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.
Table of Content:
What is azelaic acid used for? | Can you get it over the counter? | How to get a prescription? | What is the price of azelaic acid? | Benefits | Side-effects | Precautions

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What is azelaic acid and what is it used for?
Azelaic acid is used for the treatment of mild to moderately inflamed acne and mild to moderate rosacea and hyperpigmentation and 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.
Request a prescription for azelaic acid
Start your journey to better skin. Get a personal treatment plan from one of our affiliated dermatology providers. Let them know if you have a specific medicine in mind.
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.
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?
Request a prescription for azelaic acid
Start your journey to better skin. Get a personal treatment plan from one of our affiliated dermatology providers. Let them know if you have a specific medicine in mind.
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