Doctor insights on:
Rosacea, Melasma: Azelaic acid (finacea) is primarily use to treat rosacea and sometimes it can be helpful in treating acne. It is also sometimes used as a skin lightener in patients with skin pigmentation called melasma. I believe it is only approved to treat rosacea and is used "off-label" to treat other conditions. ...Read more
Azelex (azelaic acid): Axelex can initially cause breakout and if the breakouts continue to occur stop the medication and use another product. ...Read more
Differin, (adapalene) but...: Different people have different results, no pun intended. Today, no one needs to have acne. I start people with topical clindamycin; i required 25 years on systemic tetracycline with good results. A dermatologist can write for a retinoic acid derivative that's very powerful even for the toughest cases. Good luck. ...Read more
Is it safe to use azelex (azelaic acid) during pregnancy. I've read articles that say yes and some that say no.
Azelex (azelaic acid): According to epocrates, pregnancy category b "animal studies show no risk/adverse fetal effects but controlled human 1st trimester studies not available/do not confirm; no evidence of 2nd/3rd trimester risk; fetal harm possible but unlikely". Caution advised if breast feeding due to inadequate literature availability for assessing risk. Weigh possible risks against benefits. ...Read more
Can I use azelaic acid(skinoren) in the morning and triacneal at night to get rid of red marks and pih much faster ?
Yes it is possible: This is possible to try - it might not work - so be vigilent if you have more questions - please ask. ...Read more
Separately: Apply them at different times and use only about a "pea-sized" amount of the tretinoin. It can cause a lot of dryness, redness and irritation so start very slowly. Azelaic acid can be use once to twice a day. It is less drying, more tolerable. Contact your dermatologist, they can give you more details about how you are suppose to apply these medications. ...Read more