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%)

Prescription topical. Hydroquinone is used at 2-4% (often as the triple-combination with a retinoid and a mild corticosteroid), applied to pigmented areas usually at night, in time-limited courses (commonly with treatment breaks) under clinician supervision, always with daily sunscreen. There is no oral or systemic use. Avoid indefinite continuous use because of ochronosis risk. This library does not provide an ingestion protocol.

Evening

Hydroquinone 2-4% cream or the triple-combination (with retinoid + mild steroid), under a clinician

• 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
• Prolonged continuous or high-strength use (ochronosis risk) — use time-limited courses
• Known allergy/sensitivity to hydroquinone

• Peroxides (benzoyl peroxide, hydrogen peroxide)
• Other irritating actives (retinoids, acids)