Azelaic acid

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.

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.

Contraindications

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.