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Azelaic Acid 20% Cream
Cream · 1 Cream per Box
$29.00
$29.00
incl. taxes
- Manufacturer
- Micro
- Pack
- 1 Cream per Box
Select dosage
In stock · 7 available
- Order within -- and we dispatch today
- Only 7 left. Once they are gone, restocking takes weeks.
About Azelaic Acid 20% Cream
Buy Azelaic Acid 20% Cream online. Each gram of cream contains 200 mg (20%) of azelaic acid, a topical medicine used to treat mild to moderate acne. The same strength is sold under brand names such as Skinoren and Azelex. In the UK and the USA, azelaic acid 20% cream is a prescription medicine, so a valid prescription is needed for your order. See today's price above and add it to your cart.
Azelaic acid is applied directly to the skin, so only a small amount enters the bloodstream. It does not work overnight: improvement is usually seen after about four weeks, and treatment is often continued for several months. Approved uses and legal status differ between countries, so this page covers the USA, UK, Australia, the UAE and Russia.
Product Information
- Product Name
- Azelaic Acid 20% Cream
- Active Ingredient
- Azelaic acid
- Strength
- 20% (200 mg per gram)
- Dosage Form
- Cream
- Route of Administration
- Topical (on the skin)
- Drug Class
- Topical acne treatment (dicarboxylic acid)
- Pack Size
- shown on the product page
- Brand Names
- Skinoren, Azelex
- Legal Status UK
- Prescription-only medicine (POM)
- Legal Status USA
- Prescription only
Azelaic Acid 20% Cream Availability by Country
- United States: azelaic acid 20% cream (brand name Azelex) is a prescription medicine for mild to moderate inflammatory acne. Prescription azelaic acid for rosacea is a 15% gel or foam.
- United Kingdom: Skinoren 20% cream is a prescription-only medicine (POM) used for acne. Check the strength and form on your prescription.
- Australia: supply rules for azelaic acid depend on strength and formulation. Follow the label and instructions on the pack you receive.
- United Arab Emirates: we deliver to the UAE. Delivery options and cost are shown at checkout.
- Russia: azelaic acid cream is sold locally under the brand Skinoren (Скинорен). We deliver to Russia; delivery options and cost are shown at checkout.
Buy Azelaic Acid 20% Cream Online
Ordering Azelaic Acid 20% Cream takes a few minutes:
- Choose your pack and add it to your cart.
- A prescription is required. Upload it at checkout or on the Upload prescription page. Our pharmacist checks it before dispatch.
- Check out securely with one of the payment options shown.
- We dispatch your order. Delivery options and the estimated delivery time are shown at checkout for your country.
Questions before you order? Message a pharmacist on WhatsApp or call the support line shown on this page.
Delivery, Payment and Returns
- Delivery: we deliver to the USA, UK, Australia, the UAE, Russia and many other countries. Options and the estimated delivery time are shown at checkout.
- Shipping cost: calculated at checkout for your country.
- Payment: the available payment options are shown at checkout.
- Prescription: required for this medicine. Our pharmacist checks it before dispatch.
- Returns and cancellations: orders cannot be cancelled once placed; refunds follow our Shipping, Returns and Refunds policy.
- Support: WhatsApp and phone support from a pharmacist.
How it works
Azelaic acid is a natural dicarboxylic acid. On the skin it has three main actions. It reduces the growth of the bacteria linked to acne, it helps unblock pores by normalising how skin cells are shed, and it calms inflammation and redness. It also slows the activity of pigment-making cells, which is why it is used for dark marks left by acne.
Uses
Acne vulgaris: the labelled use of azelaic acid 20% cream in the UK and USA is mild to moderate acne. It helps to reduce blackheads, whiteheads and the red, inflamed spots that come with acne.
Rosacea and dark patches: doctors also use azelaic acid for rosacea and for pigmentation such as melasma. In the USA the products labelled for rosacea are a 15% gel and foam, so using the 20% cream for these conditions is a decision for your prescriber. Ask which strength suits your skin.
Azelaic acid treats the spots and marks, not the underlying tendency to acne, so it is normally used alongside a gentle skincare routine. Ask your prescriber before using it on a child.
Dosage and how to take it
Wash the affected area with water or a mild cleanser and pat it dry. Apply a thin layer of cream and massage it in gently. The US label describes use twice a day, morning and evening, and your prescriber may give different directions. Wash your hands after applying. Do not cover the area with an airtight dressing.
If burning or stinging is troublesome, the US label suggests using the cream once a day until the irritation settles, then returning to twice a day. Moisturiser and cosmetics can be used once the cream has dried. Improvement is usually seen after about four weeks, and many people continue for several months. Always follow the leaflet in the pack and the advice of your prescriber or pharmacist.
Storage Instructions
Keep the cream in its original tube with the cap closed and follow any storage instructions printed on the pack. Keep out of the reach of children and do not use after the expiry date.
