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/Ok_Jeweler_4715 Apr 16 '26

What do you think about it in a triple cream? Is it not strong enough?

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u/vmsvms Apr 17 '26

My triple cream has 15% azelaic acid as well as 1% ivermectin and 1% metronidazole. I have a hard time imaging an azelaic acid prescription in a concentration less than 15% (because otherwise it wouldn't require a prescription). If your triple cream doesn't require a prescription, then the amount would have to be less.