Azelaic Acid Cream: A Multi-tasking Treatment for Acne

Azelaic acid cream has become a popular choice for treating a variety of skin concerns, particularly acne and rosacea. But what exactly is it, and how does it work?

What is Azelaic Acid?

Azelaic acid is a naturally occurring acid found in grains like wheat, rye, and barley [3]. It’s also produced in small amounts by the body. In skincare, azelaic acid is available as a cream or gel, typically in concentrations of 15% to 20%.

How Does Azelaic Acid Cream Work?

Azelaic acid tackles acne in several ways:

• Combats bacteria: It has antibacterial properties that help kill P. acnes, the bacteria that contributes to acne breakouts [2].
• Reduces inflammation: Azelaic acid’s anti-inflammatory properties can soothe redness and irritation associated with acne [2].
• Unclogs pores: It acts as a mild keratolytic agent, helping to prevent dead skin cells from building up and clogging pores [1].

Beyond acne, azelaic acid cream offers other benefits:

• Fights hyperpigmentation: By inhibiting the production of melanin, azelaic acid can help lighten dark spots and even out skin tone [2].
• Provides antioxidant protection: Azelaic acid’s antioxidant properties may help combat free radicals that damage skin cells [3].

Benefits of Using Azelaic Acid Cream

Compared to some other acne treatments, azelaic acid cream offers several advantages:

• Generally well-tolerated: Azelaic acid is gentler than retinoids and benzoyl peroxide, which can cause dryness and irritation [1].
• Suitable for sensitive skin: Because of its milder nature, azelaic acid is often a good option for people with sensitive skin [5].
• Safe for long-term use: Unlike antibiotics, which can lead to bacterial resistance, azelaic acid is safe for long-term use [1].

How to Use Azelaic Acid Cream

Azelaic acid cream is typically applied to the affected area once or twice daily after cleansing the skin. It can take several weeks to see results, so be patient and consistent with your application.

Things to Consider

While generally well-tolerated, azelaic acid cream can cause some side effects like burning, stinging, and itching, especially when first starting treatment. These effects usually subside with continued use.

Azelaic acid cream can also slightly increase sun sensitivity. It’s important to wear sunscreen daily with SPF 30 or higher, even on cloudy days.

Consult a Dermatologist

If you’re considering using azelaic acid cream, it’s always best to consult with a dermatologist to discuss if it’s right for your individual needs and skin type. They can also advise you on the appropriate concentration and application routine.