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Azelaic acid

Antimicrobial · Dermatological; Anti-acne

Also known as AZELEX

AntimicrobialDermatological; Anti-acne
CDSCO approvedSchedule H
EXCRETION
not curated
INTERACTIONS
none in our sources
PREGNANCY
prevention programme.
FDA category + note

Mechanism

Azelaic acid exhibits antimicrobial and anticomedonal properties. It can be used to treat mild to moderate comedonal acne, particularly of the face. Its antimicrobial action may help eliminate resistant Propionibacterium acnes.

Indications

Mild to moderate comedonal acne (particularly of the face)Acne vulgarisHyperpigmentary disorders (including melasma)

Dosing

Adult
Ethinylestradiol 35 microgram, Cyproterone acetate 2 mg Cocyprindiol 2000microgram/35microgram tablets | 63 tablet P. Ethinylestradiol 35 microgram, Cyproterone acetate. 2 mg Clairette 2000/35 tablets | 63 tablet P £5.90 DT = £10.78. 2 mg Dianette tablets | 63 tablet P £7.71 DT = £10.78

Side effects

Common
Local skin irritationMild and transient local irritation

Pregnancy & lactation

Pregnancy

prevention programme.

Related guidelines

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Sources: KD Tripathi 7e, BNF·Verified: 2026-05-13 · House clinical team