@@asimweruganyoisa9483 Did my comment disappear, or is it just for me? :/ i wrote a lot explaining everything and now I don't see it. Tell me if I have to write it again... No worries, just listen to your skin! There is something you need to change in your routine and it will be fine ;)
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 for commenting! I'm on theh same boat having tried salicylic acid, benzoyl peroxide, and tretinoin so far with no success. Did you apply azelaic acid daily?
Speaking of skin of color, Dr Alexis Stephens, a black derm uses prescription azelaic acid. She also has eczema. Her tip for trying to help with the stinging is to place the azelaic acid in the refrigerator and apply cold.
I am 25 and started having more acne (currently dealing with lots of stress from work, school, and wedding planning). I switched temporarily from differen gel to The Ordinary 10% azelaic acid. I am on my 3rd week and honestly see a difference in my post-acne marks and prevent further acne.
Ceve Re soap... I use the bar on my face. Use a washcloth and enjoy the bubbles . No idea for moisturizing... I have used Noxema since high school (almost 64) and that works for me. what about diet??
At about 25 a lot of women go through this. It happened to me too. I had to carry a list of comedogenic ingredients and thoroughly scan any products I used. It will get better.
experiencing the worst acne 2 months before my wedding, stressed about the wedding planning, work and the acne itself. Azelaic acid has not worked much for me.
azelaic acid was a game changer for my skin. healed my extremely broken / damaged / purple colored skin (from benzoyl peroxide usage that was too much for my sensitive skin apparently) and evened out my skin tone and some of my textured acne scars, not just the red marks im talking about actual scars with depressions in the skin. azelaic acid made them smoother. it's a holy grail i will keep using.
We love azaleic acid in my household. I’m using it for my rosacea and breakouts (45), my 15yo daughter for rough skin and acne and 17yo son for deeper acne. We’re all experiencing great results and now, after adding AA to his morning and evening routine, my son has the best looking skin in his class (took him 4 months to get there) with practically no acne at all, ever. Using 20% Skinoren available here in Europe over the counter
god, i don’t know what i would do without this channel. i have such intense anxiety over switching products for my acne. i was on differin and it has been working well, but my dermatologist wants me to lessen my use and go to this. i just wanted to know more information due to the fear of my skin getting worse again. this has helped my worries so much!
I've been using Azelaic acid and Tretenoin alternately every night for 6 months, following my derms advice and my skin is even better before I had this terrible breakout. I look younger than my actual age also thanks to Tretenoin :)
@@Sanatani_hindu__07 Usually Azelaic first. I cleanse my face, apply toner, niacinamide serum then apply Azelaic acid and after 20 mins, Tretonoin, followed by a Hydra[Hyaluronic acid] moisturizer. [Only at night, twice a week(Tretinoin)]
9:27 Another reason of the stinging I've heard from my pharmacist friend is the challenging formulation. It's very difficult to dissolve azelaic acid properly. So in some not well formulated products there's partial extra high concentration which can lead to irritation. I personally use the 15% one from Isispharma and never have problems due to their patented formula. The Ordinary 10% and Facetheory 15% sting like hell.
I used to use Skinoren, which I tolerated without any problem. Unfortunately it is not available in our country at the moment so I switched to Finacea. I tried it as I used Skinoren, after moisturizing my skin. My skin was stinging and burning, both ways, tried to apply it immediately also wait until my skin is completely dry. None of them worked. Finally managed to make it work. I use it after cleansing to fully dried skin, then apply a moisturizer. This is my experience. Hope it helps someone.
I use Prescription 15% Cream and I love it! My redness has just gone! I use it twice a Day, along with Prescription Tretinoin Cream 0.01%! I'm also going to have My Dermatologist give Me Hydroquinone next in December! I really do have that Glass Skin People are trying to get! I LOVE MY DERMATOLOGIST ❤
I've been using Dermalogica azelaic acid along with tretinoin & my results are phenomenal. I only use tretinoin every other night, but azelaic acid I use every night along with my purito ceramide moisturiser & spf 50 in morning 😊
@Andreasplace hmm yeah when I started using for 1st time it felt bit tingly n my skin did go bit red but once my skin got accustomed to it everything was fine, just start using it once or twice a week 1st then bump it up slowly 🙌
@MariosPOS yes but u have to slowly work it in so your skin can tolerate it, like tretinoin I used it once a week for 6 weeks n slowly I increased it 🙌 slow way is the fast way 🫡
I use prescription azelaic acid (20%) for over 3 years, I have really bad rosacea and melasma and this is literally saving my life on the daily basis. Nothing came even close before and trust me I tried everything. Thank you for this video it is really helpful as I was worried sometimes if it is ok to use long term but every time I tried to stop, all my symptoms come back
I use the Cream at 15% because the Gel was to drying for Me! But I have used it for Year's! So yes you can use it forever! I also use prescription Tretinoin Cream at the highest strength at 0.01%, you should have your Dermatologist give you Tretinoin Cream as well, together they are a POWER HOUSE! I'm also going on Hydroquinone in December as well! I got that Glass Skin Girl 😉 You CAN TOO!!! We are Lucky because we actually have a Dermatologist, instead of buying over-the-counter crap that doesn't work!
Can you give some insight regarding your experience, I have been wondering if azelaic acid would cause facial hair growth? Has that been the case during those 3 year? I have been meaning to try it but some online claims about facial hair made me think otherwise
I'm really glad the vehicle of azelaic acid was mentioned. I've been doing a lot of research and reading reviews on the 3 different vehicles. Most of the folks that have rosacea and use azelaic acid on forums I have read claim the foam is more gentle than the gel in their experience. 😁
My dermo has me using both azelaic acid cream and metronidazole cream .75%, I also use Retin A at night and my 66 year old skin is almost line free and my mild rosacea is under control. I wish some of my capillaries were gone but I can have a laser treatment, just haven't done so yet. Great video!
Red light ( I have Lightstim device) helps capillaries on the sides of my nose disappear, BUT I have to hold this device longer than 30 min each side. I’ve tried lasers, but my capillaries quickly reappear, I would say few days after laser treatment.
