18 FACTS ABOUT AZELAIC ACID | Dermatologist
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- เผยแพร่เมื่อ 3 มิ.ย. 2024
- 18 FACTS ABOUT AZELAIC ACID | Dermatologist @DrDrayzday COVERS MUST KNOW FACTS ABOUT AZELAIC ACID • 10 *MUST KNOW* AZELAIC...
Skin benefits of azelaic acid • AZELAIC ACID IS UNDERR...
#azelaicacid #skincare #dermatologist
MOISTURIZERS TO USE WITH AZELAIC ACID
Procure Rosacare Hydrogel amzn.to/44yEfNh
Aveeno Calm and Restore Redness relief amzn.to/3LHx2ld
CeraVe PM moisturizer amzn.to/3nC7f6c
CeraVe AM moisturizer amzn.to/42ODuy7
The Ordinary Azelaic acid suspension go.shopmy.us/p-1468536
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0:00 18 facts about azelaic acid
0:35 Azelaic acid for pitted scars
1:33 Azelaic acid for melasma on the neck and chest
3:49 Best moisturizers to use with azelaic acid
6:23 How frequently should you cleanse when using azelaic acid?
7:57 Budget-friendly azelaic acid
9:29 Azelaic acid with fermented ingredients
11:26 Is azelaic acid safe for vitiligo?
12:12 Azelaic acid versus potassium azeloyl diglycinate
13:25 Using azelaic acid with benzoyl peroxide
14:11 Using azelaic acid with copper peptides
14:43 Using azelaic acid for keratosis pilaris
15:45 Using azelaic acid with vitamin C
17:14 Using azelaic acid for hidradenitis suppurativa
18:17 How to layer azelaic acid with moisturizer
19:18 Azelaic acid for dark circles
20:03 Azelaic acid 15% versus 20%
21:51 Azelaic acid for demodex
Disclaimer: This video is not intended to provide diagnosis, treatment or medical advice. Content provided on this TH-cam channel is for informational purposes only. Please consult with a physician or other healthcare professional regarding any medical or health related diagnosis or treatment options. Information on this TH-cam channel should not be considered as a substitute for advice from a healthcare professional. The statements made about specific products throughout this video are not to diagnose, treat, cure or prevent disease. - แนวปฏิบัติและการใช้ชีวิต
Good to know you can use it with copper peptides. Speaking of which, I would love a deep dive on copper peptides - studies, claims, ingredients you shouldn't use it with etc.
Yes please!!!!
Master esty Penn Smith Skincare is a good resource for copper peptides. She's got several videos on them including product recommendations. Not all derms/skincare folks think they are all that special though but at least consider them a form of humectant.
I'm not a fan of peptides , but multi peptide serums are better
I had used my fineacea prescription azelic acid with the copper peptides from NiOD. Somehow if I put azelic acid right after the copper peptide, it peels off. Not sure why. I ended up using them in different routines.
@@johncheffy4775TO Copper Peptides work surprisingly well! Took like 2-3 months to see a noticeable difference tho
I started dealing with hormonal acne after going off of birth control at 25. I never had acne in my teens, so I did all kinds of research. I tried salicylic acid, benzoyl peroxide, adapalene, topical antibiotics, etc. and the acne persisted. A few months ago I saw one of Dr. Dray's videos about azelaic acid. My real life dermatologist never mentioned this as a recommended treatment, but I was desperate for clear skin, so I purchased The Ordinary's OTC azelaic acid cream and it has literally changed my life. I went from having new breakouts every single day to not having a single blemish for 3 months straight. If you are struggling with what you believe is hormonal acne, you MUST try this stuff. It's super affordable as well.
Thank you so much! I'm on the same boat
@@diannahoney4240 Hang in there! It gets better 💗
did you purse using it?
Did you use azelaic acid in the same routine as adapalene ? I’m wondering if I should try this!
did you experience purging using it?
This is incredibly helpful- 20 minutes more than I would have had at my dermatologist’s office. Thank you!
This vid was so power-packed with info! Thanks for your time and talent Dr. Dray!
Excellent video. Thank you.🌻
So many questions answered, thank you so much Dr Dray 👏🏼👏🏼👏🏼
Thanks for all these informations, best regards
Dr Dray, as always the best. Your videos are a great great resource of Information. I love your videos!
Your hair looks great here, Dray!
