'Nobody knows exactly how it works, but it's an acid and most acids help exfoliate the skin.' Hey, if an expert said this than it's good enough for me!
, there isn’t research in pregnant humans, but data from animal studies suggests that it doesn’t cause any birth defects when applied to the skin. “There’s minimal fetal exposure when azelaic acid is used topically,” Dr. Massick says. “Less than 4% is absorbed by the skin when applied topically, plus it’s usually applied in small, specific areas.” That said, because the research is limited, it’s smart to ask your doctor if azelaic acid is right for you.
If you skip a morning or evening dose of azelaic acid, nothing bad will happen, but it’s best to keep it as consistent as possible and apply the dose as soon as you remember. “You may find it’s not as effective if you forget to use it consistently,” Dr. Massick says. But, overall, azelaic acid is a pretty easygoing ingredient, Dr. Zampella says. And there isn’t really anything you canuse it with, Dr. Ogunleye adds, although it’s always smart to ask your derm about potential problems with ingredient combinations. Really, “the biggest barrier is getting it covered by insurance,” Dr. Zampella says.
Dr. Zampella suggests starting off slowly when applying azelaic acid for the first time—to prevent any mild irritation—by putting a small amount on the inside of your arm for a patch test. If that goes okay and doesn’t irritate your skin after 24 hours or so, you can put a thin layer on your face up to twice a day, or according to your prescription instructions. If you know you have sensitive skin, though, it’s best to start out using it once every other day to see how you handle it, Dr.
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