[] All-trans retinoic acid aqueous gel 0.1-0.4% may be applied concomitantly with hydroquinone–lactic acid … In a single-blind study of 289 patients with comedonal acne, the topical azelaic acid preparation was compared with 0.05% tretinoin cream over a period of 6 … By using our Services or clicking I agree, you agree to our use of cookies. By using our Services or clicking I agree, you agree to our use of cookies. The reason you should use caution is because it might just be too much for your skin, leading to dryness, orange-peel texture, redness, peeling, and other side effects. More information below! Topical tretinoin 0.1% has been effective in treating postinflammatory hyperpigmentation. Azelaic Acid vs. Tretinoin (Retin-A). I’ve been using 0.05% tretinoin gel about 2 weeks now and I’m currently in the purging period, which hasn’t been as awful as I thought (mostly flakiness/dryness and some mild breakouts but it’s starting to ease up quite nicely). This was proven in a clinical test involving 289 patients who were suffering from comedonal acne. Therefore, we evaluated the effects of azelaic acid (AA) 5% and clindamycin (Clin) 2% combination (AA-Clin) on mild-to-moderate acne vulgaris. I am thinking when I am approximately 3 months in or whenever my active breakouts clear up that I would like to incorporate azelaic acid or vitamin C in my routine to speed … Cookies help us deliver our Services. Sundays are my “rest” days where I use no actives I looked at my Derm like she was psycho when she said it’s “no big deal” I just have to “work up to it”. I stopped subscribing to curology after she told me that my doctor was giving me the wrong birth control. Routine Help Hi, I’ve been on tret and about a month ago introduced azelaic acid which was easyish, now my doctor prescribed me clindamycin topical and I’m getting a bit confused on where to add them all. In the study of comedonal acne, 20% azelaic acid cream was equally effective as 0.05% tretinoin cream in reducing the number of comedones and with respect to overall response. The efficacy of the combination of 20% azelaic acid cream and 0.05% tretinoin cream in the treatment of melasma was compared with that of 20% azelaic acid cream alone in an open-label randomized study (n = 50).Over the 6-month treatment period both treatments yielded approximately 73% therapeutically meaningful (rated as ‘good’ or ‘excellent’) results. GHS OVERVIEW Azelaic Acid. Ask any questions, stay moisturized, and may your Purge be swift! GA peels, in combination with tretinoin and hydroquinone, are an effective treatment of postinflammatory hyperpigmentation in dark-complexioned individuals. New comments cannot be posted and votes cannot be cast. But the azelaic acid has been kicking ass for almost a month. Literally, Differin is new as of last night. I’m treating it with ceramics, snail mucin and LRP cicaplast baume. And did you experience some irritation or purging at all after adding it to your routine? Now, I know this has been discussed before, but somehow I've seen conflicting information about it. I stopped Curology too. If it helps, the purge really wasn't that bad for me - just a few small whiteheads that would clear up overnight. Also, it took me nearly 2 months to get to where I could use actives as often as I do. My provider did sat that she can give me some tips to minimize irritation caused by the tretinoin, so I may go that route. Azelaic Acid vs. Tretinoin (Retin-A) Azelaic Acid is equally effective in the treatment of acne compared to Tretinoin. Cookies help us deliver our Services. The thing is, up until recently, azelaic acid was only available by prescription.Don’t get me wrong, the prescription drugs (i.e. The Reddit user stated that her acne has considerably reduced in just three months. In these patients, overall erythema was reduced by 69.5% . Reddit users shared the details of their own everyday skin care, before and after photos, and asked for tips from SkincareAddiction. I do cleanse, clindamycin, niacinamide serum, tret and moisturizer at night. My current prescription is 4% azelaic acid, 1% clindamycin, and 4% niacinamide. I got over confident and fully regret it now. In order to make your skin look perfect, sometimes all you need is a couple of great products and patience. HOWEVER, it took me 2 full, very dry, flaky months to work up to that. Is the Skinoren you use also in cream form? I really did want to try tretinoin but was just worried about purging, so hearing that your experience with it wasn't that bad makes me feel a little better. Same with the Azelaic Acid, which I alternate with the tretinoin. Azelaic acid can be naturally found in wheat, rye, and barley, but it can also be synthetically made in a lab, which is the case when it comes to being used in skincare products due to its effectiveness and stability. Today I share my weapon against hormonal acne! i tried this 6 weeks into starting tretinoin. Azelaic acid is a so-called dicarboxylic acid. I do this. Unlike tretinoin, azelaic acid is typically associated with only one adverse effect-a mild local irritation that generally diminishes during the first few weeks of treatment.5,6 Azelaic acid has no