Thank you Dr Dray for answering my question 🥰
Use Altreno prescription, I’m loving it for my rosacea and acne.
These videos are so great! I always just end up watching your shorts on my phone while long videos and vlogs play on my laptop
GREAT video! Very informative
I Iove that you don't dumb things down. I don't like being treated as if i can't understand things. You keep it on a true medical level. Thank the old gods & the new.😊👍
Happy Monday Dr Dray !!! Pulled over in the parking lot to catch you!! ❤
Thanks for watching
Very informative. Thank you
Dr. Dray, thank you very much for clarifying our doubts. A hug from Chile 🥰
I've been using the Facetheory azeleic acid serum for a while and really like it. It's got calming ingredients like colloidal oatmeal and aloe. It works great at night with my retinal serum because it sorta pills, so I prefer to use it at night 😊
Thank you for always giving great information!🥰
Thanks for watching
Thank you! Have my first azelaic acid product and was wondering about how best to use it!
Could you make a video on a good skincare routine for melasma?
I use naturium azelaic acid every morning and its been a game changer! On top of the acid I layer ordinary squalane oil, pacifica barrier cream, then cerave tinted spf 30. The azelaic acid helps with the peeling of tret (I use .05% at night) and seems to be helping my rosacea too. I find it to be gentle but effective for sloughing off dead skin without compromising your skin. If any other rosacea sufferers are struggling to find a moisturizer that doesnt burn like hell and cause a flare the pacifica barrier cream might be worth trying, its the only one I've found for me.. Not sure if im layering everything right but the "adapting phase" struggle is real w tret 😄. Thank you Azalaic Acid and thank you Dr. Dray for all the great information as always!! ❤
Loved this video. ❤️ thank you so much. X
Happy Monday Dr. Dray, I hope everything is well with you! I’ve been curious about a comparison of coq10 and idebenone. I’ve been using coq10 for awhile now but I’m curious about other analogs of it. 😮
Wow. You are the first person on TH-cam Who gives all tje anwser i need about azelaic acid.. thanks!!
I use the Aveeno moisturizer you showed, and by far it's the best I've tried so far for irritation. It's a bit pricey for the amount you get, but a little does go a long way.
thanks again for a super informative video, good week for you and congrats for your mom on mothers day
Thank you so much! 👏have a great Monday! 😀💙
Happy Monday
Azelaic Acid changed the game!!!
I'm only using the Ordinary's 10% suspension for now and it showed improvement for acne SO QUICKLY. I've had oily skin causing blackheads and closed comedones and some acne for 15 years. Benzoyl peroxide doesn't work for me. I can't use a retinol at this time due to pregnancy and breastfeeding. Salicylic, glycolic, and lactic acids haven't been doing enough. Azelaic Acid had results after day TWO!!
It doesn’t cause purging right?
@@ayushishah5931 maybe a tiny bit, but I use chemical exfoliants regularly. Definitely no large pimples or cysts. More like waking up with 1 tiny white head a couple times a week that disappears in a day.
Naturium azelaic acid is great. No pilling and my sensitive skin responds well. I’ve been using it for almost 2 years.
I use the brand Apostrophe and I have a Tretnion and azelaic acid combination prescription product. I have seen an improvement in my skin. I think azelaic acid is very helpful.
I saw recently that Peach Slices came out with an azelaic acid! I would like to try it! What are your thoughts on it Dr. Dray?
you should try the azelaic acid from peach slices soo good
Hi
will adapalene at a concentration of 0.1% help acne, but sensitive and couperose skin? Does adapalene get rid of discoloration and scars?
Great video!
I’m using peach and Lily azelaic acid serum which is 10% and it stings a tiny bit but I see results! Any stubborn spot reduces with continued use :)
I need a video of mandelic vs tranexamic vs azelaic acids best for acne scaring!
Thank you I have learned one or two tips useful.
Hi Dr Dray so excited to be here I live for this ❤️
Greetings David Shabas hope u r well n Happy Monday😀👍💜….
Thanks for watching
@@whitneybrown4067 happy Monday Whitney 👍
Happy Monday, Dr. Dray ❤
Happy Monday
I have been successfully using copper peptides and azeleic acid for awhile now. I use copper peptides in the A.M. before my sunscreen. At night I use a combination tretinoin and azeleic acid.
Hi ! Have you reviewed Differin SA body wash ? Just want to say it has such a great lather and it’s moisturizing. Wanted to see if you can do a review. Thank you.
