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Azelex Warnings and Precautions
Before starting treatment with Azelex, tell your healthcare provider if you have any allergies or if you are pregnant or breastfeeding. Other warnings and precautions for Azelex relate to possible skin irritation, such as redness and burning, when first starting this medicine. Also, make sure to keep this medicine out of your eyes.
You should talk with your healthcare provider prior to using Azelex® (azelaic acid cream) if you:
- Are pregnant or thinking of becoming pregnant
- Are breastfeeding
- Have any allergies, including to medications, foods, dyes, or preservatives.
Make sure to tell your healthcare provider about any medications you are taking, including prescription and nonprescription medicines, vitamins, and herbal supplements.
Some warnings and precautions to be aware of prior to using this skin cream include the following:
- Azelex is only approved for use on the skin; do not swallow it and make sure to keep it out of the eyes.
- The active ingredient in Azelex (azelaic acid) is known to cause patchy lightening of the skin in rare cases. This medicine has not been thoroughly studied in people with dark complexions. If you have a dark complexion, make sure to watch for any signs of skin lightening and report this problem to your healthcare provider right away.
- Some people experience skin irritation, redness, and burning when first starting Azelex. Make sure to let your healthcare provider know if extreme irritation occurs.
- Azelex is unlikely to react with medications, although some skin products could worsen any irritation that occurs (see Azelex Drug Interactions).
- This product is a pregnancy Category B medication, which means that it is probably safe for use during pregnancy, although the full risks are currently unknown (see Azelex and Pregnancy for more information).
- It is unknown if Azelex passes through breast milk. Therefore, if you are breastfeeding or plan to start, check with your healthcare provider before using this medication (see Azelex and Breastfeeding).
Written by/reviewed by: Kristi Monson, PharmD
Last reviewed by: Kristi Monson, PharmD



