Get an azelaic acid prescription with a virtual consultation

Azelaic acid is a popular topical prescription medication that is widely used for acne, rosacea and hyperpigmentation and that is safe to use during pregnancy. Learn how to get a prescription with a convenient photo visit.

Medically reviewed by:
Dr. Anna Chacon
Dermatologist

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The information presented in this article is based on scientific research and the professional advice of our Content Medical Reviewers, who are experts in the field of Dermatology. How we write our content →

What is azelaic acid and what is it used for?

Azelaic acid is used for the treatment of hyperpigmentation, mild to moderately inflamed acne and mild to moderate rosacea; it is available as a cream, gel and foam¹.

The Azelaic acid gel and foam forms are used to alleviate the bumps, lesions, and swelling induced by rosacea—a skin condition marked by facial redness, flushing, and pimples.

The azelaic acid cream is formulated to address the pimples and swelling associated with acne.

Can you get azelaic acid gels, creams and lotions over the counter (OTC)?

Yes, you can buy low concentrations (5% and 10%) of azelaic acid gels and lotions over the counter (OTC). However, to purchase a higher strength of azelaic acid, you need a doctor’s prescription.

How to get a prescription for azelaic acid online?

You can start a virtual photo consultation with an online dermatologist which is usually $59, take photos of the area where you have acne, and answer a few questions about your condition. Your case will be reviewed in less than 1-2 working days and your prescription will be issued.

Get a prescription for personalized skincare

Have an online consultation with a dermatologist to get personalized prescription skincare that suit your needs. Consultation price $59.

Get a customized prescription

Can you buy azelaic acid online?

Yes, once you have secured a prescription for azelaic acid you can buy through a compounding pharmacy or your local pharmacy.

What is the price for azelaic acid?

The average price for Finacea without insurance or the manufacturer coupon is $400 – $500. The price of Finacea with a manufacturer coupon is $30.

The generic price of azelaic acid cream varies between $20 – $45.

What is the prescription strength of azelaic acid?

Azelaic acid strengths range from 15% to 20% for prescription formulations.

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More about azelaic acid

Benefits of azelaic acid

Azelaic acid is an antimicrobial that fights acne-causing bacteria and it has comedolytic and anti-inflammatory properties². It also aids in the normalization of keratinization, unclogging pores which contributes to the development of acne.

Antimicrobial effect: Azelaic acid has inhibits the growth and reproduction of acne-causing bacteria³.

Regulates sebum production: Azelaic acid inhibits the enzyme responsible for converting testosterone to dihydrotestosterone (DHT) which may help reduce sebum levels⁴ and the development of acne⁵.

Helps reduce hyperpigmentation: Azelaic acid also inhibits the activity of tyrosinase (an enzyme responsible for skin pigmentation) and other oxidoreductase enzymes⁶.

Helps to prevent the overproduction of keratin: The excessive buildup of keratin (a protein found in the skin) may contribute to the formation of clogged pores and skin breakouts. Azelaic acid helps slow down the growth of keratinocytes to promote healthier skin and improve conditions like acne and hyperpigmentation⁷.

Side-effects of azelaic acid

Dryness
Redness
Peeling
Skin irritation
Burning
Stinging⁸

Azelaic acid precautions

Azelaic acid may lighten your skin tone, therefore it should be used with caution by people with darker skin tones.

This medicine can be safely used during pregnancy and lactation, however it can cause allergic reactions. If you experience itching skin, trouble breathing, or hive-like swelling seek immediate medical attention.

Monitor any potential side effects of this medicine. If you do not see any improvements on rosacea after 12 weeks, or if it gets worse, consult your doctor⁹. Azelaic acid complements other active ingredients because of its adaptability. If you are interested to learn more about how Azelaic acid and tretinoin work together, read our article How to use tretinoin and azelaic acid together?

The takeaway

Azelaic acid is an excellent option for people with acne, rosacea and hyperpigmentation, however, if for some reason you cannot use it due to an allergic reaction, there are many other excellent treatments for hyperpigmentation and treatments for acne that you can look at to obtain the radiant skin you deserve. Read about our Patient Guides: Best treatments for melasma, Best treatment for acne and Prescription retinoids.

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