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This safety and warning information provides crucial details about the use of azelaic acid (Finacea). It is essential to read and understand these points to ensure safe and effective use of the medication. If you have any questions or concerns, please consult your healthcare provider.

• Skin Color Changes: Azelaic acid may lead to a reduction in skin pigment, causing lighter skin patches where the product is applied. This effect is more pronounced in individuals with darker skin tones. Notify your dermatologist if you observe any skin discoloration.

• Irritation in Sensitive Areas: The medication can cause irritation in the eyes, mouth, nose, and genitals. Should it come into contact with the eyes, rinse thoroughly with water. If irritation persists, contact your dermatologist for further advice.

• Asthma Concerns (Gel Form): Users of azelaic acid, particularly in gel form, have reported exacerbated asthma symptoms. If you have asthma, ensure you carry your rescue inhaler at all times. Inform your healthcare provider immediately if you experience an asthma attack while using this medication to evaluate the necessity of continuing treatment or exploring alternatives.

• Flammable Risk (Foam Form): The foam form of azelaic acid is highly flammable due to its ingredients. Avoid exposure to flames, fire, or smoking during and after application. Store the foam below 120°F and do not puncture or incinerate empty bottles, as they may still release flammable substances or explode. Contact local waste services for safe disposal instructions.

By adhering to these warnings and precautions, you can minimize potential risks and ensure the safe use of azelaic acid.

Common side effects:

• Pain
• Itching
• Burning, stinging, or tingling sensation
• Scaly or dry skin

Serious side effects:

• Significant dryness
• Redness
• Rash
• Peeling skin
• Skin irritation

Azelaic acid is a topical treatment commonly used for conditions like acne and rosacea. When applied to the skin, it is generally well-tolerated and has minimal interactions with other medications. However, combining azelaic acid with certain topical treatments, such as clascoterone, may lead to increased skin irritation, redness, scaling, or dryness. It's advisable to consult with a healthcare provider before using multiple topical treatments simultaneously to minimize potential skin reactions.

Additionally, using skin care products that contain alcohol, astringents, abrasives, or peeling agents alongside azelaic acid can increase skin irritation. To reduce the risk of adverse reactions, it's best to avoid such products during azelaic acid treatment.

While azelaic acid is generally safe, it's important to inform your healthcare provider about all medications and skin care products you are currently using. This ensures that any potential interactions are identified and managed appropriately.