How Effective Is Azelaic Acid for Acne?

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  • Written By: Erik J.J. Goserud
  • Edited By: PJP Schroeder
  • Last Modified Date: 27 February 2020
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Azelaic acid for acne can be an effective way to minimize the painful and aesthetically compromising effects of this common skin disease. Acne, which is clinically referred to as acne vulgaris, is a bacterial disease of the skin in which inflammation occurs in the epidermis, causing the formation of red and elevated pustules. These pustules are generally a result of bacterial infections in the pores and hair follicles of the skin. Azelaic acid for acne is used to eliminate the bacteria's effects and decrease acne symptoms.

Acne vulgaris is but one of a plethora of subcategories that describe this broad and common skin disorder. A number of factors may both increase or decrease a person's susceptibility to acne, including diet, age, and hormone levels along with gender and genetics. A diet high in greasy and fatty foods may contribute to the skin's susceptibility to acne. Age also plays a role as adolescents' changing bodies experience drastic hormonal variations, which may cause acne breakouts. Genetics play a significant role in acne vulnerability, as well, due to the fact that differences in skin type may change the odds of a breakout.


An undesirable disease for a number of reasons, acne is not life threatening. The blemishes left from an ephemeral breakout or long-term scars all can contribute to psychological problems. Self-esteem issues, self-consciousness, or body image distortions are among the serious negative implications that this physical ailment may have on the mind. For these reasons, it is important to have possible treatments available, such as azelaic acid for acne, for those suffering.

Azelaic acid is an organic compound predisposed to release hydrogen cations in the presence of water. This specific characteristic is a defining aspect of acids. This particular acid can be found in a number of foodstuffs, as well as skin and hair products, as is the case when using azelaic acid for acne treatments.

If the acne is of a mild or moderate nature, azelaic acid for acne is most effective. This acid is strong enough to both kill bacteria and prevent the initiation of new bacteria. Its mechanism for action is also effective in the treatment of other skin conditions, such as rosacea or pigmentation disorders. There is the potential risk for negative side effects with all types of medications, so a person should consult a health care professional before beginning a prescribed regimen of azelaic acid for acne.


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Post 3

Our skin naturally produces some azelaic acid. To clarify, we have a type of beneficial yeast on our skin produces this acid. It is suspected that people with acne do not have enough of this acid and by using creams with azelic acid, skin is re-balanced.

I think azelaic acid is a great treatment for acne. But it's not in use as much as it could be because many insurance companies don't cover it since it's considered a natural drug, like a supplement. So dermatologists prescribe other more expensive drugs that have a variety of side effects.

Azelaic acid doesn't have any side effects, it's not toxic and it doesn't build up resistance.

Post 2

@donasmrs-- I've been using azelaic acid cream for two months. It works but it takes time, I didn't see results until after one month.

Azelaic acid helps with all the issues that acne brings. It quickens healing time for pimples and reduces inflammation. It also helps with blemishes and acne scars. The change is not dramatic though. My face looks a lot better this month than it did last month. I suspect I will have less pimples and less apparent scars next month.

Post 1

I've heard about azelaic acid being used for rosacea before but never acne. Has anyone tried it?

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