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Common Reactions to Azelaic Acid Gel

Common Side Effects

Azelaic acid gel has been studied thoroughly in clinical trials. In these studies, the side effects that occurred in a group of people using azelaic acid gel were carefully documented and compared to the side effects that occurred in a group of people who were given a gel that did not contain any active ingredients (a placebo gel).
In these studies, the most common side effects of azelaic acid gel included:
  • Burning, stinging, or tingling -- in up to 29 percent of people
  • Itching -- up to 11 percent
  • Dry skin or scaly skin -- up to 8 percent
  • Redness or irritation -- up to 4 percent
  • A contact dermatitis skin reaction -- up to 2 percent
  • Swelling or puffiness -- up to 2 percent
  • Acne -- up to 2 percent.
These side effects tend to improve with time.

Final Thoughts

If you are using azelaic acid gel, you may experience some or none of the side effects listed in this article. Unfortunately, there is no way for your healthcare provider to know beforehand if you will have problems with a medicine that you have never tried.
Therefore, make sure to let your healthcare provider know if you develop any side effects while using this product or if something "just does not seem right." While it may not be related to the medication, your healthcare provider will be able to diagnose and treat the problem.

Azelaic Acid Gel Drug Information

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