dicarboxylic acid

Azelaic Acid

Evidencestrong · Tier 1Irritation riskLowEffective range10–20%In products102

Reversible competitive inhibitor of tyrosinase; also reduces 5α-reductase activity (anti-androgenic in sebaceous glands), inhibits Cutibacterium acnes growth, and scavenges reactive oxygen species.

Concerns it helps

ConcernStrengthStudiesWhat the research says
Acne & breakoutsStrong220% azelaic acid cream (Azelex, Finevin) is FDA-approved for mild-to-moderate acne vulgaris, based on clinical trial evidence from the late 1980s and early 1990s including Katsambas 1989 (Acta Derm Venereol Suppl…
BlackheadsStrong20% azelaic acid cream (Azelex, Finevin) is FDA-approved for mild-to-moderate acne vulgaris, based on clinical trial evidence from the late 1980s and early 1990s including Katsambas 1989 (Acta Derm Venereol Suppl…
Dark spots & hyperpigmentationStrong1Review: Consolidated review of azelaic acne and hyperpigmentation evidence base.
Post-acne marksStrongAzelaic acid is particularly well-suited to PIH because its mechanism addresses both the inflammation that drives pigment production and the resulting pigmentation itself. Selective action against hyperactive…
Redness & sensitivityStrong6Thiboutot 2003 (PMID 12789172) reported two identical multicenter, double-blind, randomized, vehicle-controlled Phase III RCTs of 15% azelaic acid gel for moderate papulopustular rosacea: n=329 (study 1) and n=335…
Uneven tone & radianceStrongAzelaic acid evens diffuse red-brown unevenness via selective melanocyte action + anti-inflammatory effect; complements its discrete-pigment action.
Oiliness & shineRelevantAzelaic acid has modest sebostatic and antimicrobial activity; oiliness-specific instrumental data limited.

No known conflictsAzelaic Acid isn’t flagged against any concern or skin condition.

Strength reflects the ingredient’s effect on each concern; study counts match research whose findings relate to that concern.

The research

Azelaic Acid is a dicarboxylic acid backed by a large, consistent body of clinical evidence (evidence tier 1 of 4). We track 9 studies for it, 8 reporting a positive effect. It is typically effective at 10–20% in a formulation.

Read the research — 9 studies

Double-blind comparison of azelaic acid and hydroquinone in the treatment of melasma

Q80

Acta Dermato-Venereologica. Supplementum · 1989 · rct · n=155

Azelaic acid 20% cream was superior to hydroquinone 2% cream for facial melasma in dark-skinned patients, with 73% achieving good-to-excellent results versus 19%. Both treatments caused transient mild-to-moderate irritation.

Azelaic Acid in the Treatment of Papulopustular Rosacea

Q75

Archives of Dermatology · 2006 · systematic review

Systematic review: Consolidated rosacea evidence confirming efficacy.

A phase 3 randomized, double-blind, vehicle-controlled trial of azelaic acid foam 15% in the treatment of papulopustular rosacea

Q65

Cutis · 2015 · rct

In this phase 3 trial, twice-daily azelaic acid foam 15% was significantly superior to vehicle in papulopustular rosacea, achieving higher investigator global assessment success rates and greater inflammatory lesion count reduction (both P<.001). Adverse events were mainly mild-to-moderate local cutaneous reactions.

Clinical studies of 20% azelaic acid cream in the treatment of acne vulgaris

Q65

Acta Dermato-Venereologica Supplementum (Stockholm) · 1989 · rct

Randomized controlled trial: Acne evidence for 20% cream FDA approval basis.

+ 3 more studies in our evidence base.

Products with Azelaic Acid

In 102 products — most often serums (58), moisturizers (20), exfoliants (8), from $3.76 to $154.78. Set up a profile to rank these for your skin. Click any product to learn more.

10 of 24
Nip + Fab

Nip + Fab

NIP+FAB Ceramide Fix Serum 12% 50ml

Serum

$37.0850ml · $0.74/ml

★★★★★4.8(578)

Ideal for

  • ExcellentDryness
  • StrongRedness & sensitivity
  • StrongDark spots & hyperpigmentation
  • StrongUneven tone & radiance

NIP+FAB Ceramide Fix Serum 12% 50ml is a brightening serum by Nip + Fab. Key ingredients include Butylene Glycol, Niacinamide, Glycerin.

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StriVectin

StriVectin

Daily Reveal Exfoliating Pads

Serum

$49.00

★★★★★4.7(1,294)

Ideal for

  • ExcellentDark spots & hyperpigmentation
  • ExcellentPost-acne marks
  • StrongFine lines & wrinkles
  • StrongRedness & sensitivity

Not recommended for

MelasmaAtopic Dermatitis / EczemaRosaceaPsoriasis

Daily Reveal Exfoliating Pads is a exfoliant by StriVectin. Key ingredients include Pentylene Glycol, Glycolic Acid, Azelaic Acid.