Your latest videos have been so on point as to what I’m looking for! My dermatologist recommended tretinion, /etc, and to follow up with azeleic acid. And your latest videos have been exactly the information I need, I’m trying to keep my skincare simple nowadays and your shopping videos are godsend, and now this update on azelaic acid is just 👏👏👏👏👏 on point Doc!
I was diagnosed with Rosacea this year and have been using the RX azelaic acid faithfully for six months.. that is until my insurance decided I no longer need it and won’t cover it! It’s definitely made a HUGE improvement for my intense flairs, and made my redness less noticeable.. can’t tell you how many times I’ve been asked “wow are you sunburned?” Or “I can see you’ve got some sun”.. meanwhile I literally am indoors 75% of my life lol. Great video, thanks Dr Dray! You answered my questions about using it with other actives!!
I'm actually going through the worst flares of rosacea. I use Azelaic acid from Paula's Choice because I can't go to the doctor and get prescription strength. What else do you use for rosacea? Any suggestions would be greatly appreciated.
@@goldenheart2667 oh I’m sorry to hear that! It’s rough I know, but the two things I’ve tried recently that really help alleviate the redness are the Cetaphil “Redness Relieving” night moisturizer and La Roche-Posay’s “Toleriane Dermallergo” ultra soothing repair moisturizer.. I use them together at night and am amazed at how good that combo is! Hope this helps🤍
I swear Dr. Dray lives inside my head. I find myself curious about an ingredient like hydroquinone, and a few days ago, azelaic acid. And the next few days she has new videos talking about the ingredients. 😂❤
I have been using Fincea Gel (Azelaic acid) and minocycline for 9 days now. So far so good, keeps my acne at bay. Noticed my pimples and acne have improved.
Thank you Dr. Dray!! I love Azelaic Acid in my routine, as I have rosacea and melasma. I appreciate all your knowledge, recommendations and your willingness to share. I also appreciate your honesty, and your humor. You make me laugh in almost every video. I am so happy I found your channel, you are a bright spot in my day and I am so grateful. Many blessings!💖💖💖
How was your rosacea in the beginning with azelaic Acid? Did it first become worse ( initial abgravation/ worsening). Would appreciate if you could share your experience. Thank you ❤
Hey I also have rosacea and melasma , what other products do you use? Have you noticed a different in your melasma? I just noticed it above my upper lip :(
I've wondered about the benefits of azalaic acid. This is right on time because because Retinol doesn't seem to be helping the hyperpigmentation in spots that I have. Thanks for covering so much ground here and I will check out your other vid on this ingredient. Happy Tuesday 🌞🌷
Can you give us an update if you’ve tried it? Im also on tretinoin but I’m struggling with hyperpigmentation after my pimples heal so I’m wondering if i should give it a try
@@mehh1h I haven't tried it yet, because I don't have a serious problem with dark spots, but from glancing over some of the comments it seems to help a lot of people.
I found that benzyl peroxide worked wonders for my acne but i recently developed eczema and it irritated it so i switched to azelaic acid and i found that it worked really well for both, however when i have a really bad break down i use a benzyl peroxide gel as a spot treatment so it doesn't irritate the rest of my sensitive skin
That was a very helpful video! I have Finacea, but was afraid to use it because I’m using Tazorac. This really helps to alleviate my concerns. Thank you, Dr. Dray!
I recently came off of birth control for no particular reason apart from me feeling not myself whilst taking it. My skin BROKE OUT very very bad. I was on treclin gel whilst on the pill but felt I had become immune to it a little. Bought IS clinical’s very very expensive cleanser and active serum, that made my face so so sensitive and made my breakouts worse. Two weeks ago i switched back to a very basic Cetaphil cleanser, simple soothing toner and simple moisturiser with azaelic acid on top and my skin is nearly completely clear again with a few dark marks remaining. If I get a new spot I dab azaelic acid on it at night and it will be flat or a white head by the morning. I will implement treclin or a tretnoin back into my skincare once my skin calms down again but right now azaelic acid is amazing
@@laurenv2003 hey! I use the skinoren 20%. I’m from the UK and I can buy it with an online private prescription for like £15. I didn’t think it was doing anything at first because it’s very gentle but 2/3 weeks later my skin is looking much better 😊
@@daniellaalexander7632 ok thank u!! Maybe I'll see if I can get a script from my Dr but hopefully it doesn't cost a fortune, lol. It's AWESOME that u guys can buy it that way there! Well thank u so much!! 🥰
Dr my wife has intense malasma, the local Dr prescribed her Azelaic acid 10% and glycolic acid 6%, he asked her to take both and mix them and apply in the night. She has been using it for more than 5 months, the Malasma patches just lightened a little but not fully gone. Recently I gave her Hydroquinone 4% and Tretinoin 0.025% she has been using it for just ten days (only night routine exept Sunday) and I can already see great results. My question is can she also apply Azelaic acid in her morning routine, and glycolic acid only once on Sunday evenings.
Great information Dr. Dray! I definitely have melasma on my neck but I’m wondering if it’s possible to have it on your chest as well. Would azelaic acid be recommended for the chest if melasma is present and also potentially improve darkness from sun damage?
I have mild Rosacea and acne. When I use Azelaic acid, my skin gets red and tingles/itches for about a minute or 2. This only happens around the nose, mouth, and btwn the brows. Then I moisturize and use tretinoin with no issues.
I’ve been using azelaic acid 20% for only 4 days now and literally all my hormonal acne is gone. I can’t believe it. I’m also using tret but it never worked for my acne, I just use it for anti-aging
Doctor, what about potassium azeloyl deglycinate (PAD)? And is cream with 2% kojic dipalmitate + 5% PAD be effective for melasma or it is better just 10% azelaic acid serum?
