Buy Azelex
Azelex

$18.13
Category
Active Ingredient
Delivery
Airmail (14-21 days) | EMS trackable (5-9 days)
Prescription
Issued on site / Included
Availability
In Stock
Product is shipped in a fully discreet envelope with no content disclosure, including all required documentation inside

Azelex Properties

Active Ingredients
Primary Category
Therapeutic Class
Pharmacological Class
Dicarboxylic Acid
Indications
Contraindications
Moderate Side Effects
Dosage Forms
Cream, Gel
Administration Route
Topical
Mechanism of Action
Works by reducing the growth of skin bacteria and decreasing inflammation. It also helps to prevent pores from becoming blocked, which can lead to acne breakouts.
Prescription Status
Rx
Manufacturer
Allergan
Patient Summary
Azelex is a topical medication used to treat acne and rosacea. It helps to clear skin blemishes and reduce redness and inflammation, resulting in clearer, smoother skin.
Onset Time
Several weeks for noticeable improvement
Duration
Continuous use required for sustained effects
Storage Instructions
Store at room temperature, away from moisture and heat
Age Restrictions
Approved for use in adults and adolescents (typically 12 years and older)
Pregnancy Use
Consult doctor before use during pregnancy or breastfeeding
Alternative Drugs

About Azelex

Azelex is a prescription-only topical formulation containing 20 % azelaic acid, a multifunctional dicarboxylic acid approved in Australia for the treatment of mild-to-moderate inflammatory acne and rosacea. The gel-type tube delivers a concentration high enough to reduce bacterial overgrowth, normalize follicular keratinisation and diminish visible redness, while also offering cosmetic benefits such as a smoother skin texture. Its dual anti-inflammatory and comedolytic actions make it a valuable option for adults seeking a medication that addresses both lesions and post-inflammatory hyperpigmentation.

What is Generic Azelex (Azelaic Acid)?

Generic Azelex (Azelaic Acid) is a topical gel classified as a keratolytic and anti-inflammatory agent. It received approval from the Therapeutic Goods Administration (TGA) in 2017 for the management of acne vulgaris and rosacea in adults. The product is supplied in a 20 % concentration within a convenient tube, enabling precise application to affected facial areas. While the active ingredient is identical to that found in branded azelaic acid preparations, the generic formulation offers comparable efficacy at a lower cost.

How Azelex Works

Azelaic acid exerts its therapeutic effect through several inter-related mechanisms. First, it inhibits the activity of bacterial enzymes, reducing the proliferation of Cutibacterium acnes-the micro-organism that contributes to inflammation and pus formation in acne lesions. Second, it normalises keratinocyte differentiation, preventing the formation of micro-comedones that can evolve into papules and pustules. Third, azelaic acid interferes with the synthesis of melanin by blocking the enzyme tyrosinase, which accounts for its capacity to lighten post-inflammatory hyperpigmentation and even out skin tone.

Pharmacokinetically, azelaic acid is minimally absorbed systemically when applied topically; plasma concentrations remain well below thresholds associated with systemic toxicity. The gel reaches peak skin concentration within 30 minutes, and its anti-inflammatory effects become apparent after 2-3 weeks of consistent use. Metabolism occurs primarily via reduction to azelic diacid and subsequent renal excretion, with a half-life in the skin of roughly 12 hours, supporting once- or twice-daily dosing.

Why Azelex is Used for Skin Care Conditions

  • Acne vulgaris - By limiting bacterial colonisation and normalising follicular shedding, azelaic acid reduces the number of inflammatory lesions. Guidelines from the Australian Dermatology Society place azelaic acid as a first-line topical option for patients who cannot tolerate retinoids or benzoyl peroxide.
  • Rosacea (persistent facial erythema) - The anti-inflammatory properties diminish vascular dilation and reduce papular flare-ups. Studies published in The Journal of Dermatological Treatment show a ≈ 30 % reduction in erythema scores after 12 weeks of treatment.
  • Post-inflammatory hyperpigmentation (PIH) - Tyrosinase inhibition curtails excess melanin production, leading to gradual fading of dark spots. Comparative trials indicate azelaic acid achieves similar lightening results to hydroquinone but with a lower irritation risk.
  • Mild melasma - Though not a primary indication, azelaic acid’s pigment-modulating effect offers an adjunctive option for patients seeking a non-hydroquinone regimen.
  • Seborrhoeic dermatitis (facial) - Antimicrobial activity against Malassezia spp. contributes to reduced scaling and erythema in select cases.

Off-Label and Investigational Uses of Azelex

Limited evidence from small-scale randomized trials suggests azelaic acid may improve facial scarring and act as an adjunct in the management of hidradenitis suppurativa. These applications have not received TGA approval in Australia, and larger studies are needed to confirm efficacy and safety. Off-label use should only be considered under the supervision of a qualified healthcare provider.

Is Azelex Right for You?

Azelex is most suitable for adults with mild-to-moderate acne or rosacea who prefer a non-antibiotic topical that also addresses pigmentation concerns. It can be used in patients with sensitive skin because the formulation is generally well tolerated, though a short “patch test” is advisable for those with a history of dermatitis. Pregnant or breastfeeding women should discuss risks with their clinician, as azelaic acid crosses the placenta in trace amounts. Individuals with severe hepatic or renal impairment do not require dosage adjustments, given the minimal systemic absorption. As noted in the medication information, patients with known hypersensitivity to azelaic acid or any excipients in the gel should avoid its use.

