The marks were significantly faded and the sore spots had all calmed down. I have only been using this cream for 4 days but the results are better than other creams I have used for weeks. As with all acne creams, you must apply sparingly and I find that gently massaging the cream into each separate blemish reduces the redness of skin that isn't affected by acne. I have not found it to be drying and as my skin is so oily, the chances of any dryness are pretty slim. I am therefore lucky enough to be able to apply Skinoren in the morning AND evening which maximises results. I didn't want to leave the house 5 days ago and now, I am free to do so with my head held up high because of Skinoren.
This Was Helpful

45 user(s) found this helpful

Report
April 2, 2015
Brilliant
I had severe acne for months and I thought it would never go away, I had used every product available and cleaned up my diet etc but nothing worked. Skinorem was the only thing that worked, the first few weeks I had even more severe breakouts but if you can endure this then it is worth it. It took two months for effects to show but if you stick to it it's going to pay off. I now have near flawless skin and have done for the past 6 months or so.
This Was Helpful

44 user(s) found this helpful

Report
August 29, 2010

Pros:

Cleared my HUGE pimples with only using this twice
Not as much irratation as BP
Not too drying at all

Cons:

After the couple uses of this my skin was pink but didn't last for long
Itchy at first
Might be expensive
Lightened skin

When I first used this all my lumpy gross pimples were FLAT but my skin was pink, this didn't dry out my skin. It may be a little expensive if your insurance doesn't cover it. It lightened my skin a little bit but nothing major. I will continue using this:)
This Was Helpful

42 user(s) found this helpful

Report
May 19, 2010

Cons:

Caused hypopigmentation... I started using Azelaic Acid 20% on my face as prescribed in January... by July - when I went to the beach - my skin was totally blotchy... I have patches of white where the cells have been damaged. Some doctors tried to tell me that it's Vitiligo, but the white patches are exactly where I applied the medicine. It's been over three years and it isn't much better. It is mostly noticeable in the summer I tried topicals

DON'T USE IT!!!
This Was Helpful

41 user(s) found this helpful

Report
August 9, 2015
Goodbye comedy red nose
Had rosecea for years,spots and broken skin on my nose with redness... anti biotics didn't work, it was starting to get me down a bit so I self prescribed myself with a tube of azeliac acid from eBay, worth atry for 8 English pounds I thought, I cleanse my skin before bed and apply the cream, washing it off in the morning, within a week the rosecea was totally gone, I now cleanse and apply every other night, I now have a worry free social calendar, no more worrying about going out with a nose like coco the clown!
This Was Helpful

39 user(s) found this helpful

Report
January 26, 2011

Pros:

-peels skin so acne heals faster
-evened out skin tone
-wasn't drying like BP so no extra moisturizer needed
-skin is smooth

Cons:

-like someone mentioned earlier, this stuff burns like fire ants on your face, and that is no exaggeration
-the smell isn't strong but I'm not too fond of it
-expensive but insurance covered it for me

Currently using Finacea gel 15%. If you are one of the unlucky ones, you may experience unbearable stinging and itching which lasts for a half hour after application. But after 3 weeks, the itching and stinging subsides to about one tenth of the pain, to a slight tingling. Other than that, I was determined to stick with it, and it has improved my skin to some degree, like speeding up healing time. It doesn't seem to do much for my cystic acne, though. I'll stick with it for another 2 months and report back if it miraculously clears my acne. It has also helped with redness and red marks and my skin overall looks a lot less dull.
This Was Helpful

39 user(s) found this helpful

Report
June 12, 2009

Pros:

Works VERY well

Cons:

Leaves your skin a bit red for about 20 minutes after using

I started using this cream on January 26th 2009 with EXTREMELY bad acne pigmentation and some mild active acne. As of 12 June 2009 I can say the difference is unbelievable. If you've been prescribed this cream please use it as directed and give it at least 7-9 weeks to kick in. I really thought this cream wasnt working for me and after around 5 weeks I felt like giving up but I stuck with it, then after around 8 weeks I noticed that my pigmentation had decreased dramatically - and believe me, if you think yours is bad, I would bet money it's nothing compared to what mine was - my entire forehead had atleast 68 spots, by my count, of pigmentation that had gone from red to purple - I constantly looked like I had been beaten up in a fight, my face itself wasnt much better either. Anyway I've been using it for nearly 5 months now and I can say this product is awesome and according to my doctor safe to use in the longterm (unlike BP products), so I say, get this cream from you
This Was Helpful

37 user(s) found this helpful

Report
September 13, 2014
Worked when everything else failed!
I'm 34 years old, suffered with acne all my life. 5 attempts at roaccutane to no avail. Used horrible BP creams that flake your skin. Dermo said I had adult acne and will do so until 40+. I stumbled upon Skinoren and hadn't heard of it before. Tried it, use a good amount on the affected area which is my cheek and chin area (not a spot treatment) morning and night and stick it out for 2 - 3 months like the directions say. This is very important, it took 2 months for me to see an improvement. I'm still using it 3 years later, I buy it in bulk online where I found a good price and I have NO acne anymore. This stuff works, that's all you need to know!
This Was Helpful

36 user(s) found this helpful

Report

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.