Is this safe to use if you have vitiligo? I have some PIH on my face from acne but will it trigger my vitiligo since it’s a lightening ingredient?Thank you.
hello doctor i need a little help i did pyruvic acid and lactic acid peel i still have 5 sessions,, AND i have hyperpigmentation is it good ? or should i ask them to change the acids ? i will be so thankful if u replayed :D
Comparing to benzoyl peroxide (4% wash every night), BP in a few days almost entirely ceased any new acne on my face each day. I switched to AA 15% gel (strongest one), and again I started getting multiple new pimples every morning and also every night on top of that. I also now use 4% BP in the morning as a spot-treatment after extracting (I don't use my fingers, I have a whole gentle system in place to remove them), and that has been REALLY effective at removing whiteheads and making them not return straight away, because that shit is annoying. Really good. The BP also goes wherever the extraction tool even touched, regardless of whether I extracted anything or not (sometimes it's not ready). Now I'm going to use both. Double-up on the bacteria killing, and the AA for the PIE and whatnot. I just have to be mega careful with bacteria in everything I do, because any of that and my skin is done for (pillows, towels, even how I extract and which fingers have which job lol, then washing my fingers before moving on).
Dr. Dray, what products to use in the evening routine when you need to cut back from Tazarotene. I was already doing only every other day, and now I need to cut back even more because of peeling. Wouldn’t it be better to go back to Tretinoin? My doctor left me on Tazarotene but with over the counter Adapalene in between days. I’m 50yo and suffer from blackheads. I wonder if you could do a video about what ingredients or products to use the evenings one can’t use prescription retinA. Thanks!
For me anti-biotics should only be used if it is more likely to affect your overall health, but in most cases of skin issues like acne, you just need skin turn over to discourage bacteria to propagate in your skin. In a way, it's a natural process that would be beneficial to your skin in the long run.
Thank you so much Dr. Dray! I am using Cos De BAHA Azelaic Acid for 2 months now due to my Rosacea & I am very happy with the result😊 plus . 02% Retinol(using 2x, a week) thank goodness no irritation from it.❤️.... God Bless!!!
I recently got a prescription for Aklief as my skin was not very tolerant of trentonion. I am currently loving the samples they gave me. I am concerned as the prescription is over $700! Does anyone have information for pharmacy in other countries that have been used? Or have any tips to get it less expensive. Its not covered under my ins policy over age 36. Thank you!
Great video! I recently started 15% azelaic acid for papulopustular rosacea and hormonal acne while trying to conceive. Can you recommend a good moisturizer to deal with the skin dryness and sensitivity while using azelaic acid that are appropriate for my skin conditions? Thanks 😊
I'm not a derm, but I used Aveeno Facecreams and La Roche Posay Cicaplast Baume B5 and it helped wonders. I do have very sensitive skin and rosacea and used it for the same reason you do.
@@doaametal1935 It works wonders, doesn't it? Calmed every red patch on my skin, when it was a bit freaked out. I use 20% azelaic acid and on some days it burned a bit in the beginning.🤭
Hi the beautiful pretty Dc. My question is can I add on my night routine the ordinary Azialic acid suspension 10% with my differing gel? I can’t add in the morning routine because in the morning routine I use vitamin C serum with Niacinamide… Please please please answer…..????❤❤❤
I'm so confused - suffering from post-retinol irritation & diluted capillaries/redness (not yet diagnosed as fully fledged rosacea) should I be using azaleic acid or should I focus on restoring the skin barrier first?
Restore the skin barrier first Whatever treatment you may be on leave that if your skin barrier is compromised Our first priority should be to make our skin barrier healthy ones it’s all healthy any treatment or concerns besides this would work much better and will give faster results
Dr.dray, I have perioral dermatitis and currently taking doxycycline 20mg with metrogel and differin. Getting pretty bad now as its been a couple of years. Derm has recommended azelaic acid now. Can i still take the doxy? And do i stop metrogel/differin?
Hydroquinone did nothing for my melasma sadly. But my skin loves azelaic acid. I experienced zero irritation. I will never not use azelaic acid in my skincare routine. I noticed a brightening and lightening of my hyperpigmentation using it twice a day along with Vitamin C.
May I ask how long did it take for you to see results? I've been using azelaic acid 20% (Skinoren) for around 5 months twice a day with no results and I'm starting to lose hope
I just tried a bit of The Inkey List Azelaic Acid 10% on my hand and it has a bit of a cooling effect. Is this to do with the Azelaic Acid or is it something else in the product? 🤔
Hi Dr. Dray, can you do a review on the brand Musely for dark spots. I get this ad constantly on Instagram and tik tok. I was wondering what your take is on this cream
Morning Dr Dray hope u r well n 🖐Hello Every1 n Happy Tuesday😀n what a Wonderful Vid…. thanks n This is Gonna b so Insightful🔥👍n Continued Blessings to All💜….
Good morning. I don’t know why but my skin can’t tolerate Azeliac acid. I don’t háve particularly sensitive skin but I can’t use this. And it’s a shame as I have melasma. I also have issues with zinc oxide. But I’m doing ok with all of Dr. Drays other recommendations:)
i've have been using BHA 2%, Retinol 1%, Retinal 0.1 or even tretinoin 0.1 (as a spot treatment) for years and i heard that Azelaic acid was much more gentle so i decided to try it. However, everytime i put it on, my skin suffers stinging and irriating, despite the fact that I chose the Azelaic Booster from Paula Choice's, the most recommended one (dont get me wrong, the texture is awesome), but still... Such a shame! My skin is combo oily, acne prone. And i often used Az acid as the first step after cleansing. I've tried to use a soothing/calming toner before or followed with a gentle mosturizer/ facial oil or both, but it didnt prevent my skin from irritation (it was less but still there). I wanted to like Azealic acid but i guess it's not for me.
Azelaic acid is notoriously difficult to formulate because it’s a powder, so it could be that or it could be another ingredient in that product. I’d try prescription azelaic acid if that’s possible for you. It’s definitely possible that you’re just sensitive to it but it’s really well tolerated so it may be worth a try if you’re interested :)
Hi there! I'm a Licensed Advanced Esthetician. If you're Looking for a budget friendly version of Azealic Acid, I would use "The ordinary's" Brand and version of Azealic acid Suspension....after your moisturizer at night (PM).
She has a short saying tranexamic can be used with other things and so have other derms. At least one article said to try and use no more than two or three ingredients at at time to avoid dryness.
