Azelaic Acid

Medically Reviewed by Dr. Harshi Dhingra, M.D.

Last Reviewed: Feb 20, 2025

Pros & Cons


Azelaic Acid (Finacea) Pros and Cons

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  • Azelaic acid comes in various formulations, including a gel and foam for mild to moderate rosacea and a cream to treat mild to moderate acne.
  • This topical treatment can ease symptoms and improve skin appearance. 
  • You can apply cosmetics and make-up over the medicine after allowing it to dry.
  • There is a lower-cost generic for the gel and foam.

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  • You may need to use the medication regularly for several months before getting noticeable improvement in skin redness caused by rosacea or pimples related to acne.
  • Azelaic acid can cause skin irritation and dry skin.
  • It can cause hypopigmentation (changes in skin color), especially in people with a dark complexion.