Ecological FormulasMelazepam Cream, 2 Ounce (Pack of 1)

2/8/25: Background, I have oily skin. I take 10mg of accutane every 3 days. I use a .5% SA wash 1x/day. I've been using this for just a week 1x/day and so far so good. My skin feels a lot smoother, bit lighter, no negative reaction yet. My routine:- cleanse face, pat face dry- apply a pea size all over (only at nite for now)- layer a humectant and occlusive moisturizer on topI have a bit of PIH that I'd like to remove so will see how it works in a couple months and will update review.

This product, as cliche as it may sound, has really changed my life. After 11 years of actively fighting moderate acne, I found the ingredient that works best for my skin! I have used antibiotics, spironolactone (which worked GREAT, but didn’t help with redness and can’t use while pregnant), MANY forms of benzoyl peroxide, many prescription creams, many 3 step kits, Asian skincare, oil method, caveman method, just about EVERYTHING (besides acutane- I was never severe enough and didn’t want the side effects).It wasn’t until I found out about azelaic acid that everything changed. I found out about it through research and got ahold of it first through curology. However, their percentage was minuscule compared to this stuff. So I headed to amazon. At first I tried another azelaic acid on here, but then decided to try this one. No added fragrance, stellar price AND the highest percentage of azelaic acid I’ve found.This stuff is truly incredible. I started seeing a change in my skin very quickly. On top of acne, I have also dealt with redness and discoloration in my skin for as long as I remember. I was always very self conscious about it and it wasn’t until probably a month ago that my mom told me that rosacea runs in the family and she wouldn’t be surprised if I had a mild case. I’m convinced.This stuff has helped the acne and the redness and for the first time since probably 15, I don’t wear foundation anymore. Just concealer. It really has changed my life. My skin looks great. It doesn’t work wonders on blackheads nor the persistent skin-colored bumps, but those aren’t really a huge bother to me and glycolic acids are way too harsh on my skin. That’s the other thing- this stuff is gentle on the skin. You may feel a slight burn immediately after putting it on but it passes. There is no peeling, initial breakout, or sensitivity that comes along with it and I can’t say that about many products.I want to tell EVERYONE about this product. I know it won’t work for ever type of acne but for my specific case, it has been exactly what I needed. For 12 dollars, you should give it a chance!

I bought this because the azelic acid I normally buy is out of stock and this was a bigger volume for the price. I’m used to azelic acid cream having a gritty texture, but the texture of this one is just bizarre. It’s chunky, like teeny tiny jelly clumps like microscopic cottage cheese, and the clumps really have to be worked into your skin. It also leaves my skin looking glittery. It leaves small shiny flakes on your skin. I’m not sure which of the ingredients in this formula does that, but I can only wear it at night because of that.

I really wanted to like this, but after using it for a month, I ended up with more closed comedones than when I started. I think I am sensitive to cetyl alcohols, and after avoiding any products with them my skin is better. So I'd be willing to try azelaic acid again, but not with this brand. I need something that's a gel or serum. This cream is too thick and has too many other irritants in it.

I have rosacea type 1 and although the evidence for azelaic acid helping with flushing is largely anecdotal, there have been some studies showing it can be helpful with erythema. More importantly, I've tried prescription azelaic acid in the past and found it to be helpful with lowering the inflammation/redness so I wanted to continue using it.Unfortunately I had a problem with my new insurance wanting to cover the prescription gel and was still on hold after over a month in the process. I was going crazy and couldn't wait anymore, especially since I had this awful, terrible rash of bumps all around my mouth for months that wouldn't go away. I suspected it was perioral dermatitis, which azelaic acid is supposed to help as well so I was eager to get my hands on some.My husband also has acne rosacea and his skin was acting up pretty badly so I decided to bite the bullet and order some of this stuff for us both. I'm so, so glad I did. It's only been 2 weeks of using the cream and the PD around my mouth is GONE. After months and months of trying everything under the sun to cure it. It's still too soon to say about the flushing (the research points to around 8 weeks before seeing max effect on that) but overall my pores are looking better and it also got rid of a weird dry patch on my nose. My husband's skin is also clearing up very nicely.I do still have a weird rash on my forehead that I suspect is fungal acne, which this product has not helped clear up (I'm going to try an OTC fungal cream for that). HOWEVER, this product IS fungal acne safe which is awesome, so I feel confident to keep using it while I tackle that issue next.As many have mentioned, this cream is a little gritty, but honestly I don't find it that bad at all. I just mix a little bit of it with another facial moisturizer to apply and I barely even notice the grittiness. Best of all, I have experienced ZERO irritation with this cream, whereas with the prescription gel I would sometimes get burning and flushing after applying. I'm thinking it's because this is in a more moisturizing base.Overall I'm super satisfied with this product, and even if they ever do get around to filling my prescription azelaic acid I'll probably just keep using this instead.