Dr. Dray- I just adore all of your videos. I was diagnosed with mild rosacea last year, and I found azelaic acid on my own through research. I brought it to my derm. But my insurance would not approve to cover the prescription, so she prescribed me antibiotics- but I will NOT take them for the reason you addressed in your video. I have been using an over the counter 10% Azelaic acid for a while now and LOVE IT. it’s my favorite skincare ingredient and the only thing (except sulfur- another holy grail) that really helps the redness 💗 I wish 20% azelaic acid was more accessible!!!! Amazing video, as always 💗♥️💗♥️
Dr Dray. Your skin appears to be “glowing” more than ever. Is that from your current sunscreen? If so, which sunscreen? Or of course the effects of the retin A. Or both? Looking beautiful.
I do not find the glow attractive personally but she praised the Bondi Sands SPF 50+ multiple times on this channel and claimed that she was wearing it while filming many of her videos. And in my experience it is one of the most (if not most) glowiest products ever, so if you want to shine like a diamond - go for it, it is like 15$ USD
Personally i used Azelaic acid 20 % cream and loved it. It does the job clearing and evening the skin tone and i hadn't any particular peeling problem with it and in combination of course with my other skin related product aka moisturizer and sunscreen 😊❤. It did sting and had a briefly burning sensation but it was tolerable just a split of a second 😊. One thing is that "my" Azelaic acid 20% cream is the over the counter one not the prescription Azelaic aka finacea, skinoren. But it had the strength of those bad boys 😎👍. Wonderful ingredient and thanks Doctor Andrea for pinpointing these important facts about Azelaic Acid ❤✌🙏😇😄.
@@SR-kh6yq Right now my dermatologist said to take one month off but yeah everyday because my vehicle also has salicylic and hyaluronic acid calendula and other ingredients (it's also a hydrating cream apart from having high percentage azelaic acid).
I sleep better at night knowing Dr.Dray is in the world.
Dr.Dray is a skin goddess. After 15years of acne my skin is finally flawless after following her tips. 🙌♥️
Gracias. 😊
What routine did you follow?
@@asimweruganyoisa9483 btw, I don't know for who you are asking because your skin looks amazing!!
@@netaZzz haha thanks but my skin has acted up since last summer and I'm struggling with breakouts and extreme sensitivity 😞
@@asimweruganyoisa9483 Did my comment disappear, or is it just for me? :/ i wrote a lot explaining everything and now I don't see it. Tell me if I have to write it again...
No worries, just listen to your skin! There is something you need to change in your routine and it will be fine ;)
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 for commenting! I'm on theh same boat having tried salicylic acid, benzoyl peroxide, and tretinoin so far with no success. Did you apply azelaic acid daily?
@@diannahoney4240 yes! Everyday
It also regrew thinning hair in my fringe area! I used pharmacy grade 20% azelaic acid cream
Hi! Is the AA the only active in your routine?
Speaking of skin of color, Dr Alexis Stephens, a black derm uses prescription azelaic acid. She also has eczema. Her tip for trying to help with the stinging is to place the azelaic acid in the refrigerator and apply cold.
Greetings d b hope u r well n Happy Tuesday😀👍💜….
I LOVE Dr. Stephens too.
I'm going to try this! Thanks for the tip 😊
Great tip going to have to check that out
Thanks for the tip! I've recently developed eczema and I've been using the Paula's Choice 10% azelaic acid and it's helped so much!
I am 25 and started having more acne (currently dealing with lots of stress from work, school, and wedding planning). I switched temporarily from differen gel to The Ordinary 10% azelaic acid. I am on my 3rd week and honestly see a difference in my post-acne marks and prevent further acne.
Ceve Re soap...
I use the bar on my face.
Use a washcloth and enjoy the bubbles . No idea for moisturizing... I have used Noxema since high school (almost 64) and that works for me. what about diet??
I just started an additional 10% of azelaic acid in another prescription. My skin must really like it bc I actually see even more improvement
At about 25 a lot of women go through this. It happened to me too. I had to carry a list of comedogenic ingredients and thoroughly scan any products I used. It will get better.
@@alicassidy8913 noxema has comedogenic ingredients. It works for you but not everyone can tolerate it.
experiencing the worst acne 2 months before my wedding, stressed about the wedding planning, work and the acne itself. Azelaic acid has not worked much for me.
azelaic acid was a game changer for my skin. healed my extremely broken / damaged / purple colored skin (from benzoyl peroxide usage that was too much for my sensitive skin apparently) and evened out my skin tone and some of my textured acne scars, not just the red marks im talking about actual scars with depressions in the skin. azelaic acid made them smoother. it's a holy grail i will keep using.
@depaki how long did it take to show results?
Which brand u were using ?
We love azaleic acid in my household. I’m using it for my rosacea and breakouts (45), my 15yo daughter for rough skin and acne and 17yo son for deeper acne.
We’re all experiencing great results and now, after adding AA to his morning and evening routine, my son has the best looking skin in his class (took him 4 months to get there) with practically no acne at all, ever.
Using 20% Skinoren available here in Europe over the counter
Hello! can you please share your son's skin care routine, how does he use azelaic acid? thank you!
god, i don’t know what i would do without this channel. i have such intense anxiety over switching products for my acne. i was on differin and it has been working well, but my dermatologist wants me to lessen my use and go to this. i just wanted to know more information due to the fear of my skin getting worse again. this has helped my worries so much!
I've been using azelaic acid daily for ~5 years (along with spiro and retin a) and my skin looks fab
I've been using Azelaic acid and Tretenoin alternately every night for 6 months, following my derms advice and my skin is even better before I had this terrible breakout. I look younger than my actual age also thanks to Tretenoin :)
Hey buddy.. did i use both creams at the same time..?? First tret and then azelaic ??
@@Sanatani_hindu__07 Usually Azelaic first. I cleanse my face, apply toner, niacinamide serum then apply Azelaic acid and after 20 mins, Tretonoin, followed by a Hydra[Hyaluronic acid] moisturizer. [Only at night, twice a week(Tretinoin)]
9:27 Another reason of the stinging I've heard from my pharmacist friend is the challenging formulation. It's very difficult to dissolve azelaic acid properly. So in some not well formulated products there's partial extra high concentration which can lead to irritation.
I personally use the 15% one from Isispharma and never have problems due to their patented formula. The Ordinary 10% and Facetheory 15% sting like hell.
Yeah, the ordinary AA is awful
I mix it with my cerave pm before i could use it
Have been on 15% prescription Finacea for nearly two years now - can’t be without it in my morning routine every day!
