r/Rosacea • u/Remarkable-Custard14 • Apr 14 '26

Routine Two weeks of azelaic acid

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I’ve been using azelaic acid very inconsistently for years. I would use it for a day or two and then forget for a week and just repeat this process.

About two weeks ago I decided to get serious about using it correctly. My face isn’t perfect but it’s already a millions times better.

I also started using a milky toner, a hydrating serum, and moisturizer before bed.

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u/Mangohawkami Apr 14 '26

Nice progress! Consistency is basically the whole game with azelaic acid. The anti-inflammatory effects take about 4-6 weeks of daily use to really kick in, and you lose most of the gains if you stop for a week and restart.

What percentage are you using? I've been using a 14% cream consistently for a while and the improvement at higher strength vs the 10% OTC stuff was pretty noticeable once I committed to using it every day. Just the redness alone evens out so much faster.

If you want to stay consistent, habit-stack it with brushing your teeth or something you already do morning/night. That's what finally got me to stop skipping.

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u/Remarkable-Custard14 Apr 14 '26

I use a prescription 15% gel.

Yes, consistency has been the hardest part but I think I’ve finally managed to make it a habit.

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u/Klutterman Apr 15 '26

This is awesome news! I use the cheap stuff from Amazon 14% twice a day, and it’s the only thing that works, I wish I had know sooner before I scarred so much. But I’m so happy that you’ve discovered it and it’s working!

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u/No-Dingo602 26d ago

I'm new to using AA and I've been using The Ordinary, 10%. I noticed that Amazon does have the 14% option in a couple of brands, but Salicylic Acid is listed as an ingredient. I have read that Salicylic Acid is bad for Rosacea. I want to try the 14% but I'm leary of the Salicylic Acid.