I'm still working on finding the right moisturizer that doesn't break me out (the latest was neutrogena hydro boost gel.). But most of the time, fighting imperfections is a system that includes deep cleansing, hydration, protection, anti-acne products, and other things. It's generally recommended that tret should not be mixed with acids and some people say that it would "inactivate" tretinoin. 20% Azelaic Acid and 0.05% Tretinoin were used for … Later, it changed to 1% Clindamycin, 0.018% Tretinoin, 8% Azelaic Acid. My provider did sat that she can give me some tips to minimize irritation caused by the tretinoin, so I may go that route. Materials and methods: The efficacy and safety of 12-week treatment with AA-Clin in patients with mild-to-moderate facial acne vulgaris were evaluated by a multicenter, randomized, and double-blind study. 0 comments. I'm on week 3 of 0.05% tret and I started incorporating AzA. Press J to jump to the feed. I can either add a small percentage of tretinoin, or I can increase my azelaic acid to 8% and replace the niacinamide with zinc pyrithione. In these patients, overall erythema was reduced by 69.5% . I googled this and found varying responses from Dermatologists. GHS OVERVIEW Azelaic Acid. I started with Vitamin C only 2 days a week for 2 weeks, then 3, then 6. I can barely read through reddit what with all the links and permalinks and dots and arrows and people who don’t really know how to write. In the study of comedonal acne, 20% azelaic acid cream was equally effective as 0.05% tretinoin cream in reducing the number of comedones and with respect to overall response. I wouldn’t use all three on the same day, however, if you do end up using all 3 in your routine. save. hide. Finacea and Azalex) are still gold standard treatments, especially if you’re dealing with severe skin disorders. Here's what you need to know about using it—in its prescription and over-the-counter formulas. Azelaic acid is doing wonders for me, but I'm using it in higher concentrations... 15%-20%. Another study demonstrated improvement in 68% of patients who applied azelaic acid twice a day for 4 weeks. Thanks. New comments cannot be posted and votes cannot be cast. I worked up to 0.05 tret nightly while doing 20% AzA in the morning. Hi, everyone! 20% azelaic acid cream was compared clinically with it vehicle in a 3-month double-blind study of 92 patients with moderate inflammatory acne. Used in the morning, it can help protect against sun damage. Azelaic acid is a boss at treating two things: (1) acne and (2) rosacea. She would tell me to drink spearmint tea, wash my face with head and shoulders, CHANGE FUCKING BC PRESCRIPTIONS FOR MY PCOS, among other things. It's generally recommended that tret should not be mixed with acids and some people say that it would "inactivate" tretinoin. The Reddit user stated that her acne has considerably reduced in just three months. So now you apply them on top of each other nightly? Its impressive, well-researched benefits will be a welcome surprise after reading this article about how azelaic acid works to improve numerous skin concerns for almost any skin type. My provider has given me a couple of options on how to proceed, and I'm not sure what to do. Skinoren burns and/or itches like a mother when you first start using it, if your face is already irritated by tret...you’re in for a bit of fun. I believe that azelaic acid is supposed to be used 2x per day, but I’m not sure whether you can put it on at the same time as tretinoin. The efficacy of the combination of 20% azelaic acid cream and 0.05% tretinoin cream in the treatment of melasma was compared with that of 20% azelaic acid cream alone in an open-label randomized study (n = 50).Over the 6-month treatment period both treatments yielded approximately 73% therapeutically meaningful (rated as ‘good’ or ‘excellent’) results. Azelaic acid is a so-called dicarboxylic acid. I got over confident and fully regret it now. Curology is kind of a sham and IMO if you know what you want it's more worth it to develop a relationship with a derm who can actually see you in person. This was proven in a clinical test involving 289 patients who were suffering from comedonal acne. I am on tret as well and I would like to add some Azelaic into my routine. Doing tret/clindamycin PM. Unlike tretinoin, azelaic acid is typically associated with only one adverse effect-a mild local irritation that generally diminishes during the first few weeks of treatment.5,6 Azelaic acid has no recognized interactions with other drugs; thus it is useful for both combination therapy and monotherapy.6 Glycolic acid, a compound widely used in cosmetic products, has … My