I used to use Skinoren, which I tolerated without any problem. Unfortunately it is not available in our country at the moment so I switched to Finacea. I tried it as I used Skinoren, after moisturizing my skin. My skin was stinging and burning, both ways, tried to apply it immediately also wait until my skin is completely dry. None of them worked. Finally managed to make it work. I use it after cleansing to fully dried skin, then apply a moisturizer. This is my experience. Hope it helps someone.
Been using azelaic acid for about 12 years. Mild rosacea and some breaking out in my mid twenties. It has helped me! 😊
Are you using cream or gel or serum?
@ gel
I use Prescription 15% Cream and I love it! My redness has just gone! I use it twice a Day, along with Prescription Tretinoin Cream 0.01%! I'm also going to have My Dermatologist give Me Hydroquinone next in December! I really do have that Glass Skin People are trying to get! I LOVE MY DERMATOLOGIST ❤
I've been using Dermalogica azelaic acid along with tretinoin & my results are phenomenal. I only use tretinoin every other night, but azelaic acid I use every night along with my purito ceramide moisturiser & spf 50 in morning 😊
You use the azelaic acid along with the tretinoin? One on top of the other ?
@@MariosPOSim sure you can do that
Ok I just got prescribed that and I’m kind of scared have you had any problems when you started using it?
@Andreasplace hmm yeah when I started using for 1st time it felt bit tingly n my skin did go bit red but once my skin got accustomed to it everything was fine, just start using it once or twice a week 1st then bump it up slowly 🙌
@MariosPOS yes but u have to slowly work it in so your skin can tolerate it, like tretinoin I used it once a week for 6 weeks n slowly I increased it 🙌 slow way is the fast way 🫡
Happy Tuesday! I love azelaic acid for my hyperpigmentation and acne
Happy Tuesday
I use prescription azelaic acid (20%) for over 3 years, I have really bad rosacea and melasma and this is literally saving my life on the daily basis. Nothing came even close before and trust me I tried everything. Thank you for this video it is really helpful as I was worried sometimes if it is ok to use long term but every time I tried to stop, all my symptoms come back
I use the Cream at 15% because the Gel was to drying for Me! But I have used it for Year's! So yes you can use it forever! I also use prescription Tretinoin Cream at the highest strength at 0.01%, you should have your Dermatologist give you Tretinoin Cream as well, together they are a POWER HOUSE! I'm also going on Hydroquinone in December as well! I got that Glass Skin Girl 😉 You CAN TOO!!! We are Lucky because we actually have a Dermatologist, instead of buying over-the-counter crap that doesn't work!
Can you give some insight regarding your experience, I have been wondering if azelaic acid would cause facial hair growth? Has that been the case during those 3 year?
I have been meaning to try it but some online claims about facial hair made me think otherwise
I'm really glad the vehicle of azelaic acid was mentioned. I've been doing a lot of research and reading reviews on the 3 different vehicles. Most of the folks that have rosacea and use azelaic acid on forums I have read claim the foam is more gentle than the gel in their experience. 😁
This video couldn’t come at a better time! Thank you Dr Dray 😊
Thanks for watching!
My dermo has me using both azelaic acid cream and metronidazole cream .75%, I also use Retin A at night and my 66 year old skin is almost line free and my mild rosacea is under control. I wish some of my capillaries were gone but I can have a laser treatment, just haven't done so yet. Great video!
Wish it worked on those damn blood vessels!
For how long have you used it ?
Red light ( I have Lightstim device) helps capillaries on the sides of my nose disappear, BUT I have to hold this device longer than 30 min each side. I’ve tried lasers, but my capillaries quickly reappear, I would say few days after laser treatment.
@@ddgm89 retin a for 30 years, the other 2 for about 2 years.
Do you use both in once or one morning one evening?
Your latest videos have been so on point as to what I’m looking for! My dermatologist recommended tretinion, /etc, and to follow up with azeleic acid. And your latest videos have been exactly the information I need, I’m trying to keep my skincare simple nowadays and your shopping videos are godsend, and now this update on azelaic acid is just 👏👏👏👏👏 on point Doc!
Shouldn’t we put azeleic before retinol due to ph level ?
I was diagnosed with Rosacea this year and have been using the RX azelaic acid faithfully for six months.. that is until my insurance decided I no longer need it and won’t cover it! It’s definitely made a HUGE improvement for my intense flairs, and made my redness less noticeable.. can’t tell you how many times I’ve been asked “wow are you sunburned?” Or “I can see you’ve got some sun”.. meanwhile I literally am indoors 75% of my life lol.
Great video, thanks Dr Dray! You answered my questions about using it with other actives!!
I'm actually going through the worst flares of rosacea. I use Azelaic acid from Paula's Choice because I can't go to the doctor and get prescription strength. What else do you use for rosacea? Any suggestions would be greatly appreciated.
Can’t you ask your dr to do a pa?
How much would it cost where you are to pay out of pocket? I ask because it’s pretty cheap where I am. $40 CAD. A tube lasts me about 4-5 months.
@@goldenheart2667 oh I’m sorry to hear that! It’s rough I know, but the two things I’ve tried recently that really help alleviate the redness are the Cetaphil “Redness Relieving” night moisturizer and La Roche-Posay’s “Toleriane Dermallergo” ultra soothing repair moisturizer.. I use them together at night and am amazed at how good that combo is! Hope this helps🤍
@@RachelJane101 hi there, it would cost 150$ a tube which is way too much for me!
I swear Dr. Dray lives inside my head. I find myself curious about an ingredient like hydroquinone, and a few days ago, azelaic acid. And the next few days she has new videos talking about the ingredients. 😂❤
Agree
On point!
I literally just bought the ordinary’s azelaic acid serum yesterday 😭
I have been using Fincea Gel (Azelaic acid) and minocycline for 9 days now. So far so good, keeps my acne at bay. Noticed my pimples and acne have improved.
@21407l it stopped oil production and kills bacteria
The queen of skin ..
Hello doctor...
I hope you're well.
One of the best videos yet! Answered questions I didn’t even know I had! Well all vids are amazing! Plz never stop making vids!
Would it be ok to a video on up to date Roseaca skin care please ?Thank you for your interesting video today?
