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HomeAnswersDermatologyacneIs Azelaic acid cream helpful for acne, black spots, and scars?

Would using Azelaic acid cream treat acne, black spots, and scars that have not resolved with homeopathic treatment?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At January 15, 2023
Reviewed AtOctober 12, 2023

Patient's Query

Hello doctor,

I have had acne problems for six months and started homeopathy treatment. It has helped a bit but left some black spots and mild scars. And often, pimples also reappear. I have stopped all. In addition, sometimes, I apply Salicylic acid gel over the pimples. So can I use Aziderm cream for this? Will it cure it?

Please give your suggestions.


Welcome to icliniq.com.

I went through your query and understood your concern.

Acne often leads to scarring and hyperpigmentation, called atrophic scars and post-inflammatory hyperpigmentation. They occur most often due to frequent picking of acne, long-standing untreated acne, long-standing severe acne, and due to genetic factors. Medications have limitations for acne scars as they may need procedures to reduce their intensity. However, hyperpigmentation may be reduced with medications. So, I suggest you follow a few instructions mentioned below,

1. Use AHA (Glycolic Acid 1 % and Salicylic Acid 2 %) glow-foaming face wash. Apply a sufficient quantity and massage in gentle circular motions for one minute, and wash it off. Use it in the morning and at night for a few months.

2. Use Clinmiskin (Clindamycin 1 % and Nicotinamide 4 %) gel. It can be applied once daily in the morning for active acne.

3. Use Aziderm (Azelaic Acid) 10 % cream. It should be used at night only. Since they are strong, use a very small quantity, almost a rice grain quantity. And it has to be applied in a very thin layer on the affected hyperpigmented spots only. Make sure to follow these steps to avoid a burning sensation, redness, and peeling of the skin.

4. Take a capsule of Evion (vitamin E) 400 once daily at night after dinner for two months.

5. Take a tablet of Limcee (vitamin C) 500 mg in the morning after breakfast. It is a chewable tablet. Avoid consuming hot drinks, food, and milk while consuming this medication.

6. I suggest you undergo Glycolic Acid chemical peels once every ten days for six sessions at a dermatologist's clinic. It is a good procedure to reduce dark spots and scars.

7. Also, I suggest you undergo laser therapy (ablative or carbon lasers) or chemical peel like TCA (Trichloroacetic acid) in which a peeling agent is applied as dots on the scars, and it has to be done once in four weeks for six sessions at a dermatologist's clinic.

8. Avoid consuming oily, fried foods, sweets, red meat, milk, and dairy products.

9. Consume more fruits, vegetables, and fibers. And drink 12 glasses of water daily.

Kindly consult a dermatologist in person to undergo these procedures.

I hope this has helped you.

Take care.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sandhya Narayanan Kutty
Dr. Sandhya Narayanan Kutty


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