I’ve used so many of these OTC products with zero improvement, so I asked my Dermatologist for 15% Azelaic acid gel….wonderful product ❤
Paula's Choice azelaic acid has been a big help with my rosacea. Really thankful for all the skin education I receive here!
Of all the ones it’s the best. Been using it since it was released
Hi can you do a review of the Leahlani skincare products. Thanks
HEY! I finally see the shopping bag! 🎉
I am using the ordinary when I have oily day's or pimples and has been working good for me. I will apply to all my Face
Happy Monday Dr Dray...see you tomorrow x💙🤩
So I had to go to the drugstore yesterday to buy a lighter shade of foundation. I typically have a summer shade and a Winter shade, I have never varied from these shades and I'm in my 40s But now I've been using my Winter shade regularly and I need to go even lighter. I thank Doctor Dray for preaching the sunscreen gospel! It is completely her doing that my skin has actually got lighter in tone because I'm no longer getting as much exposure to sun!
Same!
Why is that good?
@H T it's just proof that I'm actually getting less sun exposure and therefore less sun damage, even though I thought I was diligent about sun protection before Dr. Dray
Same and also with my pigmentation is not noticeable
@@ht8038 because UVA rays (which contribute to tanning) also contribute significantly to photoaging and an increased risk of skin cancer. If she's not tanning as much as she used to, it indicates less UVA exposure.
Question for you Dr. Dray what do you think of using beef tallow on face and lips?
Be sure to check with your derm and insurance before buying prescription azeleic acid. It was going to cost almost $300 through my insurance. When I discussed that with my derm she referred me to a local compounding pharmacy where I pay $36 out of pocket. My insurance plan pharmacy would only provide two brand name options and no generics. Since this something I expect to use for an extended time I would have opted for an OTC before spending that much.
Wow, I had to go to a regular pharmacy for a huge dose of one pill prescription I had to cut up (and is still too high a dose but safe), because the compound pharmacy was $50 (vs free at regular pharmacy).
I got 15 % az for $ 57.00 through goodRX, good to shop around
Compounding is the way to go for these derm prescriptions.
An adorable choice is Cos De BAHA brand. I like it better than the ordinary and it lasts me a long time. It is a serum as opposed to a cream.
I learnt so much from you ❤
Thanks for watching
2 years of using TO azelaic acid didn’t help my rosacea - but it might have been a damaged skin barrier as the culprit. Following Dr. Dray’s advice of a simple skincare routine helped tremendously! I switched to Paula’s Choice azelaic acid, which was a little less irritating but then was put on low dose tretinoin so I don’t often use my Paula’s Choice product and the rosacea is pretty minimal now.❣️👍🎉
Hi, can you share some products you used to improve skin barrier health? 😊
Azelaic acid only works on papulopustular rosacea not on flushing rosacea and capillaries
I would love to know more about spironolactone for acne?? I’ve seen it usually combined with tretinoin. Currently, I use adapalene gel at night. I have PCOS so I’m assuming my acne is mostly hormonal and definitely get some unwanted facial hair. Would spironolactone help?
Great video! I have been using Azelaic acid from "The Ordinary" for the past couple of years because it makes my skin smooth, but I have rosacea and never knew it was helping me with that too. (It does help a little bit but I still have a lot of it on my nose that I can't seem to do anything about).
Hey have you tried Vbeam laser? It is actually affordable if you are doing smaller areas on your face rather than your entire face. I just had my 1st out of 3-4 treatments and notice an improvement already. Vbeam is the gold standard for rosacea, broken facial capillaries and facial redness I have tried other treatments such as bbl laser which is pretty much useless for rosacea which I didn’t know at the time. If you decide on laser please go for Vbeam only. I don’t want you wasting your money like I did.
Dr. Dray can you please do a video on nickel allergy safe products. Over 15 million Americans have at least a contact allergy to nickel. Often those people also are allergic to cobalt. I myself have SNAS (systemic nickel allergy syndrome) I even have to be on a low nickel and low cobalt diet. It is hellish!
For some reason, the Ecco-Verde site no longer sells sunscreens to USA customers
I have to order all my cosmetic and personal care products from Ecco-Verde which is a European site. Thankfully in Italy they have certification for nickel and cobalt levels in products. Otherwise it’s IMPOSSIBLE to know how much is in there if you don’t test. It can be INSIDE any plant or mineral based products. So you won’t see the words “nickel” or “cobalt “ on the ingredients lists. Testing is not that expensive, especially when these companies make MULLIONS of the products.
