Azelaic acid

Available both over the counter and by prescription based on strength. Azelaic acid targets Rosacea, acne, hyperpigmentation, congestion and texture.

Azelaic acid is a naturally occurring dicarboxylic acid found in grains such as barley, wheat and rye. It is a multi-purpose ingredient and can help with a number of skin concerns. In the UK, azelaic acid is available over the counter usually as a skin serum or cream and by prescription only for higher strengths. We use incorporate azelaic acid in some of our personalised skincare treatments.

Benefits in Skincare

Azelaic acid has a number of properties that make it beneficial for the skin. It works by inhibiting the growth of bacteria on the skin and reducing the production of keratin which makes it useful in acne. Azelaic acid also has powerful anti-inflammatory and antioxidant properties. This makes it effective for treating rosacea, hyperpigmentation and other inflammatory skin conditions. Lastly, azelaic acid also gently exfoliates the skin and unclogs pores which helps give smoother and brighter skin. As such, azelaic acid is often used in both over the counter and prescription strength skincare for the following skin concerns:

  • Acne and Rosacea
  • Hyperpigmentation and Melasma
  • Texture pores
  • Redness and sensitive skin
  • Congestion and clogged pores

Treatments with Azelaic Acid

We design every one of our personalised skin treatments according to each of our patient’s skin concerns, goals and wishes. Azelaic acid is a versatile ingredient and we add it if we think it will be beneficial in the following personalised prescription strength skin treatments:

  • Acne
  • Rosacea
  • Hyperpigmentation
  • Body treatments for hyperpigmentation, acne, scars and Keratosis Pilaris
  • Dark spot fader
  • Glowing Glass Skin

Azelaic Acid Cream Prescription Treatments in the UK

In the UK, azelaic acid is available both in over-the-counter topical (mainly gel, serum and cream) and prescription formulations. You can get azelaic acid products without prescription in the UK with concentrations up to 10%. Prescription-strength azelaic acid skin treatments usually contain a higher concentration (15-20%). These tend to be used for more severe skin conditions like acne and rosacea.

We add azelaic acid to our personalised treatments where we think it is appropriate and safe for the patient. The strength of azelaic acid we use depends on the patients skin, severity of their concerns and if we’re using any other strong prescription ingredients like Tretinoin in their cream. To get your bespoke skincare treatment, you will need to complete the online consultation form or book a virtual video consultation with one of our doctors first. They’ll design a formula that they think will best serve your needs but will take into account any wishes or preferences you’ve expressed where possible. In addition your doctor will also provide you with a personalised protocol and ongoing follow up throughout your journey. You will have access to your doctor by email at any time as part of your treatment.



    Your doctor will design a personalised skincare treatment and program for you to follow. The cost of the consultation will be deducted from any skincare purchase.


    This is a 3 month supply of treatment. The cost depends on the type so please visit our treatment pages for full break down. Your doctor will create a personalised treatment taking into account your health, skin concerns, goals and wishes.

Treatment Time Clock

Treatment Time
15 Minutes

Duration of effect calendar

Duration of effect
3-4 Months

Back to work briefcase

Back to Work
Same Day

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Important Information

Azelaic acid is suitable for a wide range of skin types and conditions. It is widely available in gel or cream form in lower strengths over the counter but requires a prescription for higher strength azelaic acid products (15% and over) in the UK. Whilst this is a common skincare ingredient, it’s important to be aware of potential risks, side effects and contraindications.

Safety and Side Effects

Azelaic acid is generally considered safe for most skin types, including sensitive skin both in over the counter and prescription strengths. However, as with any active ingredient, it’s important to be aware of potential side effects. Some individuals may experience mild irritation, redness, or dryness when first incorporating azelaic acid into their skincare routine. These side effects are typically temporary and can be managed by adjusting the frequency of use or the concentration of the product.

If you experience severe irritation, an allergic reaction, or if your skin condition does not improve after several weeks of using azelaic acid, it’s important to seek a medical help. Your doctor or medical provider can provide personalised advice and may recommend adjusting your treatment plan or trying a different formulation.

Combining Azelaic Acid with Other Ingredients

Azelaic acid can be safely combined with several other skincare ingredients to enhance its effects including niacinamide, hyaluronic acid or Vitamin C. However, it’s important to avoid combining azelaic acid with other potent exfoliants or irritants, such as exfoliating acids or retinoids unless directed by a doctor.


While azelaic acid is safe for most individuals, certain conditions may necessitate caution or avoidance:

  • Hypersensitivity: Individuals with known allergies or hypersensitivity to azelaic acid or any of its components should avoid using products containing this ingredient.
  • Severe Asthma: There have been rare cases where azelaic acid has exacerbated asthma symptoms. If you have severe asthma, consult your healthcare provider before use.
  • Pregnancy and Breastfeeding: Although azelaic acid is considered safe for use during pregnancy and breastfeeding, it is always best to consult with a healthcare provider to ensure it’s appropriate for your specific situation.

Storage and Shelf Life

Store azelaic acid products in a cool, dry place, away from direct sunlight and heat. Always check the expiration date on the product packaging and discard any product that has changed in colour, consistency, or smell.

Frequently asked questions

Yes, absolutely if your doctor feels this is safe and appropriate for you. We encourage all our patients to express their wishes and concerns when we design their treatment. Wherever possible we respect and accommodate these as long as we feel it is medically safe and beneficial to do so.

All our treatments are compound formulas made individually for each patient and should to be used over 3 months from when they're dispensed. Its important to use exactly as directed in your treatment plan.

This is a prescription only medicine and hence can only be offered if after a consultation your doctor feels it is safe and appropriate to include in your protocol. This ensures that the treatment they design is beneficial for you to use and will also ensure that it meets your treatment goals. Your doctor will also be able to answer any questions you have and provide you with a personalised treatment plan so you get the most out of your treatment and avoid irritation or side-effects.

Yes, if you are a new client to our clinic. This is to ensure that we create a treatment that is appropriate and safe for you.

You will have direct access to your doctor by email so you can ask questions, get advice and let them know if you have any problems.

No, you just need to reach out to your doctor by email and they will help you.

Never! We do not charge for any follow up or aftercare. You can contact your doctor at any time for advice, updates and any issues.

No, you can just email your doctor and they will assist you.

No it is not. We are really passionate about putting you in control of your treatment. Everyone responds differently to their treatment so we don't think subscriptions make sense for a personalised journey. That's why we leave it up to you to let us know when you need a refill and we make it very easy to order these.

Yes. We provide two ways to access our doctors. You can either fill in an online consultation form or book an online video appointment. Please feel free to choose the option that is most convenient for you. Regardless of which consultation type you choose, you will have a single dedicated doctor throughout your treatment journey. They will create a personalised treatment protocol for your and provide ongoing aftercare and advice.

Unfortunately we can only offer our services to customers based in the UK.

Your product(s) will be delivered straight to your home. It usually takes 2-3 business days for products to arrive.

Nope! All our prices are as listed on the website. The fees also include delivery.


Compounded treatments like the ones we use are unlicensed medications because they are custom-made for each patient based on a specific formulation tailored to their unique needs. Unlike licensed medications, which are approved by regulatory bodies for general use, compounded treatments are created by pharmacists to meet the specific requirements of an individual patient as prescribed by their doctor. While they do not undergo the same approval process as licensed medications, they offer a personalised approach that can address specific concerns where a licensed treatment doesn't exist effectively under professional supervision.