ImportantThis page is general information, not a prescription. Don't start, stop, or change a medicine without talking to your provider or pharmacist.
Overview
It's considered a good option in pregnancy.
What it's used for
- Rosacea
- Acne
- Off-label: dark spots (melasma)
How to take it
- Apply a thin layer twice a day to clean, dry skin.
Your dose depends on your health and other medicines. Always follow your prescription label, and ask your pharmacist if anything is unclear.
Side effects
Common side effects
- Burning or tingling
- Itching
- Dryness
Call your provider todaySevere irritation or blistering
Warnings
- It can lighten skin in people with darker skin; report unusual color changes.
Other medicines, foods, and alcohol
- Few interactions.
Tell your provider and pharmacist about every medicine, vitamin, and supplement you take.
Pregnancy and breastfeeding
Generally considered safe in pregnancy. Ask your provider.
Missed doses, overdose, and storage
If you miss a dose
Apply it when you remember, then go back to your usual schedule. Don't apply extra to make up for it.
If someone takes too much
Call Poison Control at 1-800-222-1222 or get help online at poison.org. Call 911 if the person collapses, has a seizure, has trouble breathing, or can't be woken.
Storing it
Store at room temperature, away from heat and moisture (not in the bathroom), and out of reach of children and pets.
Conditions it's used for
Sources
- DailyMed: FDA drug label for Azelaic acid (U.S. National Library of Medicine)
- MedlinePlus: Drugs, herbs, and supplements
- FDA: Drugs@FDA
Last updated 2026-11-13.