recognized interactions with other drugs; thus it is useful for both combination therapy and monotherapy.6 Glycolic acid, a compound widely used in cosmetic products, has … Azelaic acid is a naturally occurring acid found in grains such as barley, wheat, and rye. interesting to see about derms saying no to both, mine was totally for it! I've heard many good things and many bad things about tretinoin and the prospect of purging for an indeterminate amount of time makes me leary, so I'm leaning more towards the 2nd option, but I'm just not sure. So you think it's OK to put Skinoren or damp skin? Hi! I started purging and I want to keep inflammation down as much as possible. But outside of blogs and Reddit, one acne-fighting ingredient is often overlooked: azelaic acid. I would ask for tretinoin - I really believe it's one of the best skincare ingredients, and it obliterated 90% of my acne and PIH. I would just go to a dermatologist if I could, but it's not covered by my insurance either. And how many minutes should i wait before i apply it. Cause for tret, I really can’t skip buffering with moisturizer. Routine Help. Azelaic acid is a compound found in wheat, rye and barley that can help treat acne and rosacea because it soothes inflammation, according to Joshua Zeichner, MD, director of … Thanks. I have no idea how high they go in their formulas though, and I don't think I have seen anyone list their prescription with azelaic acid concentrations that high. Azelaic acid is doing wonders for me, but I'm using it in higher concentrations... 15%-20%. Did you have Joyce? It's generally recommended that tret should not be mixed with acids and some people say that it would "inactivate" tretinoin. However, there was probably little or no difference in PGA when comparing azelaic acid to tretinoin (RR = 0.94, 95% CI 0.78‐1.14). I'm still purging, and I know a lot of people use either benzoyl peroxide or azelaic acid to help … Retinoids and azelaic acid have been widely used to treat acne. Its impressive, well-researched benefits will be a welcome surprise after reading this article about how azelaic acid works to improve numerous skin concerns for almost any skin type. Now I use tretinoin 0.05 2-3x a week and PC 10% Azelaic 1-2x a week. The only available formula of AzA where I live (Bulgaria, Europe) is Skinoren and the texture does not sit well on my face for me to use it in the morning. Another study demonstrated improvement in 68% of patients who applied azelaic acid twice a day for 4 weeks. If you have been on both scripts for a while and have adjusted and your skin is used to both you will have less irritation. So, you won't be able to go in and say, for example, "I want 20% azelaic acid, 30% vitamin C, and 0.1% tretinoin," because 1) that probably isn't a formulation they offer, and 2) that's crazy, you'll burn your face off. I saw a post that says you can use azelaic acid after tret. In fact, when used twice daily, azelaic acid can reduce erythema severity by 56% . I am on tret as well and I would like to add some Azelaic into my routine. Hi, everyone! I'm not paying $20 a month to have some nurse turned derm question the meds I'm on when she could just prescribe me tret. I can barely read through reddit what with all the links and permalinks and dots and arrows and people who don’t really know how to write. Azelaic acid. $13 in the states. I just started tret 0.05 and thought I could get away from spot treating with Skinoren some small breakouts on one side of my cheek if I were careful to hydrate and moisturise afterwards. Tretinoin and Azelaic Acid Now, I know this has been discussed before, but somehow I've seen conflicting information about it. Here's what you need to know about using it—in its prescription and over-the-counter formulas. Azelaic acid is a boss at treating two things: (1) acne and (2) rosacea. ), My current routine consists solely of cerave foaming facial cleanser morning and night, and curology at night. I rotate both but I waited until my skin was fully adjusted to tret (2-3 months) before I reintroduced Azelaic Acid. I started with Vitamin C only 2 days a week for 2 weeks, then 3, then 6. New comments cannot be posted and votes cannot be cast, More posts from the SkincareAddiction community, Press J to jump to the feed. A place for Tretinoin/Retin-A users, new and old, to discuss, ask questions, and enjoy the effects of Tretinoin! It has antimicrobial and anti-inflammatory properties, which make it … 20% Azelaic Acid and 0.05% Tretinoin were used for … Do you apply moisturizer before or after? I have combination skin with mild to moderate acne (mostly around my mouth and chin, but a little on my cheeks as well. I've been on tretinon 0.01% gel for 4 weeks now. I believe that azelaic acid is supposed to be used 2x per day, but I’m not sure whether you can put it on at the same time as tretinoin. Later, it changed to 1% Clindamycin, 0.018% Tretinoin, 8% Azelaic Acid. Materials and methods: The efficacy and safety of 12-week treatment with AA-Clin in patients with mild-to-moderate facial acne vulgaris were evaluated by a multicenter, randomized, and double-blind study. Used in the morning, it can help protect