Instruction for use: Azelaic acid (Acidi azelaici)
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Pharmacological group
dermotropic means
Antiseptics and disinfectants
Nosological classification (ICD-10)
L70.0 Acne vulgaris
Ugropodobnye rashes, Congenital youthful acne, Acne vulgaris, Acne vulgaris, Common Acne, Acne draining, Youthful pimples, Youthful Acne, Acne youthful
L71 Rosacea
Pink acne, Acne Red, Acne pink, Redheads
L81.1 Chloasma
Mask of pregnant women (chloasma), Melasma (Chloasma)
L81.8.0 * Hyperpigmentation
Cronkheta-Canada syndrome, Melasma, Pathological hyperpigmentation
Code CAS123-99-9
Characteristics of Azelaic acid
White crystalline substance. It is poorly soluble in water at 20 ° C (0.24%), easily soluble in boiling water and ethanol. Molecular weight 188.22.
Pharmacology
Pharmacological action - anti-inflammatory, antibacterial, keratolytic.
Has bacteriostatic activity against Propionibacterium acnes and Staphylococcus epidermidis. Reduces the fraction of free fatty acids in the skin's superficial lipids. It inhibits the proliferation of keratinocytes and the growth of abnormal melanocytes. Clinical improvement occurs on average after 2-4 weeks of treatment.
After application to the skin of the cream, azelaic acid penetrates the epidermis and dermis, and 3.6% is absorbed into the systemic bloodstream. Excreted urine mainly in unchanged form, and part - in the form of shorter dicarboxylic acids formed as a result of oxidation.
Application of Azelaic acid
Cream. Ordinary acne (acne vulgaris), hyperpigmentation of the melasma type (eg, chloasma).
Gel. Ordinary acne (acne vulgaris), rosacea.
Contraindications
Hypersensitivity, incl. to the components of the drug (propylene glycol).
pregnancy and lactation
The action category for fetus by FDA is B.
Side effects
In rare cases (in the first 1-2 weeks of therapy) skin irritation, burning sensation is possible.
Routes of administration
Routes of administration. Locally.
Precautions for Azelaic acid
Avoid contact with the eyes, mucous membranes of the nose, lips and mouth. In cases of severe skin irritation in the first weeks of treatment, you can apply 1 time per day or briefly cancel the drug.