Possible side effects
- Burning, stinging or tingling where the cream is applied
- Itching
- Redness or irritation
- Dryness, scaling or peeling
- Tightness or a feeling of warmth
- Rash or contact dermatitis
- Lightening of the skin colour in treated areas
Seek urgent medical help for swelling of the face, lips, tongue or throat, hives or difficulty breathing. Stop using the cream and speak to your prescriber if you develop severe irritation, blistering or worsening asthma symptoms; these have been reported with azelaic acid.
Safety
Talk to a doctor first if you are pregnant, breastfeeding, taking other medicines, or have a medical condition.
- Eyes, mouth and broken skin: avoid contact. If the cream gets into your eyes, rinse with plenty of water, and wash your hands after each use.
- Skin colour changes: lightening of the skin has been reported, especially in people with darker skin. Tell your prescriber if you notice pale patches.
- Irritation: if burning or stinging bothers you, use the cream less often or pause it and ask your prescriber for advice.
- Allergy: do not use if you are allergic to azelaic acid or any ingredient. Check the ingredient list on your pack, as creams can contain propylene glycol and preservatives.
- Asthma: worsening of asthma has been reported with azelaic acid. Tell your prescriber if you have asthma.
- Other skin products: avoid harsh, alcohol-based or abrasive products, peels and strong exfoliants on the same area unless your prescriber advises otherwise.
- Pregnancy: information in pregnancy is limited. Use only if your prescriber decides the benefit outweighs the risk.
- Breastfeeding: a small amount is absorbed through the skin. Ask your prescriber first, and keep the baby from touching treated skin.
- Children: safety and effectiveness in young children are not established. Use only on a prescriber's advice.
This page provides general product information and does not replace professional medical advice, diagnosis or treatment. Azelaic acid 20% cream is a prescription medicine and should be used only as directed by your prescriber. Follow the official product information and the guidance of a healthcare professional.
Last Updated: October 28, 2026
FAQs
What is azelaic acid 20% cream used for?
It is used to treat mild to moderate acne, according to UK and US product information. It helps reduce blackheads, whiteheads and inflamed spots. Some prescribers also use it for rosacea or dark patches, but that goes beyond the labelled use, so ask your prescriber what is right for you.
What is the brand name of azelaic acid 20% cream?
Azelaic acid 20% cream is sold as Skinoren in the UK, Europe and several other countries, and as Azelex in the USA. The brands contain the same active ingredient at the same strength. Always check the strength and form on the pack you receive.
Is azelaic acid 20% cream available over the counter?
In the UK and USA, no. The 20% cream is a prescription medicine, and you can upload your prescription with your order for our pharmacist to check. Rules differ in other countries, and 10% azelaic acid products are often sold as skincare.
How do I buy azelaic acid 20% cream online?
Choose your pack, add it to your cart and check out securely. Because a prescription is required, upload it at checkout or on the Upload prescription page. Our pharmacist checks it before dispatch, and you can follow your order from your account.
How do I use azelaic acid 20% cream?
Wash and dry the skin, then apply a thin layer and massage it in gently, usually twice a day, morning and evening. Wash your hands afterwards and avoid the eyes and mouth. Follow the directions from your prescriber and the leaflet in the pack.
How long does azelaic acid 20% cream take to work?
Most people notice an improvement after about four weeks of regular use, and treatment is often continued for several months. Mild stinging at the start is common. Keep using it as directed and tell your prescriber if there is no improvement.
Can I use azelaic acid 20% cream for rosacea?
Azelaic acid is used in rosacea, but the products labelled for rosacea in the USA are a 15% gel and foam. A prescriber may choose the 20% cream for some patients. Ask your prescriber before using it for rosacea, and avoid the eyes.
Can azelaic acid 20% cream help with melasma or dark spots?
Azelaic acid slows the activity of pigment-making cells, and doctors use it for dark patches such as melasma and marks left by acne. This is outside the labelled acne use of the 20% cream, so use it for pigmentation only on your prescriber's advice.
Is azelaic acid cream safe in pregnancy?
Information in pregnancy is limited, and only a small amount is absorbed through the skin. The US label advises use in pregnancy only if clearly needed. Speak to your prescriber before using azelaic acid if you are pregnant, planning a pregnancy or breastfeeding.
What is the difference between azelaic acid 10% and 20%?
The number is the percentage of azelaic acid in the product. The 20% cream is the prescription strength used to treat acne, while 10% products are usually sold as skincare and are milder. A higher strength can cause more stinging at first.
Which countries do you deliver azelaic acid to?
We deliver to the USA, UK, Australia, the UAE, Russia and many other countries. Delivery options and the estimated delivery time for your country are shown at checkout before you pay. A valid prescription is still required for this cream.
Can I return or cancel my order?
Orders cannot be cancelled once placed, and refunds follow our Shipping, Returns and Refunds policy. Please check your order and prescription details carefully before you confirm it.
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