derm just added AM azelaic acid for me today too! I have been on .025% tretinoin/clindamycin for almost 6 weeks. But outside of blogs and Reddit, one acne-fighting ingredient is often overlooked: azelaic acid. report. The reason you should use caution is because it might just be too much for your skin, leading to dryness, orange-peel texture, redness, peeling, and other side effects. My derm prescribed fret/clindamycin gel in the PM and Finacea azelaic acid 15% in the AM and i had no serious overdrying at all. Cookies help us deliver our Services. I use a heavy moisturizer on top. Sundays are my “rest” days where I use no actives I'm still purging, and I know a lot of people use either benzoyl peroxide or azelaic acid to help … In fact, when used twice daily, azelaic acid can reduce erythema severity by 56% . Also, it took me nearly 2 months to get to where I could use actives as often as I do. I really did want to try tretinoin but was just worried about purging, so hearing that your experience with it wasn't that bad makes me feel a little better. Press question mark to learn the rest of the keyboard shortcuts. Therefore, we evaluated the effects of azelaic acid (AA) 5% and clindamycin (Clin) 2% combination (AA-Clin) on mild-to-moderate acne vulgaris. More information below! Azelaic acid is a naturally occurring acid found in grains such as barley, wheat, and rye. Today I share my weapon against hormonal acne! interesting to see about derms saying no to both, mine was totally for it! In terms of treatment response (measured using participants’ global self‐assessment of acne improvement, PGA), azelaic acid was probably less effective than benzoyl peroxide (RR = 0.82, 95% CI 0.72‐0.95). If it helps, the purge really wasn't that bad for me - just a few small whiteheads that would clear up overnight. I do cleanse, clindamycin, niacinamide serum, tret and moisturizer at night. HOWEVER, it took me 2 full, very dry, flaky months to work up to that. It’s not an AHA or BHA but it is a distant relative to them as it also has some mild exfoliating properties. Cause for tret, I really can’t skip buffering with moisturizer. I do think that my current prescription helped at first, but it doesn't seem to be doing anything for me anymore. She also won't prescribe tretinoin even though I've been asking for months. So, you won't be able to go in and say, for example, "I want 20% azelaic acid, 30% vitamin C, and 0.1% tretinoin," because 1) that probably isn't a formulation they offer, and 2) that's crazy, you'll burn your face off. Same with the Azelaic Acid, which I alternate with the tretinoin. I quit them, and their tret, and just started OTC Differin. Azelaic Acid vs. Tretinoin (Retin-A). However, there was probably little or no difference in PGA when comparing azelaic acid to tretinoin (RR = 0.94, 95% CI 0.78‐1.14). A place for Tretinoin/Retin-A users, new and old, to discuss, ask questions, and enjoy the effects of Tretinoin! Well I accidentally overdid it with the Skinoren and now that patch on my face is damaged ( red, itchy with raised bumps). Press question mark to learn the rest of the keyboard shortcuts. The thing is, up until recently, azelaic acid was only available by prescription.Don’t get me wrong, the prescription drugs (i.e. In this review, we examine published data reporting the efficacy of pharmaceutical agents to treat associated postinflammatory hyperpigmentation commonly seen in skin of color. Learn about the skincare ingredient here. Now, I know this has been discussed before, but somehow I've seen conflicting information about it. By using our Services or clicking I agree, you agree to our use of cookies. Before, I had the same scrip as you and didn't see any results at all, but once I switched to a scrip with tretinoin, I saw huge results within a week. I know that Curology is using a formula with tret and AzA, though. I looked at my Derm like she was psycho when she said it’s “no big deal” I just have to “work up to it”. I've heard many good things and many bad things about tretinoin and the prospect of purging for an indeterminate amount of time makes me leary, so I'm leaning more towards the 2nd option, but I'm just not sure. I just want to consider my options carefully before making a decision. My provider has given me a couple of options on how to proceed, and I'm not sure what to do. I have the same prescription as you and it does nothing for my cystic acne (unfortunately a side effect of both having PCOS and the birth control I'm on to regulate it). - Sunscreen (either Piz Buin Hydro Infusion SPF50 / LRP Anthelios Ultra Light SPF50 / LRP Anthelios XL SPF50 tinted). The don’t mix acids with tretinoin only refers