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Dermatologist Formulated

Azelaic Acid 14% Cream

Azelaic Acid 14% Cream

Regular price $45
Regular price Sale price $45
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Our Azelaic Acid 14% Cream is recommended to help reduce acne, rosacea and hyperpigmentation on the face. This formulation is dermatologist and chemist engineered with the highest non-prescription percentage of azelaic acid, while also limiting skin irritation that other azelaic acid products may cause. It’s also great for helping to fade dark spots and the appearance of acne scars. Can be used once or twice daily in conjunction with your other skincare products.

    Why it’s Different

    • Medical-grade at 14%
    • Non-irritating, no stinging
    • Gentle for sensitive skin
    • Dermatologist formulated
    • Pairs well with other ingredients
    • Not sticky, does not pill

    Key Benefits

    • Proven ingredient effective to reduce acne & rosacea
    • Reduces skin inflammation & redness
    • Destroys bacteria on skin to help heal & minimize breakouts
    • Lightens acne scars, subtle brown spots, melasma
    • Unclogs pores, aids in removing dead skin cells
    • Minimizes pores, fine lines, wrinkles
    • Improves skin brightness & texture

    How to Use

    • Apply Azelaic Acid 14% Cream last in your skincare routine, but before sunscreen for a morning application.
    • Use a pea-sized amount of Azelaic Acid 14% Cream and gently apply a thin layer to your entire face.
    • Avoid using azelaic acid on your eyes, lips and mouth.
    • Use once or twice daily depending on your skin type and condition.

    What it Helps

    • Acne and Rosacea: Mild to moderate
    • Hyperpigmentation: melasma, post acne scars and lesions, subtle brown age spots, sun damage
    • Anti-aging: fine lines, wrinkles, dull and poor skin texture

    Recommended Routine for Acne and Rosacea


    1. Cleanse and apply Niacinamide Lotion 10%: Calms skin and contributes to DNA repair.
    2. Moisturize with Hyaluronic Acid Lotion: Works as a magnet for skin hydration.
    3. Apply a thin layer of Azelaic Acid 14% Cream: kills bacteria, reduces redness and inflammation.
    4. Protect with minimum SPF 30+: (50 preferred) mineral-based broad spectrum sunscreen.


    1. Cleanse and apply Niacinamide Lotion 10%: calms skin and contributes to DNA repair.
    2. Moisturize and restore with Night Renewal Cream with 2% Granactive™ Retinoid: Improves skin texture, gentle and non-irritating.

    What to Expect

    Getting Started

    Azelaic acid is a marathon not a sprint! Routine use is important. For a boost in results, you can layer with other supporting products.

    After 6-8 Weeks
    You may notice less redness and a softer feel. Flare ups are reduced and heal faster as bacteria is destroyed and skin cell turnover increases.

    After 90 Days
    Best results milestone! Skin conditions are under control. Skin texture, brightness and hyperpigmentation improved with redness and inflammation diminished.

    Dermatologist Do‘s and Don‘ts

    The Do’s

    • Build up to using azelaic acid to avoid irritation (approximately 2-3 weeks.)
    • Protect with a minimum SPF 30 (50 preferred) mineral-based broad-spectrum sunscreen in the morning and as the last product in your skincare routine. Important to note that azelaic acid makes skin extra sensitive to the sun.
    • Use consistently as azelaic has a cumulative effect.
    • Use with Spectrum supplement to support your skin health from the inside.
    • Layer with other products in your skincare routine to boost improvement.

    The Don’ts

    • Don’t spot treat acne or overuse azelaic acid to accelerate results as this can cause irritation.
    • Avoid using astringents, harsh cleansers with azelaic acid.
    • Don’t layer retinoids or other acids with azelaic acid. Separate and use one in the morning, and the other at night.
    • Keep from touching or picking at your face as this can lead to infections and scarring.
    • Remember to moisturize! This does not and will not cause acne or clogged pores.
    • Safeguard your azelaic acid’s effectiveness by keeping it at room temperature and out of the sun.
    View full details

    Recommended Routine for
    Acne and Rosacea

    Calms skin and assists with DNA repair
    Works like a magnet to hydrate and moisturize
    Destroys skin bacteria, reduces redness and inflammation
    Moisturize and restore, gentle and non-irritating, includes retinoid


    Our patients consistently notice significant
    improvement in their acne and rosacea within

    30 DAYS

    • A naturally occurring acid in grains, azelaic acid is then lab-engineered for stability and effectiveness.

