Get an Azelaic acid 15% prescription

Responsive time: 24 – 48 hours
Service available nationwide

*Average online dermatologist response time from July-September 2026: 18.6 hours

  • Board-certified dermatologists
  • No medication subscriptions
  • Choice of generic or customized formulas

Azelaic acid is commonly prescribed by dermatologists as part of treatment for the conditions below.

how to get azelaic acid 15%

Dermatologist  Dr. Patrick Mahar
Medically reviewed by:
Dr. Patrick Mahar
Dermatologist
woman using azelaic acid 15 cream

What is azelaic acid and what is it used for?

Azelaic acid (also known by its brand name Finacea) is a topical medication used to treat several skin conditions due to its antibacterial, anti-inflammatory, and keratolytic (exfoliating) properties. It works by reducing the growth of bacteria in the pores of the skin and decreasing the production of keratin1.

  • Acne: It helps in reducing the growth of bacteria in the follicles and pores, and decreases the production of keratin, a natural substance that can lead to the development of acne2.
  • Rosacea: For those with rosacea, azelaic acid can help reduce inflammation and redness on the skin3.
  • Melasma: It can be used to lighten dark patches on the skin (hyperpigmentation) caused by melasma4.
  • Keratosis pilaris: Some healthcare providers may prescribe azelaic acid to manage keratosis pilaris (also referred to as chicken skin) in the face, a condition characterized by rough, bumpy skin, although it is not a standard treatment for this condition5.

Benefits of Azelaic Acid 15%

Has anti-inflammatory effects

Anti-inflammatory properties

a dermatological app for patients

Regulates sebum production

Reduces the appearance of dark spots

Antibacterial effects

Improves skin texture

Suitable for sensitive skin

Your dermatologist, your formula

Through Miiskin, board-certified dermatologists may prescribe personalized compounded skincare solutions, tailored with up to 5 active ingredients.

Patients can discuss a variety of ingredient options with their dermatologist to decide what is right for them.

No subscriptions. No hidden charges. You pay only when you receive treatment.

Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.

skincare backed by science

Do you need a prescription to buy 15% azelaic acid?
Yes, if you want to purchase azelaic acid in higher concentrations, such as 15%, a prescription from a licensed healthcare provider is required.

How to get an azelaic acid prescription online?

To obtain an azelaic acid 15% prescription online, you can schedule a consultation with a board-certified dermatologist via platforms like Miiskin. If deemed appropriate for your skin condition, the dermatologist will send a digital prescription to your chosen local or online pharmacy, allowing you to purchase your 15% azelaic acid promptly and affordably.

What is the cost of an online consultation for an azelaic acid prescription?

Online consultations for getting or renewing a 15% azelaic acid prescription typically is around $59-$79 for new patients and $39-$49 approx. for prescription renewals. To keep costs down, consider requesting a prescription for a generic version of azelaic acid, which may be more affordable at your pharmacy.

how to get azelaic acid 15 prescription

Get an azelaic acid 15 prescription via Miiskin

Buy prescription medicine

Process to getting a prescription for Azelaic acid 15% gel
You will connect with a dermatologist via an online consultation. Upon reviewing your case, if the dermatologist determines that azelaic acid gel is safe and appropriate for you, they will issue a prescription to the pharmacy of your choosing.

Azelaic acid 15% gel vs azelaic acid 15% cream

Azelaic acid 15% is available in both gel and cream formulations, each suited for different skin types and concerns. The gel is lightweight, dries quickly, and is ideal for oily or acne-prone skin as it helps reduce excess oil and absorbs without leaving residue. The cream formulation, on the other hand, is more hydrating, making it better suited for normal to dry or sensitive skin. Both deliver the same 15% concentration of azelaic acid, helping to treat acne, rosacea, and hyperpigmentation, but the choice between gel and cream often depends on individual skin type and texture preference.

Side Effects of Azelaic Acid 15%

  • Dryness
  • Redness
  • Peeling
  • Skin irritation
  • Burning
  • Stinging6

Got more questions about azelaic acid 15%?

Dr. Patrick Mahar OAM, Associate Professor, answers common questions about azelaic acid 15% for acne and rosacea.

No, 15% azelaic acid is not typically considered too strong and is generally well-tolerated by most skin types, including sensitive skin. It’s often used to treat acne, rosacea, and hyperpigmentation with minimal irritation. However, people with very sensitive skin might experience mild irritation, especially during the first few applications, which usually improves over time as the skin adjusts.

Most people start to see initial improvements within 4–6 weeks of consistent use, though for full effects on acne and hyperpigmentation, it can take up to 12 weeks or longer. The time frame may vary depending on individual skin concerns and sensitivity.

Yes, 15% azelaic acid is generally safe to use daily. Many people start by applying it once a day, and if well-tolerated, they may increase to twice daily. If any irritation occurs, reducing the frequency to every other day may help.

Azelaic acid helps to clear pores, reduce redness, and even out skin tone by targeting acne-causing bacteria and inhibiting melanin production in dark spots. It also offers mild exfoliation, which can enhance skin texture over time.

Yes, 15% azelaic acid can be left on overnight as part of a skincare routine. Applied as a leave-on treatment, it continues working on your skin to reduce inflammation, prevent clogged pores, and improve pigmentation issues.

Yes, applying a moisturizer after azelaic acid is recommended, as it can help reduce any potential dryness or irritation. Using a gentle, non-comedogenic moisturizer will help lock in hydration without clogging pores.

Azelaic acid and retinol serve different purposes, and one is not necessarily better than the other. Azelaic acid is typically preferred for sensitive skin and those with rosacea, while retinol is effective for anti-aging and more intense acne treatment. Both can be used in a balanced skincare routine but should be introduced gradually.

Azelaic acid can be used either in the morning or at night. However, when used in the morning, it’s essential to apply sunscreen afterward, as azelaic acid can increase skin sensitivity to sunlight.

Azelaic acid can improve skin texture, even skin tone, and reduce inflammation, which may contribute to a more youthful appearance over time. However, it does not directly target fine lines or wrinkles, so for anti-aging, it may be beneficial to combine it with other ingredients.

You’ll know azelaic acid is working if you start to see a reduction in acne lesions, less redness, and a more even skin tone after several weeks of consistent use. Improvements in texture and pigmentation will typically become more noticeable within 8–12 weeks.

Miiskin is platform that connects patients with independent providers for convenient quality medical care for skin health issues.

References:
1https://pubmed.ncbi.nlm.nih.gov/24280644/
2https://pubmed.ncbi.nlm.nih.gov/24280644/
3https://pubmed.ncbi.nlm.nih.gov/18803456/
4https://pubmed.ncbi.nlm.nih.gov/8654129/
5https://pmc.ncbi.nlm.nih.gov/articles/PMC8528166/
6https://www.mayoclinic.org/drugs-supplements/azelaic-acid-topical-route/description/drg-20062084