If you’re uncomfortable because of acne, there is a topical product that can treat your acne — it’s called azelaic acid. It comes from natural products like wheat and barley. It belongs to the dicarboxylic acid family. If benzoyl peroxide and retinoids do not work to treat your acne problems, or if other acne formulas are too harsh, azelaic is the second best choice. It’s also effective in treating rosacea commonly occurring in middle-aged and elderly persons and has similar symptoms as acne.

Azelaic Acid Forms

Azelaic acid are sold in the market in gel and cream form; gel to treat rosacea and cream for acne. Popular brands of azelaic are Azelex and Finacea.

How Does Azelaic Acid Work?

The National Institutes of Health attributes the curative strength of this acid is due to its ability to penetrate the pores of the skin. When it gets deep into the skin, it kills and prevents the growth of bacteria that causes acne. Excess keratin production can block pores and cause acne; therefore it works to reduce keratin.

Azelaic Acid Dosage

Because the facial skin is very delicate, this acid should not be used liberally. A thin layer must be applied on the affected areas two times a day after washing with a mild cleanser; one in the morning and another at night. Indications of improved skin condition will show usually after 4 weeks of regular application according to NIH, but some people can get results in shorter time.

Azelaic Acid Side Effects

There will always be side effects when using azelaic just like any topical products. Skin irritation, itching or rashes for people with sensitive skin are the most common side effects. Persistent rash problems should not be ignored when using this acid; you can stop the application and consult your skin doctor at once.

Although azelaic acid is safe, pregnant women and children are cautioned from using it. According to the Mayo Clinic, even without clinical findings on the adverse effects of this acid to pregnant women, it is best to consult the doctor before beginning an acne treatment using azelaic. Remember that the chemical can be absorbed in breast milk as it penetrates the skin.

For best results, use azelaic acid together with an antibiotic regularly. Be patient and do not seek immediate results.