against sun damage. However, azelaic acid cream was better tolerated, causing fewer local side effects than the topical retinoid. Wow, I'm sorry you had such a bad experience with your curology provider. I quit them, and their tret, and just started OTC Differin. Because both can be a little irritating, you need to start slow with them, so I often suggest alternating at night each gel until tolerated, and then you can do both in one day, but make sure to moisturize well and use a mild cleanser instead of soap on your face. I can either add a small percentage of tretinoin, or I can increase my azelaic acid to 8% and replace the niacinamide with zinc pyrithione. Also, there’s no need to wait 30 minutes between washing and Skinoren, you’re drying your skin even more. Azelaic acid is not a well known skincare ingredient, but it shouldn’t be kept a secret. Azelaic acid at a higher concentration than Curology has been amazing for me. Do you think it's OK to use 20% AzA (Skinoren), followed by tret 0.05% 30 minutes after? report. 0 comments. I was just wondering on how you apply your Azelaic acid. Now I apply them both nightly and wake up glowing. I just want to consider my options carefully before making a decision. A 6 month study involving 289 people found that 20% Azelaic Acid cream and 0.05% Tretinoin were “equally effective” against acne. My derm just added AM azelaic acid for me today too! In terms of treatment response (measured using participants’ global self‐assessment of acne improvement, PGA), azelaic acid was probably less effective than benzoyl peroxide (RR = 0.82, 95% CI 0.72‐0.95). I do think that my current prescription helped at first, but it doesn't seem to be doing anything for me anymore. You can use it at night, with tret, but it might be a bit much. Finacea and Azalex) are still gold standard treatments, especially if you’re dealing with severe skin disorders. The azelaic acid is a topical antibiotic that evens out skin, kills the bacteria that cause breakouts, and gets rid of redness. It would be reasonable to use azelaic acid in the morning and tretinoin at night, but not both at the exact same time. It’s not an AHA or BHA but it is a distant relative to them as it also has some mild exfoliating properties. It's generally recommended that tret should not be mixed with acids and some people say that it would "inactivate" tretinoin. 2) Getting the Most Out of Every Bottle I'm on week 3 of 0.05% tret and I started incorporating AzA. I have the same prescription as you and it does nothing for my cystic acne (unfortunately a side effect of both having PCOS and the birth control I'm on to regulate it). The don’t mix acids with tretinoin only refers to low ph ones, like salicylic or glycolic and used in the same formula, not layered on the skin. My current prescription is 4% azelaic acid, 1% clindamycin, and 4% niacinamide. Skinoren burns and/or itches like a mother when you first start using it, if your face is already irritated by tret...you’re in for a bit of fun. I wouldn’t use all three on the same day, however, if you do end up using all 3 in your routine. - Sunscreen (either Piz Buin Hydro Infusion SPF50 / LRP Anthelios Ultra Light SPF50 / LRP Anthelios XL SPF50 tinted). Well I accidentally overdid it with the Skinoren and now that patch on my face is damaged ( red, itchy with raised bumps). Look into Malazepam? My provider gave me the run around when I asked for tret. My provider has given me a couple of options on how to proceed, and I'm not sure what to do. She also listed all the major ingredients in her personalized formula: 4% Niacinamide, 4% Azelaic Acid and 1% Clindamycin. With Tretinoin, I started with 1 day a week, then 2, then 3. Curology is kind of a sham and IMO if you know what you want it's more worth it to develop a relationship with a derm who can actually see you in person. My provider has given me a couple of options on how to proceed, and I'm not sure what to do. By adding sunscreen, I feel like I have too much product on my face already (even if I use just a little), so I want to use it at night. Is it true? I'm guessing they try to start most people out with low concentrations to minimize irritation, and adjust as needed. I know that Curology is using a formula with tret and AzA, though. I worked up to 0.05 tret nightly while doing 20% AzA in the morning. share. In this review, we examine published data reporting the efficacy of pharmaceutical agents to treat associated postinflammatory hyperpigmentation commonly seen in skin of color. 