to low ph ones, like salicylic or glycolic and used in the same formula, not layered on the skin. A 6 month study involving 289 people found that 20% Azelaic Acid cream and 0.05% Tretinoin were “equally effective” against acne. Literally, Differin is new as of last night. My current prescription is 4% azelaic acid, 1% clindamycin, and 4% niacinamide. New comments cannot be posted and votes cannot be cast, More posts from the SkincareAddiction community, Press J to jump to the feed. Hi! Because I usually prefer to do it like that but I'm not sure whether it's not impacting its effectiveness. Now there are increasing data describing their use in skin of color for the treatment of both acne and the subsequent postinflammatory … I would just go to a dermatologist if I could, but it's not covered by my insurance either. Do you think it's OK to use 20% AzA (Skinoren), followed by tret 0.05% 30 minutes after? And how many minutes should i wait before i apply it. You can use it at night, with tret, but it might be a bit much. Reddit users shared the details of their own everyday skin care, before and after photos, and asked for tips from SkincareAddiction. So you think it's OK to put Skinoren or damp skin? I saw a post that says you can use azelaic acid after tret. 2) Getting the Most Out of Every Bottle Azelaic acid has also shown reductions of erythema by 44%-46% in other controlled studies . Routine Help Hi, I’ve been on tret and about a month ago introduced azelaic acid which was easyish, now my doctor prescribed me clindamycin topical and I’m getting a bit confused on where to add them all. Azelaic acid at a higher concentration than Curology has been amazing for me. Topical tretinoin 0.1% has been effective in treating postinflammatory hyperpigmentation. And did you experience some irritation or purging at all after adding it to your routine? I’ve been using 0.05% tretinoin gel about 2 weeks now and I’m currently in the purging period, which hasn’t been as awful as I thought (mostly flakiness/dryness and some mild breakouts but it’s starting to ease up quite nicely). Then they did something very smart and put glycerin in … I have combination skin with mild to moderate acne (mostly around my mouth and chin, but a little on my cheeks as well. My current prescription is 4% azelaic acid, 1% clindamycin, and 4% niacinamide. GA peels, in combination with tretinoin and hydroquinone, are an effective treatment of postinflammatory hyperpigmentation in dark-complexioned individuals. This stuff seriously works: Melazepam (aka, Azelaic Acid). It has antimicrobial and anti-inflammatory properties, which make it … I've been on tretinon 0.01% gel for 4 weeks now. I'm guessing they try to start most people out with low concentrations to minimize irritation, and adjust as needed. $13 in the states. Azelaic acid is a compound found in wheat, rye and barley that can help treat acne and rosacea because it soothes inflammation, according to Joshua Zeichner, MD, director of … Is the Skinoren you use also in cream form? I am thinking when I am approximately 3 months in or whenever my active breakouts clear up that I would like to incorporate azelaic acid or vitamin C in my routine to speed … Did you have Joyce? She also listed all the major ingredients in her personalized formula: 4% Niacinamide, 4% Azelaic Acid and 1% Clindamycin. My provider gave me the run around when I asked for tret. But the azelaic acid has been kicking ass for almost a month. For those who use tretinoin and azelaic acid together, what has your experience been like? Now I apply them both nightly and wake up glowing. By adding sunscreen, I feel like I have too much product on my face already (even if I use just a little), so I want to use it at night. Azelaic acid can be naturally found in wheat, rye, and barley, but it can also be synthetically made in a lab, which is the case when it comes to being used in skincare products due to its effectiveness and stability. The azelaic acid is a topical antibiotic that evens out skin, kills the bacteria that cause breakouts, and gets rid of redness. Ask any questions, stay moisturized, and may your Purge be swift! Is it true? With Tretinoin, I started with 1 day a week, then 2, then 3. So you might be able to make the switch without any issues! I would ask for tretinoin - I really believe it's one of the best skincare ingredients, and it obliterated 90% of my acne and PIH. Most said they do not do that because it can overly dry out your skin, but also say if you start slow, meaning combining a few days a week and work your way up it is fine you just have to really focus on moisturizing. 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