Taking Azelex Effectively

Apply a thin layer of the gel to clean, dry skin twice daily-once in the morning and once in the evening-covering the entire affected area rather than spot-treating individual lesions. Allow the skin to dry completely before applying moisturisers or sunscreen; azelaic acid may increase UV sensitivity. Using a non-comedogenic moisturizer can mitigate the occasional tingling sensation. If a dose is missed, apply it as soon as remembered unless it is within two hours of the next scheduled dose, in which case omit the missed dose to avoid double application. For travelers, keep the tube in a cool, dry place; prolonged exposure to high temperatures may affect stability.

Understanding Side Effects and How to Manage Them

  • Transient tingling or burning - This sensation reflects azelaic acid’s mild irritant effect on cutaneous nerve endings. Starting with once-daily application for the first week, then progressing to twice daily, often reduces discomfort.
  • Dryness and peeling - Result from the keratolytic action that accelerates desquamation. A fragrance-free moisturiser applied after the gel helps restore barrier function without compromising efficacy.
  • Erythema or mild inflammation - May occur in patients with heightened skin reactivity. Using a lower concentration (10 %) for an initial trial, if available, can gauge tolerance before switching to the 20 % formulation.
  • Rare hypersensitivity reactions - Manifest as swelling, itching or vesiculation. Should these appear, discontinue use immediately and seek medical attention.

Serious adverse events such as severe contact dermatitis are uncommon but warrant prompt evaluation. Patients are advised to report any unexpected or worsening symptoms to their clinician without delay.

Buying Azelex from Our Online Pharmacy

Why Choose Our Service?

Our pharmacy service bridges the gap for Australians who face limited local stock or insurance restrictions, delivering Azelex directly to your doorstep with a straightforward ordering process.

Quality & Safety

We partner with licensed international pharmacies that operate under stringent regulatory oversight, ensuring each shipment meets Australian TGA standards for authenticity and potency.

Pricing & Access

By sourcing the generic formulation, we offer Azelex at a fraction of the price of branded alternatives, with a lifetime 10 % discount on all repeat orders. Bulk packaging options further reduce cost per tube.

Discreet Delivery

Orders are packaged in unmarked, protective envelopes and dispatched via express (≈ 7 days) or standard (≈ 3 weeks) shipping, guaranteeing privacy and timely arrival.

Frequently Asked Questions

  • How long before I see results with Azelex? Clinical studies indicate noticeable improvement in acne lesion count after 4-6 weeks, while erythema reduction in rosacea may require up to 12 weeks of consistent use.

  • Can I use Azelex alongside other acne treatments? It can be combined with non-irritating moisturisers and broad-spectrum sunscreen. Caution is advised when layering with strong retinoids or exfoliating acids, as this may increase irritation.

  • Is Azelex safe for darker skin tones? Yes. Azelaic acid’s melanin-modulating action helps fade hyperpigmentation without the risk of post-inflammatory hyperpigmentation that some bleaching agents pose.

  • What distinguishes Azelex from benzoyl peroxide? Benzoyl peroxide primarily exerts antibacterial effects and can be overly drying, whereas Azelex offers a broader mechanism-including keratolysis and pigment regulation-with a lower irritation profile.

  • Do I need a prescription to obtain Azelex? In Australia, a prescription from a qualified healthcare professional is required; our online pharmacy facilitates the process by accepting a valid signed prescription from your doctor.

  • Can I apply Azelex to my scalp for acne? The gel is formulated for skin; using it on the scalp may lead to greasiness and reduced efficacy. A scalp-specific formulation, if available, would be more appropriate.

  • What should I do if I experience a rash after using Azelex? Discontinue application immediately, cleanse the area with mild soap, and consult your clinician to determine whether the reaction is a mild irritation or a hypersensitivity requiring alternative therapy.

  • Is it possible to use Azelex during pregnancy? Although systemic absorption is minimal, the safety profile in pregnancy has not been definitively established; discuss risks and benefits with your obstetrician before initiating therapy.

  • How does Azelex compare with prescription-strength retinoids? Retinoids act mainly on cellular turnover and are often more potent for comedonal acne, but they can cause significant irritation. Azelex provides a gentler alternative with added anti-inflammatory and depigmenting benefits, making it suitable for patients who cannot tolerate retinoids.

  • Will using Azelex affect my ability to wear makeup? After the gel has fully absorbed (about 10-15 minutes), non-comedogenic makeup can be applied without compromising efficacy.

Glossary

Keratinocyte
The predominant cell type in the epidermis responsible for producing keratin; azelaic acid normalises their differentiation, preventing clogged pores.
Tyrosinase
An enzyme critical for melanin synthesis; inhibition by azelaic acid reduces pigment formation, aiding in the treatment of hyperpigmentation.
Keratolytic
Refers to a substance that promotes the shedding of the outer skin layer; this action helps unclog pores and smooth skin texture.
Anti-inflammatory
Describes a drug’s ability to reduce inflammation; azelaic acid suppresses inflammatory mediators implicated in acne and rosacea.
Systemic absorption
The process by which a drug enters the bloodstream; azelaic acid exhibits negligible systemic absorption, limiting systemic side effects.

Disclaimer

The information provided about Azelex is intended for general educational purposes and does not replace personalized medical advice. All therapeutic decisions, including those concerning off-label applications, should be made under the supervision of a qualified healthcare provider. Readers are presumed to be responsible adults capable of evaluating health-related information. Our online pharmacy offers a convenient access pathway for individuals who may encounter limited availability through traditional brick-and-mortar pharmacies or who seek cost-effective generic alternatives. Always consult your doctor before initiating, modifying, or discontinuing any medication.

External Resources about Azelex


Information Prepared By

Sarah Jones
Tosin (Olalekan) Olaluwoye, MD, PhD