Azelaic acid topical Side Effects
Not all side effects for azelaic acid topical may be reported. You should always consult a doctor or healthcare professional for medical advice. Side effects can be reported to the FDA here.
For the Consumer
Applies to azelaic acid topical: topical cream, topical gel/jelly
In addition to its needed effects, some unwanted effects may be caused by azelaic acid topical. In the event that any of these side effects do occur, they may require medical attention.
Check with your doctor as soon as possible if any of the following side effects occur while taking azelaic acid topical:Rare
- White spots or lightening of treated areas of dark skin—in patients with dark complexions, although usually not lightened beyond normal skin color
Some of the side effects that can occur with azelaic acid topical may not need medical attention. As your body adjusts to the medicine during treatment these side effects may go away. Your health care professional may also be able to tell you about ways to reduce or prevent some of these side effects. If any of the following side effects continue, are bothersome or if you have any questions about them, check with your health care professional:More common
- Burning, stinging, or tingling of skin, mild
- dryness of skin
- itching of skin
- peeling of skin
- redness of skin
For Healthcare Professionals
Applies to azelaic acid topical: compounding powder, topical cream, topical gel, topical kit
Local irritation occurs during the first few weeks of treatment and generally presents as pruritus, scaling, burning and tingling.
Respiratory side effects have included worsening of asthma in rare instances.
Dermatological side effects have included pruritus, burning, stinging, and tingling in 1% to 5% of patients using the 20% cream and up to 20% of patients using the 15% gel. Other side effects have included erythema, dryness, rash, peeling, irritation, dermatitis, edema, xerosis, photosensitivity, and contact dermatitis. There have been rare reports of vitiligo depigmentation, small depigmented spots, hypertrichosis, reddening and exacerbation of recurrent herpes labialis in some patients.
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