Compare Supplements

Topical only. OTC cosmetic azelaic acid is typically around 10%; prescription strengths are 15% gel/foam (rosacea) and 20% cream (acne), applied as a thin layer to clean skin once or twice daily. There is no oral, injectable, or systemic dose. For rosacea or persistent acne, the prescription form under a clinician is the evidence-based route. This library does not provide an ingestion protocol.

Any time

Leave-on topical gel, foam, or cream (OTC ~10%, or prescription 15-20%)

Topical OTC use. Benzoyl peroxide is used at 2.5-10% in gels, creams, and washes, applied to acne-prone areas once or twice daily; lower strengths (2.5-5%) are usually as effective as 10% with less irritation. There is no oral or systemic dose — it is not ingested. It is often combined with a retinoid (e.g. adapalene) for greater effect. This library does not provide an ingestion protocol.

Any time

Leave-on gel/cream (2.5-5%) or a fixed combination with a retinoid

• For topical (skin) use only — not for ingestion, not for injection
• Known allergy or sensitivity to azelaic acid or formulation excipients
• Application to broken, severely irritated, or compromised skin until healed

• Other strong leave-on actives (retinoids, AHAs/BHAs, benzoyl peroxide)

• For topical (skin) use only — not for ingestion, not for injection
• Known allergy/sensitivity to benzoyl peroxide (true allergic contact dermatitis is uncommon but possible)
• Application to broken, severely inflamed, or sunburned skin until healed

• Topical retinoids degraded by oxidation (some tretinoin formulations)
• Other irritating actives (acids, other retinoids)