Indications |
Topical/Cutaneous Acne Adult: ≥12 yr: As a 20% cream or 15% gel: Apply and massage gently into the affected areas bid. Skin should be cleansed and patted dry before application. Improvement may be visible within 4 wk. Treatment generally should not exceed 6 mth although extended duration may be needed in some patients. Topical/Cutaneous Rosacea Adult: As a 15% gel: Apply and massage gently into the affected areas bid. Skin should be cleansed and patted dry before application. |
Warnings / Precautions |
Pregnancy, lactation. Avoid contact with eyes, mouth or other mucous membranes. Occlusive dressings or wrappings should not be used. Recommend patient to use only very mild soaps or soapless cleansing lotions for facial washing. Monitor for hypopigmentation in patients with dark complexion. Safety and efficacy not established in children <12 yr. |
Adverse Reactions |
Local skin irritation (e.g. erythema, scaling, itching or burning). Hypopigmentation and rarely, photosensitivity reactions. |
Mechanism of Actions |
Azelaic acid is a naturally-occurring aliphatic dicarboxylic acid. The exact mechanism of action in treatment of acne vulgaries has not been fully established. It is believed to inhibit the growth of susceptible organisms (mainly Propionibacteria Acnes) on the skin surface, and inhibits follicular keratinisation thus restricts the development of comedones. Mechanism of action in the treatment of rosacea is unknown. Absorption: Low percutaneous absorption. Penetrates all layers of skin after topical application with more rapid penetration into damaged skin than intact skin. Distribution: Protein binding: About 43%. Excretion: Azelaic acid absorbed through the skin is excreted in urine (as unchanged drug and short-chained dicarboxylic acids metabolites). |
Storage Conditions |
Topical/Cutaneous: Store at 15-30°C. |
ATC Classification |
D10AX03 - azelaic acid ; Belongs to the class of other topical preparations used in the treatment of acne. |
Storage |
Topical/Cutaneous: Store at 15-30°C. |
Available As |
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Azelaic Acid
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Azelaic Acid Containing Brands
Azelaic Acid is used in following diseases
Drug - Drug Interactions of Azelaic Acid
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