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Paula

Paula

Paula's Choice 10% Azelaic Acid Booster (1 fl. oz.)

Serum – for Acne & breakouts, Blackheads

$39.0029.6ml · $1.32/ml

★★★★★4.6(634)

Ideal for

  • ExcellentAcne & breakouts
  • ExcellentBlackheads
  • ExcellentRedness & sensitivity
  • StrongDark spots & hyperpigmentation

Not recommended for

Seborrheic DermatitisAtopic Dermatitis / Eczema

Paula's Choice 10% Azelaic Acid Booster (1 fl. oz.) is a exfoliant by Paula. Key ingredients include Water, Azelaic Acid, C12-15 Alkyl Benzoate.

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cocokind

cocokind

Vitamin C Glow Brightening Serum

Serum

$21.9929.6ml · $0.74/ml

★★★★★4.6(2,938)

Ideal for

  • StrongDryness
  • RelevantAcne & breakouts
  • RelevantBlackheads
  • RelevantDark spots & hyperpigmentation

Vitamin C Glow Brightening Serum is a brightening serum by cocokind. Key ingredients include Glycerin, Pentylene Glycol, Azelaic Acid.

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Urban Skin Rx

Urban Skin Rx

Witch Hazel Brightening & pH Balancing Toner

Toner

$17.99133.1ml · $0.14/ml

★★★★★4.6(710)

Ideal for

  • ExcellentDryness
  • ExcellentDark spots & hyperpigmentation
  • ExcellentRedness & sensitivity
  • StrongPost-acne marks

Not recommended for

Atopic Dermatitis / EczemaRosaceaPsoriasisMelasma

Witch Hazel Brightening & pH Balancing Toner is a retinoid treatment by Urban Skin Rx. Key ingredients include Water, Alcohol Denat, Glycerin.

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Bubble

Bubble

Knock Out 1.8% Salicylic Acid Acne Spot Treatment

Serum

$12.009.8ml · $1.22/ml

★★★★★4.6(1,232)

Ideal for

  • ExcellentAcne & breakouts
  • ExcellentBlackheads
  • StrongDark spots & hyperpigmentation
  • StrongPost-acne marks

Not recommended for

Atopic Dermatitis / Eczema

Knock Out 1.8% Salicylic Acid Acne Spot Treatment is a exfoliant by Bubble. Key ingredients include Salicylic Acid, Water, Pentylene Glycol.

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Urban Skin Rx

Urban Skin Rx

Even Tone Cleansing Bar 3-in-1 Treatment - 2.0 oz

Cleanser

$15.9959.1ml · $0.27/ml

★★★★★4.5(4,608)

Ideal for

  • ExcellentDryness
  • ExcellentDark spots & hyperpigmentation
  • StrongRedness & sensitivity
  • StrongPost-acne marks

Not recommended for

Seborrheic DermatitisAtopic Dermatitis / EczemaRosacea

Even Tone Cleansing Bar 3-in-1 Treatment - 2.0 oz is a water cleanser by Urban Skin Rx. Key ingredients include Coconut Oil, Glycerin, Sodium Hydroxide.

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Bubble

Bubble

Come Clean Detox Clay Mask

Mask

$19.0044.4ml · $0.43/ml

★★★★★4.5(1,016)

Ideal for

  • StrongDryness
  • RelevantAcne & breakouts
  • RelevantBlackheads
  • RelevantDark spots & hyperpigmentation

Come Clean Detox Clay Mask is a mask by Bubble. Key ingredients include Water, Glycerin, Sodium Stearoyl Glutamate.

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Bubble

Bubble

Deep Dive Exfoliating Mask

Serum

$18.0044.4ml · $0.41/ml

★★★★★4.5(806)

Ideal for

  • ExcellentDryness
  • ExcellentDark spots & hyperpigmentation
  • ExcellentBlackheads
  • StrongRedness & sensitivity

Not recommended for

Atopic Dermatitis / EczemaRosaceaPsoriasis

Deep Dive Exfoliating Mask is a exfoliant by Bubble. Key ingredients include Water, Glycolic Acid, Glycerin.

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Jack Black

Jack Black

Dual Defense Face Moisturizer SPF 30

Sunscreen

$35.0059.1ml · $0.59/ml

★★★★★4.5(2,500)

Ideal for

  • ExcellentDryness
  • ExcellentRedness & sensitivity
  • StrongDark spots & hyperpigmentation
  • StrongUneven tone & radiance

Not recommended for

Seborrheic Dermatitis

Dual Defense Face Moisturizer SPF 30 is a sunscreen by Jack Black. Key ingredients include Titanium Dioxide, Zinc Oxide, Water.

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Educational information, not medical advice. Study findings summarise the cited research and may not reflect every formulation.