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When should you not use azelaic acid?

Understanding Azelaic Acid
Azelaic acid is a naturally occurring compound found in grains and certain fungi, celebrated for its multifaceted benefits in skincare. It is particularly effective for treating conditions such as acne, rosacea, and hyperpigmentation, making it a popular choice among dermatologists and skincare enthusiasts alike. However, while azelaic acid can be a powerful ally in achieving clearer skin, there are specific circumstances under which its use may not be advisable.
When to Avoid Azelaic Acid
1. Allergic Reactions and Sensitivities
Individuals with known allergies to azelaic acid or its components should avoid using products containing this ingredient. Allergic reactions can manifest as redness, itching, or swelling, indicating that the skin is not tolerating the compound well. If you have a history of sensitivities to similar acids or skincare ingredients, it’s prudent to conduct a patch test before incorporating azelaic acid into your routine.
2. Active Skin Conditions
If you are experiencing active skin conditions such as eczema or severe dermatitis, it may be best to refrain from using azelaic acid. The acid can potentially exacerbate irritation in already inflamed skin. Consulting with a dermatologist is essential in these cases to determine the most appropriate treatment.
3. Concurrent Use with Certain Medications
Azelaic acid can interact with other topical treatments, particularly those that are also exfoliating or irritating, such as retinoids or salicylic acid. Using these products simultaneously can lead to increased irritation and sensitivity. Therefore, it is advisable to space out the application of these products or consult a skincare professional for tailored advice.
4. Pregnancy and Breastfeeding
While azelaic acid is generally considered safe for topical use, pregnant or breastfeeding individuals should exercise caution. Although there is limited research on the effects of azelaic acid during pregnancy, it is always best to err on the side of caution and discuss any skincare regimen changes with a healthcare provider.
5. Skin Types and Conditions
Certain skin types, particularly those that are extremely sensitive or reactive, may not respond well to azelaic acid. If you have a history of skin reactions to acids or have conditions like rosacea that can be triggered by harsh ingredients, it may be wise to avoid azelaic acid or use it under the guidance of a dermatologist.
Conclusion
Azelaic acid is a versatile and effective skincare ingredient, but it is not suitable for everyone. Understanding when to avoid its use is crucial for maintaining skin health and preventing adverse reactions. Always consult with a skincare professional if you are unsure about incorporating azelaic acid into your routine, especially if you have pre-existing skin conditions or sensitivities. By doing so, you can ensure that your skincare regimen is both safe and effective.

Does azelaic acid make skin worse at first?

However, certain active ingredients in your Custom Formula ᴿˣ, like tretinoin or azelaic acid, may initially cause skin purging. This is a temporary increase in acne as blemishes are brought to the surface and typically lasts only a few weeks.

When not to use azelaic acid?

Azelaic acid side effects
If you have reactive, sensitive skin or a compromised skin barrier, the application of an active ingredient might cause dryness, flaking or irritation. That’s why it’s important to monitor how your skin responds to each new ingredient you incorporate into your routine.

What can I layer with azelaic acid?

To get the best out of azelaic acid, it is thought best to apply it in the later stages of your routine. Many skincare experts recommend you apply your skincare products containing AHAs, such as lactic and glycolic acid, BHA, such as salicylic acid and retinol before azelaic acid.

Does azelaic acid react with anything?

Azelaic acid has no known serious interactions with other drugs. Azelaic acid has no known moderate interactions with other drugs.

Does azelaic acid interact with anything?

Avoid using alcoholic cleansers, tinctures and astringents, or abrasives and peeling agents with the foam or gel to prevent extra skin irritation. Avoid eating spicy foods, thermally hot foods and drinks (eg, hot coffee, tea), and alcoholic beverages while you are using the gel.

What can you not mix with azelaic acid?

Can you mix azelaic acid and salicylic acid? No, you should not mix azelaic acid and salicylic acid as this will increase the chances of your skin becoming irritated. This is because azelaic acid works on the outer layers of the skin, whilst salicylic acid can penetrate further into the skin.

What does azelaic acid purging look like?

Azelaic Acid Purging
It’s when your skin looks like it’s breaking out and getting worse. What’s happening is that your skin cells are being sloughed off and replaced faster than usual. Although you might not like how your skin looks during this time, purging should only last a short time.

What cannot be layered with azelaic acid?

AHAs: Most experts caution against using AHAs (alpha-hydroxy acids) with azelaic acid, since the combination can increase skin sensitivity and make skin red, irritated and scaly. BHAs: BHAs (beta-hydroxy acids), such as salicylic acid, can also increase sensitivity when combined with azelaic acid.

How do I know if I should stop using azelaic acid?

They need to know if you have any of these conditions:

  • Infection especially a viral infection such as chickenpox, cold sores, or herpes.
  • Lung or breathing disease (asthma)
  • An unusual or allergic reaction to azelaic acid, other medications, foods, dyes, or preservatives.
  • Pregnant or trying to get pregnant.
  • Breast-feeding.

What does azelaic acid conflict with?

However, other ingredients such as alpha hydroxy acids (AHAs) and salicylic acid should not be mixed with either adapalene or azelaic acid. Before making large changes to your skincare routine, it is helpful to consult a dermatologist first in order to optimize your plan and prevent irritating your skin.

Natasha Lunn

Tash is an IBCLC and Business Coach helping fellow IBCLCs create fun, profitable businesses that are more than just an expensive hobby. Before becoming an IBCLC and starting her private practice - The Boobala, Tash graduated as an Osteopath in 2008 and has been in Private Practice in South West Sydney. She was also a volunteer Breastfeeding Counsellor and Community Educator with the Australian Breastfeeding Association for 6 years. Through her business, Your Lactation Biz, Tash coaches and creates products to help new and seasoned IBCLCs build businesses that suit their personality and lifestyle.

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