Do you need a prescription to get azelaic acid 15% and 20%?
Azelaic acid 15% and 20% is a popular topical medication used for the treatment of acne, rosacea and hyperpigmentation, but can you get it over the counter? Keep reading to find out!
Table of Content:
What is azelaic acid? | What is it used for? | Azelaic acid strengths | Azelaic acid 10% | Azelaic acid 15% | Azelaic acid 20% | How to get a prescription? | Brands | Gels | Creams | Foams
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What is azelaic acid?
Azelaic acid 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 keratin.
What is azelaic acid used for?
Azelaic acid is mainly used topically to treat these skin conditions:
- 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 acne.
- Rosacea: For those with rosacea, azelaic acid can help reduce inflammation and redness on the skin.
- Melasma (hyperpigmentation): It can be used to lighten dark patches on the skin caused by the sun, genetics, and hormones.
- 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 condition.
What are the different strengths of azelaic acid?
Azelaic acid is available in different strengths and formulations for topical use. The most common strengths include:
- Azelaic acid 10%
- Azelaic acid 15%
- Azelaic acid 20%
What is azelaic acid 10% used for?
Generally used for mild cases of acne or rosacea. It is less irritating for individuals with sensitive skin. Azelaic acid 10% is available in gels and creams over the counter.
What is azelaic acid 15% used for?
Azelaic acid 15% is commonly used for treating rosacea. It is available as a generic gel or foam and also under the brand name Finacea and it requires a prescription.
What is azelaic acid 20% used for?
Azelaic acid 20% is typically used to treat mild to moderate acne. It is available in cream form under the brand name Azelex and it requires a prescription.
Choosing the right strength of azelaic acid
Your online dermatologist can help you determine the appropriate strength and formulation for your specific skin condition and needs. The strength prescribed will depend on the severity of the condition, the sensitivity of your skin, and how well you tolerate the medication.
How to get azelaic 15% or 20%?
Azelaic acid 15% and 20% can only be bought with a doctor’s prescription. To get a prescription for azelaic acid you can have a photo consultation with a virtual dermatologist which is only $59 and you will get an answer within 1-2 business days.
Hormonal Acne Treatment
What are the different brands of azelaic acid?
- Finacea
- Azelex
- Skinoren
- Aziderm
Azelaic acid cream vs gel vs foam
Properties of topical creams
Formulation: Skin creams are often more moisturizing and have a semi-solid consistency. They have a thicker and creamier texture than gels. Creams can be thicker and may leave a residue, but they also provide a barrier which can be beneficial for dry skin.
Suitability: Creams are generally recommended for people with dry or sensitive skin because they are less likely to cause dryness or irritation.
Absorption: Creams are absorbed more slowly into the skin compared to gels due to their oil-in-water formulation.
Properties of topical gels
Formulation: Gels have a more fluid consistency compared to creams and contain fewer oils. They can be absorbed quicker, feel lighter on the skin, but they are generally non-hydrating. Gels have non-greasy, lightweight texture and do not leave a residue on the skin.
Suitability: Gels are usually recommended for people with oily skin.
Absorption: Gels are quickly absorbed into the skin, delivering their active ingredients more rapidly. This fast absorption may lead to a more potent effect on the skin.
Properties of topical foams
Formulation: Foam formulations have a light, airy consistency. They are composed of gas bubbles dispersed in a liquid or solid medium, which gives them their characteristic frothy and spongy texture. Foams spread easily and do not leave a residue on the skin.
Suitability: Foams are suitable for application on both hairy and non-hairy areas and they are particularly useful for applying medication to the scalp or large surface areas due to their spreadability.
Absorption: Foams are rapidly absorbed by the skin due to their aerated structure. The fast absorption allows for quicker onset of action of the active ingredient.
References:
https://pubmed.ncbi.nlm.nih.gov/1712709/
https://www.sciencedirect.com/topics/neuroscience/azelaic-acid
https://pubmed.ncbi.nlm.nih.gov/2534550/
https://jddonline.com/articles/azelaic-acid-evidence-based-update-on-mechanism-of-action-and-clinical-application-S1545961615P0964X
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3969667/
https://jddonline.com/articles/azelaic-acid-evidence-based-update-on-mechanism-of-action-and-clinical-application-S1545961615P0964X
https://pubmed.ncbi.nlm.nih.gov/2534550/
https://www.mayoclinic.org/drugs-supplements/azelaic-acid-topical-route/side-effects/drg-20062084
Do you want a prescription for azelaic acid?