Pls advice. But the azelaic acid has been kicking ass for almost a month. I stopped subscribing to curology after she told me that my doctor was giving me the wrong birth control. 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. 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. For those who use tretinoin and azelaic acid together, what has your experience been like? By using our Services or clicking I agree, you agree to our use of cookies. But outside of blogs and Reddit, one acne-fighting ingredient is often overlooked: azelaic acid. Do you think it's OK to use 20% AzA (Skinoren), followed by tret 0.05% 30 minutes after? I thought about quitting, but I want to see if another prescription will help first and luckily my provider has no problem changing my formula. Dermatologist Dina Strachan shares how azelaic acid products treat acne, rosacea, pigmentation, and keratosis pilaris. I got over confident and fully regret it now. 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. If you have been on both scripts for a while and have adjusted and your skin is used to both you will have less irritation. I have been on .025% tretinoin/clindamycin for almost 6 weeks. Now I apply them both nightly and wake up glowing. Cookies help us deliver our Services. 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. 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. Cause for tret, I really can’t skip buffering with moisturizer. Another study demonstrated improvement in 68% of patients who applied azelaic acid twice a day for 4 weeks. Then they did something very smart and put glycerin in … 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. Press question mark to learn the rest of the keyboard shortcuts. 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. I do this. You can use it at night, with tret, but it might be a bit much. Retinoids and azelaic acid have been widely used to treat acne. I'm not paying $20 a month to have some nurse turned derm question the meds I'm on when she could just prescribe me tret. Press question mark to learn the rest of the keyboard shortcuts. Thanks. I stopped Curology too. This stuff seriously works: Melazepam (aka, Azelaic Acid). Cookies help us deliver our Services. She also listed all the major ingredients in her personalized formula: 4% Niacinamide, 4% Azelaic Acid and 1% Clindamycin. ), My current routine consists solely of cerave foaming facial cleanser morning and night, and curology at night. My derm just added AM azelaic acid for me today too! If it helps, the purge really wasn't that bad for me - just a few small whiteheads that would clear up overnight. It's generally recommended that tret should not be mixed with acids and some people say that it would "inactivate" tretinoin. 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. In fact, when used twice daily, azelaic acid can reduce erythema severity by 56% . Used in the morning, it can help protect against sun damage. Today I share my weapon against hormonal acne! Do you apply moisturizer before or after? Thanks. 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 … I wouldn’t use all three on the same day, however, if you do end up using all 3 in your routine. I would just go to a dermatologist if I could, but it's not covered by my insurance either. 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. 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