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Precautions and Warnings With Azelaic Acid Cream

Azelaic acid cream may not be suitable for everyone, including those who have certain allergies or who are pregnant or breastfeeding. Other precautions and warnings with azelaic acid cream involve potential skin reactions, such as redness and burning. To help ensure a safe treatment process, talk to your healthcare provider about your medical history and current medications before beginning treatment.

What Should I Tell My Healthcare Provider?

You should talk with your healthcare provider prior to using azelaic acid cream (Azelex®) if you:
  • Are pregnant or thinking of becoming pregnant
  • Are breastfeeding
  • Have any allergies, including to medications, foods, dyes, or preservatives.
Make sure to tell your healthcare provider about any medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.

Specific Azelaic Acid Cream Precautions and Warnings

Some warnings and precautions to be aware of prior to using this skin cream include the following:
  • Azelaic acid cream is only approved for use on the skin; do not swallow it and make sure to keep it out of the eyes.
  • The active ingredient in the medication (azelaic acid) is known to cause patchy lightening of the skin in rare cases. Azelaic acid cream has not been thoroughly studied in people with dark complexions. If you have a dark complexion, watch for any signs of skin lightening and report this problem to your healthcare provider right away.
  • Some people experience skin irritation, redness, and burning when first starting azelaic acid cream. Make sure to let your healthcare provider know if extreme irritation occurs.
  • This product is a pregnancy Category B medication, which means that it is probably safe for use during pregnancy, although the full risks are currently unknown (see Azelex and Pregnancy for more information).
  • It is unknown if azelaic acid cream passes through breast milk. Therefore, if you are breastfeeding or plan to start, check with your healthcare provider before using this product (see Azelex and Breastfeeding).

Azelaic Acid Cream Information

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