I suspect they do know how much is in there, they just don’t want to disclose it!
They are missing a huge market! If the tested products were available in USA , many would buy them!
PS nickel and cobalt can be inadvertently added to products during the manufacture process
Thank you!
I am on to my 3rd week and I just started seeing improvement now. In my first and second week it was causing me more acne but now it’s clearing up!!! It takes time.
Hey Dr Dray! You had did a vid previously with the Face Theory Azalaic acid .. how did you like it ?
Can you share a video on how to layer azelaic acid with peptides and retinol
Any good copper peptide skincare to target vitiligo? Or overall
I tried The Ordinary one several years ago along with several of their products at the same time. Bad decision. I broke out so bad and stopped using everything. Never knew if it was just one product or the combination. I should have introduced the products one at a time. Honestly, my skin has done so much better by keeping things super simple. Cerave cleanser, Aveeno Calm and Restore oat gel cream in the AM.and Differen and Vanicream at night. All thanks to you! Happy Monday, Dr Dray! I hope you have a tranquil evening. 💚
Love love Love Azelaic Acid, it's such a wonderful ingredient that everyone can derive benefits from it plus it's compatible with everything ❤😊. I use the cosmetic version of course 20 % Azelaic acid by Vencil and it helped with my face redness 10 euros (11 dollars) but the prescription one here skinoren gel (cream is present here anymore 😅) 15 % strength is again 11 dollars with no prescription but if you have prescription it is less than 11 dollars (but this might differ according the health system of each country). I use it after i cleanse and then i moisturize. Thanks for reminding as the beneficial properties of azelaic acid.
Happy Monday!! I might try Azelaic Acid again, I didn’t have much of an opinion about the formulation that The Ordinary has but I’m definitely intrigued on trying a different product. Thank you for the video! 😊
TO didn’t work for me but the odd thing was that I did like the somewhat silicone-y texture of it! Paula’s Choice is more helpful for me if my rosacea flares up. 😊
The Inkey list do a 10% Azalaic Acid and if you want a stronger version then Dermatica have a 20% Azalaic Acid.
@@grespinosa I agree about the silicone feeling of the base. That may be what I didn’t like about it because it did pill on my skin.
@@nicolabaker4391 thank you! I was thinking of trying the PC one but might start with IL so I don’t start too high in dosage.
@@conservativebarbiedoll589 Its always best to start with the lower especially with rosacea.
Have a great Monday do
Happy Monday
I started using agency and was put on .005% tret, 5% azelaic acid, 5% tranexamic acid, and 4% niacinamide. When I tell you that my skin has never been so good, I mean it!
I have a similar mix from Curology, minus the transexamic acid. I purchased that separately at Target.
Good info, I think I have a similar formula. 😊
I was given the exact same prescription from them. I used it a few months and liked it, but I need a higher tretinoin % than they would give me 😢
Can you please tell me your routine?
Would I get much benefit from starting tretnoin now at 68 years of age? If so, what could it do for me at this age?
Nothing beats the Paula’s Choice one. I’ve tried all the other OTC ones and literally threw them out.
Dr. Dray you should do a video about European alternatives since we have different drugstore brands.
I have tried so many different lines of AAcid, the skin looks good, but the spots of sun damage are still there, maybe a little lighter. I an using Ebanel brightening serum which has a little of all the acids included, it has been helpful, but too soon to say that it will get rid of these spots. If spots are too deep in the skin layer, it may need laser treatment
@drdrayzday Love this video! 💜 Paula’s choice has been wonderful for my skin and I love learning more about the ingredient! What are your thoughts on the new azelaic acid serum from the inkey list?
Thank you Dr. Dray, I use azelaic acid every morning and this is very helpful!!!!!!!!!!!
Thanks for watching
Happy Monday! I have used azelaic acid as well. It was helpful when my rosacea was active. Currently my tretinoin seems to keep my skin looking clearer. I am looking forward to your detailed video on light and Tretinoin that you mentioned over the weekend. I often get feedback from friends that they want to wait to try it in the winter months. So I am curious about your comments.
Greetings Theresa Berg hope u r well n Happy Monday😀👍💜….
