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Precautions and Warnings With Azelaic Acid Gel

Before using azelaic acid gel, there are many precautions to be aware of, including warnings relating to who should not use the medication and possible side effects that may occur. For example, this prescription rosacea medication may cause skin irritation (such as redness and burning) and may not be safe for use in people who have certain allergies or are pregnant or breastfeeding.

What Should I Tell My Healthcare Provider Before Using Azelaic Acid Gel?

You should talk with your healthcare provider prior to using azelaic acid gel (Finacea®) 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 Precautions and Warnings With Azelaic Acid Gel

Some warnings and precautions to be aware of prior to using this skin gel include:
  • The active ingredient in this medicine, azelaic acid, is known to cause patchy lightening of the skin in rare cases. Azelaic acid gel has not been thoroughly studied in people with dark complexions. If you have a dark complexion, make sure to carefully watch for any signs of skin lightening and report this problem to your healthcare provider right away.
  • Azelaic acid gel is only approved for use on the skin; do not swallow it, and make sure to keep it out of the eyes.
  • Some people experience skin irritation, redness, and burning when first starting azelaic acid gel. Make sure to let your healthcare provider know if extreme irritation occurs.
  • It is unknown if azelaic acid gel passes through breast milk. Therefore, if you are breastfeeding a child, check with your healthcare provider before using this medication (see Finacea and Breastfeeding).
  • Azelaic acid gel 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 Finacea and Pregnancy for more information).

Azelaic Acid Gel Drug Information

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