Drug reference
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
Acne vulgaris
IADVL · Dermatology · 2023
Empirical antimicrobial use in common syndromes
ICMR · Infectious Diseases · 2019
Antimicrobial resistance — clinical roadmap
MOHFW · Infectious Diseases · 2012
Hypertensive disorders of pregnancy
FOGSI · Obstetrics & Gynaecology · 2019
Substance use disorders
NIMHANS · Psychiatry · 2022
Ask House about Azelaic acid
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Sources: KD Tripathi 7e, BNF·Verified: 2026-05-13 · House clinical team