Thanks for watching 💙
Theresa , what azelaic acid did you use ? Thanks
@@eviebrajo Hi Evie, I used a prescription when my rosacea was serious but later I tried Flawless Brightly Serum. I liked Flawless but my rosacea was mild at that time.
@@user-ns6tf3ly6x Thanks very much 😃
I've been using naturium's azelaic acid for a while and i love it! But i recently got pyunkang yul's nutrition cream and that combo burned my skin (i was using sukin calming night cream before that) so i wonder why my skin didn't like the new combo?
My favorite is the one by Theramid ..it changed my skin !!!
i love your videos, dr dray :)
have you considered reviewing NIOD products? i've been using their survival 0 serum in the mornings under my sunscreen, and i rly like it so far
I think she reviewed one product in her video, skin barrier repairing peptides. Otherwise the only channels I've seen cover NIOD are master esty Penn Smith Skincare, Gothamista and Sincerely Miss Ash (Canada). Doctor Anne (germany, not a derm) has covered some of the products along with the No BS Beauty channel.
Love Survival 0, also use it under sunscreen!❣️Sure wish it was more affordable, though! 💸😱
Thanks for the reminder about not spraying scents on the neck. Probably why I've had brown patches there 😄 Thanks for the great info again, have a great day 🌞🌼
Thanks for watching
@@DrDrayzday Yw 🙂
Can you use azelaic acid together with hyaluronic acid? if so, which one should be layered first?
I was really looking forward to this one after you mentioned it on the vlog 💜💜💜
Thanks for watching
How often did you use it when you started using it?
Thanks, Dr. Dray! I use vitamin C and my prescription 15% Azelaic Acid every morning and have been for over 2 years now with great results. When I first started, I had to use it after moisturizer until I could tolerate it but now I can use it right after the vitamin C. Thanks for the great tips!
Ive never been able to tolerate it with my tretinoin at night, but thats fine :)
How do you layer your Azelaic acid with other products?
@@eggyboi419 After washing my face, I do vitamin C, azelaic acid (I use a pea size a bit bigger than what I use for tretinoin), then moisturize and SPF.
How long do you wait after the vitamin C?
@@jennalud4748 not that long just a few seconds. But you might like to wait for yours to absorb first
I tried different products with azelaic acid and my super sensitive skin freaked out every time. The one that finally worked for me is Theramid Azid with 15% AA plus colloidal oatmeal, which probably helps with soothing. Unfortunately, it's not exactly cheap.
Suggestions for super duper dry face and very sensitive face moisturizer that's not greasy either
HELP
can I use my azelaic acid with my spiro/clindy topical?
My Tretinoin formula has 0.1% , 15% Azelaic Acid & 4% Niacinimide . 7 months in Tret is helping my Scars. ❤️🇬🇧
Where did u get your formula from?
What tret do you use?
@@Kat-5697 that’s not a low percentage at all. Standard concentrations are 0.025%, 0.05%, and 0.1%. (0.1% usually being the highest available)
Where is it from?
I wanna know where that’s from too :)
Hy doctor! I’m new to your channel and I love it already! So I was prescribed oral isotretinoin and azelaic acid for my acne 2 yrs ago. Now I have a broken skin barrier but I loved azelaic acid so I wanted to ask if I can continue using it along with my cleanser and moisturiser or should I stop it for some time till my barrier gets repaired?
Maybe try every other day?
The Ordinary Azelaic Acid is a "suspension", so more of a cream. I use this in the AM with the Timeless Vitamin C, which is very watery, so I always apply it early in my routine. I apply the azelaic acid right before moisturizer, after my other serums because it is the thickest in terms of consistency. Should I be worried about absorption here?
Can u use azelaic acid as monotheraphy for acne
Would something like cerave's retinol help with scars, as compared to tret? I have sensitive skin.
Can i use azelic acid with hydroquinone?
Could you make a video on pregnancy safe skincare? I’ve used tretinoin for years and I know that once I’m pregnant I will have to stop using it, so I was hoping you could do a video on products that can be a good alternative to those ingredients/products that we can’t use while pregnant. Thank you😊
I need this too
Avoid tret, salicylic acid tranexamic. vitamin c,glycolic acid,lactic acid, azelaic acid, niacinamide, peptides are pregnancy safe
Thisss! I want to strt it but there is no need once i get pregnant. i know as soon i get off of it face will break out bad and will be back at square one.