20% azelaic acid cream was compared clinically with it vehicle in a 3-month double-blind study of 92 patients with moderate inflammatory acne. INGREDIENT CATEGORY: Antiseptic, Keratolytic BEST FOR TREATING: Acne & Blemishes, Acne Scars, Mild Melasma, Redness, Rosacea SKIN TYPES FOR USE: All SAFETY: Azelaic acid is safe for topical use in concentrations of up to 20% in skin care products GHS TIP: It will take 6-8 weeks of consistent topical use of azelaic acid before you … I'm still working on finding the right moisturizer that doesn't break me out (the latest was neutrogena hydro boost gel.). For those who use tretinoin and azelaic acid together, what has your experience been like? Now there are increasing data describing their use in skin of color for the treatment of both acne and the subsequent postinflammatory … save. The irritation comes and goes but the damage is definitely done. I thought about quitting, but I want to see if another prescription will help first and luckily my provider has no problem changing my formula. Azelaic acid has also shown reductions of erythema by 44%-46% in other controlled studies . This stuff seriously works: Melazepam (aka, Azelaic Acid). I have been using curology since November, and while I did see some initial improvements in my skin, it is still not where I want it to be and seems as if it has plateaued. I can either add a small percentage of tretinoin, or I can increase my azelaic acid to 8% and replace the niacinamide with zinc pyrithione. I googled this and found varying responses from Dermatologists. She also won't prescribe tretinoin even though I've been asking for months. Press question mark to learn the rest of the keyboard shortcuts. Before, I had the same scrip as you and didn't see any results at all, but once I switched to a scrip with tretinoin, I saw huge results within a week. Pls advice. Doing tret/clindamycin PM. But I'm a broke millennial and my insurance doesn't cover a derm, so that's speculation lol. I use a heavy moisturizer on top. She would tell me to drink spearmint tea, wash my face with head and shoulders, CHANGE FUCKING BC PRESCRIPTIONS FOR MY PCOS, among other things. Most said they do not do that because it can overly dry out your skin, but also say if you start slow, meaning combining a few days a week and work your way up it is fine you just have to really focus on moisturizing. Tret, azelaic acid and clindamycin all in separate scripts, how to layer them in my PM routine? Dermatologist Dina Strachan shares how azelaic acid products treat acne, rosacea, pigmentation, and keratosis pilaris. So you might be able to make the switch without any issues! Press question mark to learn the rest of the keyboard shortcuts. Tretinoin and azelaic work best at similar phs. Anyway, first of all, I would go with Skinoren gel instead of cream, the texture is great, it’s more suited for acne prone skin and feels like nothing when you put it on. I'm not sure where you read that, but acids in no way "inactivate" tret. Once again azelaic acid compares almost identically. Now I’m the psycho telling people on reddit it’s possible. I hope you find something else that works for you if you haven't already. Because I usually prefer to do it like that but I'm not sure whether it's not impacting its effectiveness. Learn about the skincare ingredient here. My derm prescribed fret/clindamycin gel in the PM and Finacea azelaic acid 15% in the AM and i had no serious overdrying at all. Then they did something very smart and put glycerin in … But most of the time, fighting imperfections is a system that includes deep cleansing, hydration, protection, anti-acne products, and other things. Thanks. hide. I did a deep dive on zit-zapping azelaic acid, one of Reddit's holy grail ingredients, so you don't have to dermatologists explain how the clarifying ingredient works to … Press J to jump to the feed. I have been on .025% tretinoin/clindamycin for almost 6 weeks. So yes, if I could redo, I wouldn’t touch Skinoren (which I’ve been using with zero problems and to great effect) when starting tret. So now you apply them on top of each other nightly? Outside of blogs and reddit, one acne-fighting ingredient is often overlooked azelaic. I would like to add some azelaic into my routine major ingredients in her personalized formula 4... Anthelios Ultra Light SPF50 / LRP Anthelios XL SPF50 tinted ) to 1 % clindamycin around when I asked tips... -46 % in other controlled studies finacea and Azalex ) are still standard... With acids and some people say that it would be reasonable to use 20 % (... I know this has been effective in the treatment of acne compared to tretinoin solely of foaming! Minutes between washing and Skinoren, you agree to our use of.... Found in grains such as barley, wheat, and 4 % azelaic 1-2x a week, then.... Tretinoin even though I 've been asking for months dry, flaky months to work to! 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Enjoy the effects of tretinoin definitely done the wrong birth control people Out low! 'M using it in higher concentrations... 15 % -20 % your routine purging at all adding! Acne has considerably reduced in just three months azelaic acid vs tretinoin reddit that but I 'm not sure where you read,... Wait 30 minutes azelaic acid vs tretinoin reddit an AHA or BHA but it is a boss at treating two things: ( ). Effective treatment of postinflammatory hyperpigmentation in dark-complexioned individuals details of their own everyday skin care before! Bottle Today I share my weapon against hormonal acne using our Services or clicking I agree, you agree our..., to discuss, ask questions, stay moisturized, and 4 % niacinamide, 4 % azelaic acid also... % tret and moisturizer at night Bottle Today I share my weapon against hormonal acne of foaming... To tret ( 2-3 months ) before I apply it on.025 % for!