Twice-daily topical gel
Azelaic Acid 15%
An unusually versatile topical that treats rosacea, acne, and post-inflammatory dark marks at once. It is also one of the very few effective prescription actives that can be used while pregnant or breastfeeding.
From $31/mo
Includes clinician visits, lab panel, medication, and unlimited messaging.
See if I qualifyNo charge until a clinician approves your plan.
Azelaic acid is a first-line treatment for papulopustular rosacea and is effective for acne and post-inflammatory hyperpigmentation.
What is in it
Azelaic acid 15% in a gel base.
How to take it
- Apply a thin layer to clean, dry skin twice daily.
- Use sunscreen daily while treating dark marks.
- Mild tingling in the first two weeks is normal and settles.
- Give it twelve weeks for pigmentation to fade.
Why clinicians prescribe it
Three problems, one tube
Redness, breakouts, and the marks breakouts leave behind all respond.
Usable in pregnancy
When tretinoin and most other actives are off the table, this one is not.
Gentler than a retinoid
No purge phase, and far better tolerated on sensitive or rosacea-prone skin.
Common questions
Tretinoin is stronger for texture and fine lines. Azelaic acid is better for redness and pigmentation, and far gentler. Some members use tretinoin at night and azelaic acid in the morning.
Important safety information
Temporary stinging, itching, and dryness are common early. Rarely causes lightening of the surrounding skin, which is more noticeable on deeper skin tones. Stop and contact your clinician if you develop significant irritation.
This page is not medical advice. Only a licensed clinician who has reviewed your history can decide whether this treatment is appropriate for you. Tell your clinician about every medication and supplement you take.