Good for milia too??
Helpfull fir Scotland weather 😎
Can I layer a mandelic acid serum and a sulfur spot treatment??
I have Rosacea with oily skin. I use 15% Azaleic acid and I use Vanicream Facial moisturizer and the pair work great. Make sure your skin is completely dry before you apply Azaleic Acid. This will minimize any stinging.
I am still having my first hard-core Rosacea flare. It got so bad with the redness and burning, I was finding it hard to talk. A little over a week ago I found Vanicream gentle face cleanser and it’s given me some hope (no burning sensation). Moisturizers have been very tricky, but Vanicream face moisturizer for sensitive skin has, so far, been without reaction. I had tried the Aveeno calm and restore balm the night before, and woke up to a devastatingly maroon face. Was so depressed, I laid in bed most of the day. I’m wearing a sun hat in the house, as I’m trying to give my skin a couple of weeks to heal before attempting to try another (mineral) sunscreen. I was able to get into my derm earlier this week, and he gave me prescriptions for Soolantra and Azaleic Acid 15% gel. I picked them up, but am too scared to use them. The two Vanicream products I mentioned are the only products (so far) that have not made it worse. Soon, I hope to feel confident enough to try the prescriptions. He also “prescribed” a Niacinimide based moisturizer for $48, but the night I noticed it has fragrance in it. Hasn’t helped me to feel confident in using the other two products he prescribed. I found the Vanicream moisturizer the next day. Another little ray of hope. Gotta have hope.
You having ads of yourself on your own videos is truly next level
What goes first, azeleic acid gel or tretinoin cream? I see a lot of different answers.
Question not related to azelaic acid-can retinol shrink milia over time?
Hello everyone and Happy Monday Doc! I this past few days I started using Tret 0.05 and I just wanna ask if it safe for me to use Cerave Acne control cleanser and gel or the SA cleanser and cream for morning routine? Thanks just confused
Use the acne cleanser in the am
I started using a lot of scammy skincare products from The Ordinary and other brands that did not seem to improve my acne and hyperpigmentation. After watching a lot of Dr. Dray's videos, I decided to visit a dermatologist. I'm currently on tretinoin 0,025% at night + azelaic acid 20% twice a day. My dermatologist said after I reach 30 days in a row with the tretinoin every night we're going to titrate to 0,05% and then 0,1%. Purging isn't as bad as I thought and my skin is tolerating the tretinoin quite well. I'm spending less money on cosmetics and being supervised by a professional, I feel a lot more hopeful now. It's awesome to have this type of information to discuss with my doctor. Thank you so much! ❤
@@lucybelle5459 no, I name them scammy because some of the ingredients do not have relevant scientific data to back them UP (both in strength and formulation aka 10% niacinamide - can be too irritating, defeating the purpose of the active itself, aka pure vitamin c in powder form (unstable formulation, patchy aplication, without research to back the absorption up). I could go on with The Ordinary and several other cosmetic brands and products. Maybe if you kept up with Dr. Drays videos, you wouldn't go out of your way to have such a fragile reply.
I use azaleic acid in the morning. For some reason I cant find finacea anywhere (I live in Latin America) but I did find another brand in Colombia called Rozaleic. My Doctor said if I couldnt find it I cannuse Soolantra instead. In the evening I use Adeferin (I guess the latino version of Differin). Three months of consistent use and the improvement to my rosacea and overall skin health is notable. I dont really see any improvement on dark spots/hyperpigmentation though. I use nothing else except sunscreen and moisturizer.
Glad to hear it has helped the rosacea
I use Rozaleic too! But my tube is about to run out and I don't know what to use instead --- :(
@@Camila28 are you in Colombia? I dont live there but a friend is travelling there and I was hoping to re-stock. I dont understand this shortage :(. Mine has only about 1/3 left.
@@Dolly19752 I don't! I bought it when I was in Colombia for a wedding and one tube has lasted me almost two years but now I live in England and don't know what to use instead.
@@Camila28 Maybe they have Finacea..its the same active ingredient just different brand. There is a shortage in Panama where I live, but also in all neigboring countries. That is how I ended up with Rozaleic - which is the same thing, different brand. There must be other brands inEngland, ask if they have azalaeic acid 15%. I dont know if you need a prescription though...nobody asks for it here...or in Colombia, lol.