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This medication comes with essential safety information and warnings that you should be aware of before use. Be sure to consult with your healthcare provider if you have any questions or concerns.

• Loss of Skin Color: The use of Azelex (azelaic acid) may lead to a reduction in skin pigmentation where the medication is applied, due to its effect on melanin production. This change is more noticeable in individuals with darker skin tones. It is advisable to inform your dermatologist if you detect any alterations in your skin color.

• Irritation of Eyes and Mouth: Azelex (azelaic acid) may cause irritation in sensitive areas such as the eyes, mouth, nose, and genitals. Should the medication come into contact with your eyes, rinse them thoroughly with water. Seek immediate medical attention if irritation persists after rinsing.

• Skin Irritation: Temporary skin irritation, including sensations of burning or stinging, may occur at the application site, especially on broken or inflamed skin. These symptoms are generally mild and tend to subside with continued use. If irritation is severe, contact your dermatologist promptly. They may advise discontinuation of Azelex (azelaic acid) and explore alternative treatments with you.

Note: There are currently no known contraindications for this medication. Always ensure to follow your healthcare provider’s guidance when using any medication.

When using this medication, you might experience some common side effects such as burning, stinging, itching, or a tingling "pins and needles" sensation on the skin. These effects typically occur as your body adjusts to the treatment and often lessen over time. If these symptoms continue or become bothersome, it may be helpful to reduce the frequency of application.

In some instances, users may notice additional side effects like dryness, rash, peeling, or general skin irritation. While these are generally not severe, it's important to monitor these symptoms and consult a healthcare provider if they persist or worsen.

A rare side effect of this medication is a change in skin color, specifically lightening known as hypopigmentation, which may be more noticeable in individuals with darker skin tones. If you observe any changes in skin color, discussing this with your healthcare provider is advisable.

Though very serious allergic reactions to this medication are uncommon, it's crucial to seek immediate medical attention if you experience symptoms such as a rash, significant itching or swelling (particularly of the face, tongue, or throat), severe dizziness, or difficulty breathing. Always remain vigilant for any unusual symptoms and report them to your healthcare provider.