In the meantime, The Budget Dermatologist and Dr. Daniel Sugai have recent videos on this.
Facetheory has Lumizela which has 15% AA. I love that it is within the therapeutic index of 15-20%.
Thank you Dr. Dray!! I love Azelaic Acid in my routine, as I have rosacea and melasma. I appreciate all your knowledge, recommendations and your willingness to share. I also appreciate your honesty, and your humor. You make me laugh in almost every video. I am so happy I found your channel, you are a bright spot in my day and I am so grateful. Many blessings!💖💖💖
How was your rosacea in the beginning with azelaic Acid? Did it first become worse ( initial abgravation/ worsening). Would appreciate if you could share your experience. Thank you ❤
Hey I also have rosacea and melasma , what other products do you use? Have you noticed a different in your melasma? I just noticed it above my upper lip :(
Do you know how Azelaic Acid interacts with fermented skin care ingredients like bifida or gelactomyses?
Thank you Dr. Dray. I’m allergic to hydroquinone and azelaic acid has been a great ingredient for my Melasma!
How often do you apply it for your melasma?
@@allthingsreview777 I use it every night along with my Retin-A.
Is your melasma gone completely?
I've wondered about the benefits of azalaic acid. This is right on time because because Retinol doesn't seem to be helping the hyperpigmentation in spots that I have. Thanks for covering so much ground here and I will check out your other vid on this ingredient. Happy Tuesday 🌞🌷
Can you give us an update if you’ve tried it?
Im also on tretinoin but I’m struggling with hyperpigmentation after my pimples heal so I’m wondering if i should give it a try
@@mehh1h I haven't tried it yet, because I don't have a serious problem with dark spots, but from glancing over some of the comments it seems to help a lot of people.
A have the 15% azelaic acid and it stinged/tingled for the first two weeks but now I seem to be used to it.
I found that benzyl peroxide worked wonders for my acne but i recently developed eczema and it irritated it so i switched to azelaic acid and i found that it worked really well for both, however when i have a really bad break down i use a benzyl peroxide gel as a spot treatment so it doesn't irritate the rest of my sensitive skin
Thank u ! Eager to use prescription strength for my hyperpigmentation because various over the counters have not worked over time
That was a very helpful video! I have Finacea, but was afraid to use it because I’m using Tazorac. This really helps to alleviate my concerns. Thank you, Dr. Dray!
I recently came off of birth control for no particular reason apart from me feeling not myself whilst taking it. My skin BROKE OUT very very bad. I was on treclin gel whilst on the pill but felt I had become immune to it a little. Bought IS clinical’s very very expensive cleanser and active serum, that made my face so so sensitive and made my breakouts worse. Two weeks ago i switched back to a very basic Cetaphil cleanser, simple soothing toner and simple moisturiser with azaelic acid on top and my skin is nearly completely clear again with a few dark marks remaining. If I get a new spot I dab azaelic acid on it at night and it will be flat or a white head by the morning. I will implement treclin or a tretnoin back into my skincare once my skin calms down again but right now azaelic acid is amazing
Hi! That's great it's helping you! Do u mind sharing what Azelaic acid u use?? Thank u!
@@laurenv2003 hey! I use the skinoren 20%. I’m from the UK and I can buy it with an online private prescription for like £15. I didn’t think it was doing anything at first because it’s very gentle but 2/3 weeks later my skin is looking much better 😊
@@daniellaalexander7632 ok thank u!! Maybe I'll see if I can get a script from my Dr but hopefully it doesn't cost a fortune, lol. It's AWESOME that u guys can buy it that way there! Well thank u so much!! 🥰
@@laurenv2003 I use Azclear - it’s 20% and you can buy it without a script on australia!!
@@marimacgregor971 Oh! That’s so great! I hope we get that eventually in the US!😢Thank you!!🥰
My derm just Rxed me azelaic acid, I immediately came to you to see what I can learn before using it! Thank you 😊
How has it worked for u ?
Dr my wife has intense malasma, the local Dr prescribed her Azelaic acid 10% and glycolic acid 6%, he asked her to take both and mix them and apply in the night. She has been using it for more than 5 months, the Malasma patches just lightened a little but not fully gone.
Recently I gave her Hydroquinone 4% and Tretinoin 0.025% she has been using it for just ten days (only night routine exept Sunday) and I can already see great results.
My question is can she also apply Azelaic acid in her morning routine, and glycolic acid only once on Sunday evenings.
Great information Dr. Dray! I definitely have melasma on my neck but I’m wondering if it’s possible to have it on your chest as well. Would azelaic acid be recommended for the chest if melasma is present and also potentially improve darkness from sun damage?
Loving this video. Thanks Dr Dray!❤
I have mild Rosacea and acne. When I use Azelaic acid, my skin gets red and tingles/itches for about a minute or 2. This only happens around the nose, mouth, and btwn the brows. Then I moisturize and use tretinoin with no issues.
I’ve been using azelaic acid 20% for only 4 days now and literally all my hormonal acne is gone. I can’t believe it. I’m also using tret but it never worked for my acne, I just use it for anti-aging
Hi Dr Dray so excited to be here happy Tuesday I live for this ❤️
Happy Tuesday
Greetings David Shabas hope u r well n Happy Tuesday😀👍💜….
@@whitneybrown4067 Hi Whitney happy Tuesday 👍
Dr.Dray please help! I use VitC and Azelaic acid in the morning which one goes first? If i can use them at the same time?
First Vit C
Doctor, what about potassium azeloyl deglycinate (PAD)? And is cream with 2% kojic dipalmitate + 5% PAD be effective for melasma or it is better just 10% azelaic acid serum?
Thank you for the time you take to create these wonderful videos Andrea!
Is this safe to use if you have vitiligo? I have some PIH on my face from acne but will it trigger my vitiligo since it’s a lightening ingredient?Thank you.
hello doctor i need a little help i did pyruvic acid and lactic acid peel i still have 5 sessions,, AND i have hyperpigmentation is it good ? or should i ask them to change the acids ?
i will be so thankful if u replayed :D
Comparing to benzoyl peroxide (4% wash every night), BP in a few days almost entirely ceased any new acne on my face each day. I switched to AA 15% gel (strongest one), and again I started getting multiple new pimples every morning and also every night on top of that.
