Azelaic Acid

Azelaic acid is the dermatologist's preferred solution for rosacea, hyperpigmentation, and acne in 2025, available at 10% OTC and 15-20% by prescription. It inhibits melanin production and kills acne bacteria with 40% less irritation than benzoyl peroxide, making it uniquely safe during pregnancy. This combination of efficacy and tolerance explains its 90% rise in dermatologist recommendations over the past year, outperforming #6 tranexamic acid for inflammatory conditions.