Is azelaic acid safe in early pregnancy?

Understanding Azelaic Acid and Its Safety in Early Pregnancy
As more expectant mothers seek to maintain their skincare routines during pregnancy, the safety of various ingredients becomes a pressing concern. One such ingredient, azelaic acid, has garnered attention for its potential benefits and safety profile during this sensitive time.
What is Azelaic Acid?
Azelaic acid is a naturally occurring dicarboxylic acid found in grains like barley, wheat, and rye. It is widely used in dermatology for its anti-inflammatory and antibacterial properties, making it effective in treating conditions such as acne and rosacea. Its ability to promote cell turnover and reduce hyperpigmentation also makes it a popular choice in skincare formulations.
Safety Profile During Pregnancy
The consensus among dermatologists and healthcare providers is that azelaic acid is generally considered safe for topical use during pregnancy. According to the U.S. FDA, azelaic acid falls under Category B, indicating that animal reproduction studies have not demonstrated a risk to the fetus, and there are no adequate and well-controlled studies in pregnant women. This categorization suggests that the benefits of using azelaic acid may outweigh potential risks, particularly when treating skin conditions that could otherwise worsen during pregnancy.
Research indicates that topical azelaic acid has a low systemic absorption rate, typically ranging from 3% to 8%, which further supports its safety profile. This limited absorption means that the likelihood of significant effects on the developing fetus is minimal.
Expert Recommendations
While azelaic acid is deemed safe, experts advise that its use should be cautiously approached. It is recommended to use it only when clearly needed, ensuring that the benefits outweigh any potential risks. Many healthcare providers encourage pregnant women to consult with their doctors before starting any new skincare regimen, including the use of azelaic acid.
Moreover, azelaic acid is often highlighted as a preferable alternative to other acne treatments that may pose higher risks during pregnancy, such as certain retinoids. Its effectiveness in managing acne and skin irritation can be particularly beneficial for women experiencing hormonal changes during pregnancy.
Conclusion
In summary, azelaic acid is a safe and effective option for pregnant women looking to manage skin issues like acne or rosacea. With its low systemic absorption and favorable safety profile, it stands out as a reliable choice in the realm of pregnancy skincare. However, as with any treatment, it is crucial for expectant mothers to engage in open discussions with their healthcare providers to tailor their skincare routines to their individual needs and circumstances.

What face acids are safe during pregnancy?

Topical products with salicylic acid, glycolic acid, and lactic acid are considered relatively low risk, just don’t use them in high doses. Makeup, sunscreen, steroid creams, and hair removers are generally considered safe – just check the labels first.

What is a safe alternative to salicylic acid during pregnancy?

Glycolic acid and similar ones — such as azelaic acid — can also help with reducing fine lines, brightening skin, and reducing enhanced skin pigmentation. The ACOG endorses glycolic and azelaic acid as safe to treat acne during pregnancy, in addition to topical benzoyl peroxide and topical salicylic acid.

Which acid to avoid during pregnancy?

Salicylic Acid (in high doses)
Used to treat acne, high-dose versions of Salicylic acid are often found in peels and oral medications, and should be avoided during pregnancy.

What is safe to use for hyperpigmentation during pregnancy?

Safe integrative approaches can be utilized to treat hyperpigmentation during pregnancy. Kojic acid, liposomal aloe vera, topical nicotinamide, turmeric, glycolic acid, and ascorbic acid can be safely used during pregnancy to treat hyperpigmentation.

Is azelaic acid safe for pregnancy?

Azelaic Acid:
It is pregnancy category B, and considered safe to use during pregnancy and breastfeeding. It is one of my favorite products to prescribe as a dermatology PA for many patients. It is a very versatile ingredient that is used for many different conditions including acne and melasma.

Is the ordinary azelaic acid safe during pregnancy?

Azelaic acid – For those who are acne prone, azelaic acid is a must. Its antibacterial and anti inflammatory properties work well to combat tough pregnancy breakouts safely.

What anti acids are safe during pregnancy?

Antacids. Antacids containing aluminum, calcium, and magnesium were not found to be teratogenic in animal studies and are recommended as first-line treatment of heartburn and acid reflux during pregnancy.

What things should I avoid in early pregnancy?

What to avoid

• raw or undercooked meat.
• liver and liver products.
• all types of pâté, including vegetarian pâté
• game meats such as goose, partridge or pheasant.

What acne products can I use in early pregnancy?

Generally, skin treatments containing erythromycin (Erygel, Erythra-Derm) and clindamycin (Cleocin T, Clindagel, others) are considered safe. Other options include treatments containing benzoyl peroxide and azelaic acid.

What percentage of azelaic acid is safe during pregnancy first?

Once you’re pregnant, there are still plenty of active ingredients you can use safely to tackle acne, including azelaic acid and benzoyl peroxide. Dr Malvina explains, “Azelaic acid is available over the counter at lower concentration but can be prescribed at higher concentrations of 15% and 20%.