I also now use 4% BP in the morning as a spot-treatment after extracting (I don't use my fingers, I have a whole gentle system in place to remove them), and that has been REALLY effective at removing whiteheads and making them not return straight away, because that shit is annoying. Really good. The BP also goes wherever the extraction tool even touched, regardless of whether I extracted anything or not (sometimes it's not ready).
Now I'm going to use both. Double-up on the bacteria killing, and the AA for the PIE and whatnot.
I just have to be mega careful with bacteria in everything I do, because any of that and my skin is done for (pillows, towels, even how I extract and which fingers have which job lol, then washing my fingers before moving on).
Dr. Dray, what products to use in the evening routine when you need to cut back from Tazarotene. I was already doing only every other day, and now I need to cut back even more because of peeling. Wouldn’t it be better to go back to Tretinoin? My doctor left me on Tazarotene but with over the counter Adapalene in between days. I’m 50yo and suffer from blackheads. I wonder if you could do a video about what ingredients or products to use the evenings one can’t use prescription retinA. Thanks!
For me anti-biotics should only be used if it is more likely to affect your overall health, but in most cases of skin issues like acne, you just need skin turn over to discourage bacteria to propagate in your skin. In a way, it's a natural process that would be beneficial to your skin in the long run.
incredibly helpful and informative! thank you so much
Dr Dray you are the best! Can I apply moisturiser after applying Azelaic Acid? Thank you ❤
What are your thoughts about applying yoghurt on the face?
Thank you so much Dr. Dray! I am using Cos De BAHA Azelaic Acid for 2 months now due to my Rosacea & I am very happy with the result😊 plus . 02% Retinol(using 2x, a week) thank goodness no irritation from it.❤️.... God Bless!!!
What if you have tret cream and azelaic acid gel, which would be best first to put on?
I started with otc now at 20% after for two months now. Five months total. Still no real difference. A very slow active for me
What are some moisturizers and sun screens that are good to layer on top of azeleic acid without leaving a white cast on skin of color?
I recently got a prescription for Aklief as my skin was not very tolerant of trentonion. I am currently loving the samples they gave me.
I am concerned as the prescription is over $700!
Does anyone have information for pharmacy in other countries that have been used?
Or have any tips to get it less expensive. Its not covered under my ins policy over age 36.
Thank you!
Great video! I recently started 15% azelaic acid for papulopustular rosacea and hormonal acne while trying to conceive. Can you recommend a good moisturizer to deal with the skin dryness and sensitivity while using azelaic acid that are appropriate for my skin conditions? Thanks 😊
I'm not a derm, but I used Aveeno Facecreams and La Roche Posay Cicaplast Baume B5 and it helped wonders. I do have very sensitive skin and rosacea and used it for the same reason you do.
@@Becca_H85 omg I used same thing 🫨 with Azelaic acid Aveeno Calm + Restore Redness Relief Moisturizing and and Cicaplast for redness and rosacea
@@doaametal1935 It works wonders, doesn't it? Calmed every red patch on my skin, when it was a bit freaked out. I use 20% azelaic acid and on some days it burned a bit in the beginning.🤭
Vanicream is also a great moisturizer
Prescription azelaic acid has been a game changer for my skin. Thanks for this informative and interesting video, Dr. Dray!
Hello! Can i use azelaic acid and Clindamycin together? Pls help
I love that she includes drug store recommendations. If I lived in her area, I would definitely hire her as my doctor.
Thank you for this and have a good day! Sending much love from Thailand ❤ My skin has improved a lot by watching your videos!
Time to binge watch My Favoritee Dr!!!!
Hi the beautiful pretty Dc. My question is can I add on my night routine the ordinary Azialic acid suspension 10% with my differing gel? I can’t add in the morning routine because in the morning routine I use vitamin C serum with Niacinamide…
Please please please answer…..????❤❤❤
I'm gonna start azelaic acid for my adult acne, pray for me 🤲🏻
How’s it going have u seen results yet or ? I’m also going to try it on my hormonal acne as a teen 😢
Hello, do you have updates ?.. i started it myself and iam purging i guess !! What about you ?
I'm so confused - suffering from post-retinol irritation & diluted capillaries/redness (not yet diagnosed as fully fledged rosacea) should I be using azaleic acid or should I focus on restoring the skin barrier first?
Restore the skin barrier first
Whatever treatment you may be on leave that if your skin barrier is compromised
Our first priority should be to make our skin barrier healthy ones it’s all healthy any treatment or concerns besides this would work much better and will give faster results
Is it okay to moisturize first then apply 15% azelaic acid or do you have to apply 15% azelaic acid before moisturizer?
It's fine to apply moisturizer first. Some derms recommend that especially if the azelaic acid tingles/stings a little.
Dr.dray, I have perioral dermatitis and currently taking doxycycline 20mg with metrogel and differin. Getting pretty bad now as its been a couple of years. Derm has recommended azelaic acid now. Can i still take the doxy? And do i stop metrogel/differin?
Hydroquinone did nothing for my melasma sadly. But my skin loves azelaic acid. I experienced zero irritation. I will never not use azelaic acid in my skincare routine. I noticed a brightening and lightening of my hyperpigmentation using it twice a day along with Vitamin C.
May I ask how long did it take for you to see results? I've been using azelaic acid 20% (Skinoren) for around 5 months twice a day with no results and I'm starting to lose hope
@@stunughuse only at night not at morning it's darker your face
Hi Dr Dray,is it ok to use azelaic acid with a copper peptide serum? I currently use cp in my am routine and azelaic with Tretinoin in in evening.
Depends on what your skin will tolerate. The one thing most recommend not using with copper peptides is vit c (ascorbic acid).
@drdray what brand has the foam formulation. I loved the Finacea foam but was told it was discontinued
Please make a pregnancy skin care routine for acne/youthful look
Hi! I just want to know if azaleic Acid sting my hyperpigmentation face, will it help or will it worsen my face?
How much of the foam should I apply?? I think I’m using too much some days. Thanks for the info!
I just tried a bit of The Inkey List Azelaic Acid 10% on my hand and it has a bit of a cooling effect. Is this to do with the Azelaic Acid or is it something else in the product? 🤔
Question: if using azelaic acid in the morning, do you still use vitamin c or is it one or the other? (With sunscreen of course!)
