Have you ever heard of Azelaic acid (also known as decarboxylic acid) which helps to treat blackheads and whiteheads? Providing some background information it should be mentioned that the track of Azelaic acid appeared in the l970s and firstly was used for dealing with hyperpigmentation of skin.
But unexpectedly it has been found out that Azelaic acid can be also used to decrease acne, which was proved by later studies. Good news also includes the fact that it works in the way oral tetracycline does but has no side effects the last one does. Nowadays, Azelaic acid known as an antimicrobial and advised to be applied to light and moderate acne forms, including comedonal (which is whiteheads and blackheads) and inflammatory acne. Used as an additional way of treatment.
How does it work
To begin with the scientists still don’t know the exact way of its influence, but it is considered to be antibacterial and also has anti-keratinizing functions. So the idea is that Azelaic acid decreases the production of keratin because the large quantity of the last one is the reason of blackheads and w hiteheads appearance due to the blockage of hair follicles.
It succeeds in dealing with acne forms, which were triggered by bacteria but it failed in dealing with other types.
As any other drug Azelaic acid has its own pluses and minuses, let’s take a look on those.
Advantages and Disadvantages
1. Azelaic acid is helpful during summer time thanks to the fact it’s not photosensitive and its good with patients who may suffer from retinoids.
2. Azelaic acid doesn’t lead to bacterial resistance.
3. It’s not dangerous to use Azelaic acid during long period of time in case acne remains active.
4. It also doesn’t affect skin or clothes by any discoloring contrary to benzoyl peroxide.
5. Especially good for people with dark skin due to its ability to decrease pigmentation.
7. And the most important Azelaic acid is extremely well accepted having only 5% of patients suffer from side effects. It’s absolutely non-toxic.
1) The terms of acne reaction during treatment usually slow, improvement might be seen approximately in a month. For better results the treatment should be continued for at least 6 months.
2) Those who have dark skin are at risk of having hypopigmentation(losing skin color) thus should be checking regularly.
3) Azelaic acid shouldn’t be used during lactating or pregnancy.
4) Another group of risk are those who has delicate skin or suffer from eczema, the treatment may cause dermatitis
According to the data there have been no cases of dangerous side effects however there is a risk of getting skin irritation, erythema, stinging or burning.
How to use:
To treat comedones (blackheads, whiteheads) it is usually used as 20% cream and gel preparation applying to affected areas after skin cleaning once a day. In case of full acceptance can be used twice a day. The dose should be decreased to once in two days in case you have delicate or reactive skin, it’s highly recommended to give your skin chances to get adjust.
Pat attention to avoid eye contact!