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Medicine Overview of Azelec Cream 20% Cream
Introduction
Azelec Cream is a topical medication used in the treatment of acne (pimples). It effectively relieves symptoms such as lumps, redness and swelling associated with different forms of acne by killing the acne causing bacteria. Azelec Cream is for external use only. You should always use it exactly as your doctor has told you. The affected area should be clean and dry before application. You must wash your hands thoroughly before and after applying this medicine. This medicine should be used regularly to get the most benefit from it. Do not use more than you need as it will not clear your condition faster and some side effects may be increased. If your condition goes on for longer than four weeks or gets worse at any time, let your doctor know. You can help this medicine work better by keeping the affected areas clean. Azelec Cream has a few potential side effects but not everyone will get them. These may include application site reactions like burning, irritation, itching, and redness. Serious allergic reaction to this drug is rare but let your doctor know if you’re bothered by side effects or they do not go away. Make sure you read the instructions that come with your medicine. Avoid contact with eyes. In case of accidental contact, you should rinse eyes thoroughly with water. If you are pregnant, breastfeeding, or plan to become pregnant, you should consult your doctor before using this medicine as it may cause side effects that could be harmful to the developing baby.
Uses of Azelec Cream
- Acne
Side effects of Azelec Cream
Common
- Application site reactions (burning, irritation, itching and redness)
How to use Azelec Cream
This medicine is for external use only. Use it in the dose and duration as advised by your doctor. Check the label for directions before use. Clean and dry the affected area and apply the cream. Wash your hands after applying, unless hands are the affected area.
How Azelec Cream works
Azelaic acid works by killing the acne-causing bacteria and reduces inflammation (redness and swelling) of the skin.
What if you forget to take Azelec Cream?
If you miss a dose of Azelec Cream, skip it and continue with your normal schedule. Do not double the dose.
Quick Tips
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Apply it precisely only over the affected area. If irritation happens, stop using it and consult your doctor.
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If you have sensitive skin, you should apply Azelaic acid only once a day for the first week of treatment and then proceed to twice daily applications.
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Before applying the cream/gel, clean the skin thoroughly with plain water and make it dry.
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Avoid contact with eyes, mouth or other inner skin layers (mucous membranes). In case of accidental contact, wash immediately with large amounts of cold water.
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Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.
Brief Description
Indication
Acne vulgaris, Rosacea, Rosacea melasma, Post inflammatory hyperpigmentation
Administration
Cleanse affected area with mild soap or soapless cleansing lotion and pat dry before applying. Apply thinly into the affected areas bid (morning and evening) after cleansing.
Adult Dose
Topical Acne vulgaris Adult: As 20% cream: Apply into the affected areas bid (morning and evening). Improvement may be detectable w/n 4 wk. Duration of treatment: Up to 6 mth. Topical Rosacea Adult: Apply into the affected areas bid (morning and evening). Improvement occurs in 4-8 wk.
Child Dose
Topical Acne vulgaris, Rosacea Child: >12 yr Same as adult dose. <12 years: Safety and efficacy not established
Contraindication
Hypersensitivity to any of the ingredients.
Mode of Action
Azelaic acid is a naturally-occurring aliphatic dicarboxylic acid. The exact mechanism of action in treatment of acne vulgaries has not been fully established. It is believed to inhibit the growth of susceptible organisms (mainly Propionibacteria Acnes) on the skin surface, and inhibits follicular keratinisation thus restricts the development of comedones. Mechanism of action in the treatment of rosacea is unknown.
Precaution
Pregnancy, lactation. Avoid contact with eyes, mouth or other mucous membranes. Occlusive dressings or wrappings should not be used. Recommend patient to use only very mild soaps or soapless cleansing lotions for facial washing. Monitor for hypopigmentation in patients with dark complexion. Safety and efficacy not established in children <12 yr. Lactation: enters breast milk; use with caution
Side Effect
10% Burning/ stinging/ tingling (4-16%) 1-10% Pruritus (1-6%),Scaling/ dry skin/ xerosis (1-5%),Erythema/ irritation (1-2%) <1% Contact dermatitis,Edema,Acne
Pregnancy Category Note
Pregnancy Category: B Lactation: enters breast milk; use with caution
Interaction
There have been no formal studies of the interaction of Azelaic Acid Gel with other drugs.
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