    • Safe for long-term use, our Azelaic Acid is flexible with all skin types and sensitive skin conditions.

    • An antioxidant that can reduce agents in your skin that make it more sensitive and cause bumps.

    What to expect from Azelaic Acid 14% Cream

    After 6-8 Weeks

    Azelaic acid is a marathon not a sprint! Routine use is important. You may notice less redness and a softer feel. Flare ups are reduced and heal faster as bacteria is destroyed and skin cell turnover increases.

    After 3 months – Best Results Milestone!

    Skin conditions are under control. Skin texture, brightness and hyper-pigmentation improved with redness and inflammation diminished.

    Customer Reviews

    Collapsible content

    How many products can I use at a time with azelaic acid?

    Use up to 3 treatment products (outside of cleansing, moisturizing, sunscreen) in one morning or evening routine to allow penetration into the epidermis. Apply each one in a thin layer, one after the other allowing each layer to dry before applying the next for absorption.

    Can I use a retinol or other acid products with azelaic acid?

    Yes, but to help avoid irritation, it’s recommended to use azelaic in the morning and your retinol at night — we highly recommend the Night Renewal Cream with 2% Granactive™ Retinoid.

    In what order should I layer other skincare products with azelaic acid?

    1. Cleanser:
    Wash and remove impurities

    2. Toner: Although most derms don’t really recommend a toner based on the traditional alcohol based products, most of the current toners are just very thin serums or liquids with antioxidants and vitamins. Soaps are not as harsh as they once were so there is no need to neutralize their basic pH in most cases.

    3. Serum (or antioxidant): In our case the Vitamin C Lotion 20% and Niacinamide Lotion 10%

    4. Retinol: (night only) We recommend Night Renewal Cream with 2% Granactive™ Retinoid

    5. Moisturizer: We recommend our Hyaluronic Acid Lotion for its hydrating effect, otherwise a different heavier lotion

    6. Active: Azelaic Acid 14% Cream to help skin conditions and can be used day and night depending skin sensitivity

    7. Sunscreen: (daily) A minimum of SPF 30, we prefer 50 mineral-based broad-spectrum sunscreen

    What exactly is azelaic acid?

    Skin-Friendly Antioxidant: As an antioxidant, it helps neutralize the free radicals that lead to environmental damage in all types of skin. We see azelaic acid as a catch-all essential product in any skincare routine.

    Naturally Occurring Dicarboxylic Acid: Azelaic Acid is a natural ingredient found in wheat, rye, barley and lab-engineered for stability and effectiveness.
    As a dicarboxylic acid, it aids skin exfoliation, removing dead skin cells and promoting skin cell turnover. It is a keratolytic, meaning it can break down the outer layer of skin and minimize thickness, and it is a comedolytic with the ability to help your skin shed properly to open large pores.

    Antimicrobial and Anti-inflammatory Properties: It has an antimicrobial effect killing acne causing bacteria and helps prevent acne from developing, while its
    anti-inflammatory properties reduce inflammation and redness in both acne and rosacea. Foundation Skincare’s Azelaic cream concentration is 14% (the maximum potency without a prescription that is gentle enough to use without being under the supervision of a dermatologist).

    Tyrosinase Inhibitor: Which means it can help control and minimize hyper-pigmentation on the skin, it can even out your skin tone, smooth skin texture and minimize fine lines and wrinkles.

    Is azelaic acid FDA approved?

    Azelaic acid cream 20% (Azelex; Allergan) was approved by the FDA in 1995 for the treatment of mild-to-moderate inflammatory acne vulgaris. In late 2002, azelaic acid gel 15% (Finacea gel) was approved by the FDA for the topical treatment of inflammatory papules and pustules of mild to moderate rosacea.

    What are the benefits of Azelaic Acid for your skin?

    Azelaic acid has a skin calming effect, treating acne, mild rosacea, redness, and hyperpigmentation. It is great for acne breakouts, scarring, and melasma.

    Can you use Azelaic Acid on your face every day?

    Yes, you can use it twice a day. If any irritation occurs, cut back to once a day. 

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