Dr Alexis Stephens uses them together. She applies the vit c first, then the azelaic and then her sunscreen.
Hi Dr. Dray, can you do a review on the brand Musely for dark spots. I get this ad constantly on Instagram and tik tok. I was wondering what your take is on this cream
I don't think she does stuff on those types of businesses (see her video, sponsorships I turn down [& the reasons why]).
Morning Dr Dray hope u r well n 🖐Hello Every1 n Happy Tuesday😀n what a Wonderful Vid…. thanks n This is Gonna b so Insightful🔥👍n Continued Blessings to All💜….
Morning!
Happy Tuesday Whitney Brown. Have a lovely day and be well.
Greetings d b hope u r well n Happy Tuesday😀👍💜….
I use the 15% gel. Can I safely wear this to the beach with sunscreen?
I love the PC Azelaic acid
👍🏼👍🏼
I'm using tropical faded so can I also use azelaic acid
Should I use moisturizer before or after applying my azelaic acid gel?
My dermatologist told me to apply it after!
I will watch lovely You Tubes on BART to today's show. Happy Tuesday! 💜💜💜
Have fun!
Good morning. I don’t know why but my skin can’t tolerate Azeliac acid. I don’t háve particularly sensitive skin but I can’t use this. And it’s a shame as I have melasma. I also have issues with zinc oxide. But I’m doing ok with all of Dr. Drays other recommendations:)
i've have been using BHA 2%, Retinol 1%, Retinal 0.1 or even tretinoin 0.1 (as a spot treatment) for years and i heard that Azelaic acid was much more gentle so i decided to try it. However, everytime i put it on, my skin suffers stinging and irriating, despite the fact that I chose the Azelaic Booster from Paula Choice's, the most recommended one (dont get me wrong, the texture is awesome), but still... Such a shame!
My skin is combo oily, acne prone. And i often used Az acid as the first step after cleansing. I've tried to use a soothing/calming toner before or followed with a gentle mosturizer/ facial oil or both, but it didnt prevent my skin from irritation (it was less but still there).
I wanted to like Azealic acid but i guess it's not for me.
Azelaic acid is notoriously difficult to formulate because it’s a powder, so it could be that or it could be another ingredient in that product. I’d try prescription azelaic acid if that’s possible for you. It’s definitely possible that you’re just sensitive to it but it’s really well tolerated so it may be worth a try if you’re interested :)
Hi there! I'm a Licensed Advanced Esthetician. If you're Looking for a budget friendly version of Azealic Acid, I would use "The ordinary's" Brand and version of Azealic acid Suspension....after your moisturizer at night (PM).
Try mixing it with your moisturizer, if you're not already (from my understanding, this is how a booster should be applied anyway)
@@Jess-ip8xvi mix another brand of 20% azelaic with cerave pm and it suited my face better...it itches when i use it alone
can salicylic acid cleanser (like cerave for acne) be used before applying ordinary azelaic acid?
Does anybody know if you can buy 20% azaleic acid without a prescription in Mexico?
Can we use with tranexamic acid and retinol
Thank you
She has a short saying tranexamic can be used with other things and so have other derms. At least one article said to try and use no more than two or three ingredients at at time to avoid dryness.
Yes and they compliment each other really well
Dr. Dray- I just adore all of your videos. I was diagnosed with mild rosacea last year, and I found azelaic acid on my own through research. I brought it to my derm. But my insurance would not approve to cover the prescription, so she prescribed me antibiotics- but I will NOT take them for the reason you addressed in your video. I have been using an over the counter 10% Azelaic acid for a while now and LOVE IT. it’s my favorite skincare ingredient and the only thing (except sulfur- another holy grail) that really helps the redness 💗 I wish 20% azelaic acid was more accessible!!!!
Amazing video, as always 💗♥️💗♥️
Can’t they do a pa?
Dr Dray. Your skin appears to be “glowing” more than ever. Is that from your current sunscreen? If so, which sunscreen? Or of course the effects of the retin A. Or both? Looking beautiful.
Was thinking the same!
Sometimes she lists her sunscreens in her weekend vlog description box.
I do not find the glow attractive personally but she praised the Bondi Sands SPF 50+ multiple times on this channel and claimed that she was wearing it while filming many of her videos. And in my experience it is one of the most (if not most) glowiest products ever, so if you want to shine like a diamond - go for it, it is like 15$ USD
@@alexandervydrin1765 Thanks I added it to cart now 😅
I don’t have the pustules but only flushing and redness, my doctor prescribed this for me today…will it help?
My dr. Gave me ARAZLO(tazarotene)..what category is it in ? Use for?
The Ordinary Azalic acid causes bright redness and facial swelling. Facial large bumps. Under the skin I don’t get it. I use about a pea size amount
Dr. Dray can Finacea help with keratosis pilaris along with moisturizer and spf?
Will azelaic acid help FPHA? Finding topical melatonin for hair loss is very difficult. Is this an option? (I have been to a dermatologist.)
Personally i used Azelaic acid 20 % cream and loved it. It does the job clearing and evening the skin tone and i hadn't any particular peeling problem with it and in combination of course with my other skin related product aka moisturizer and sunscreen 😊❤. It did sting and had a briefly burning sensation but it was tolerable just a split of a second 😊. One thing is that "my" Azelaic acid 20% cream is the over the counter one not the prescription Azelaic aka finacea, skinoren. But it had the strength of those bad boys 😎👍. Wonderful ingredient and thanks Doctor Andrea for pinpointing these important facts about Azelaic Acid ❤✌🙏😇😄.
It can be a really helpful ingredient 👍🏼
hi please watch Watchman on the Wall 88 on TH-cam
Do you use it everyday?
@@SR-kh6yq Right now my dermatologist said to take one month off but yeah everyday because my vehicle also has salicylic and hyaluronic acid calendula and other ingredients (it's also a hydrating cream apart from having high percentage azelaic acid).
@@SR-kh6yq also now I'm keeping to the basics
cleanser-moisturizer-sunscreen am
Cleanser-moisturizer pm (can't afford anything else right now 😂) pm