Choosing Generic Vs Branded Azelaic Acid


Generic medicines contain the same active ingredient and are equally effective and medically equivalent as the branded products but are available at a lower price. Generic manufacturers have to demonstrate that they are medically identical to the branded product - i.e. they offer the same quality, strength, stability and effectiveness.

Generic medicines are required meet the same standards of safety, quality and efficacy as the branded medication. To receive market approval from the European Medicines Agency and MHRA, a generic medicine must be 'bioequivalent' to the originator product.

Dermatica Azelaic Acid 20% Cream

Rosacea Treatment

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What is rosacea?

Rosacea is a common, long-term inflammatory condition of the face causing redness, broken capillaries and red spots. It can be present in women and men and is more common in lighter skin tones.

The cause of rosacea is unknown and it can be made worse with triggers like alcohol, spicy foods, sunlight and hairspray.

There is no cure for rosacea, but there are a number of medications that help to reduce the inflammation and improve the appearance of the condition.

What is Azelaic Acid?

Azelaic Acid is a natural product, found in wheat grain as well as harmless yeasts that live on our skin. It is indicated for the treatment and maintenance of rosacea. 

Its main mode of action is to reduce the inflammation associated with rosacea.

Azelaic Acid has also been shown to reduce pigmentation, the darker marks left behind on the skin after inflammation has settled.

How do I apply Azelaic Acid?

Apply a thin layer of cream evenly over the rosacea affected areas once or twice a day.  Do not apply near or to the eyes, lips, nostrils or other sensitive areas. The cream should be applied to clean, dry skin and take care to wash your hands thoroughly before and after use.

Do not apply to broken skin.

How long does it take to see results?

As with all medicines applied to the skin in the treatment of rosacea, you may not see results for up to eight weeks. It is important to be consistent in your application of this cream in order for it to work properly.

What side effects may I see?

Azelaic Acid, particularly when first used, can cause tingling and mild irritation to the skin. As a result, sometimes a temporary increase in the redness can be seen as well. Starting use at once a day application, before increasing to the recommended twice daily application of Azelaic Acid can help this. Moisturising skin regularly can help to reduce the irritation too. With regular use, in most people, the tingling and irritation settle over a few weeks.

Is there anybody who cannot use Azelaic Acid?

Azelaic Acid is not suitable for those with a hypersensitivity to any of the ingredients. Do not use other rosacea products containing Azelaic Acid while using this medicine or products that are irritating, drying or exfoliating to the skin.

Azelaic Acid is not known to be harmful in pregnancy or breastfeeding, but you should speak to your doctor or midwife prior to using this product if you are pregnant, breastfeeding or planning a family soon.

Information Leaflet

Patient Information Leaflet

Always read the patient information leaflet before commencing treatment. View patient information leaflet.

Authored 02 April 2020 by Dr Clare Morrison, Reviewed 02 April 2020 by Liyya Patel, Siobhan Titre Last updated 02 April 2020

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Dr Clare Morrison

General Practitioner (Prescriber)
GMC: 3441561

Avnish Patel

GPhC: 2079950

Liyya Patel

Superintendent Pharmacist
GPhC: 2083287