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Azelaic Acid Suspension 10%

Redness/IrritationAcne Spot Treatment

Azelaic Acid Suspension 10% — Reddit Reviews

by The Ordinary

71nextscore395 verdicts

Updated November 10, 2026

Studies found azelaic acid clears acne; Redditors report fading redness and marks.

What the community says

Backed by 57 studies

This thick 10% suspension targets acne, redness, and post-acne marks. Redditors report results with consistent use, and studies found azelaic acid clears acne better than placebo; dimethicone-heavy texture pills under makeup and can sting reactive skin.

From Reddit

Backed by 28 threads from r/30PlusSkinCare, r/AsianBeauty and 5 more.

Read the threads ↓

What people love

  • Accessible 10% OTC starting strength
  • Fades redness, PIH, and acne marks
  • Acne evidence backs its breakout-fighting reputation

Watch out for

  • Thick, grainy texture pills under makeup
  • Stinging, burning, and dryness hit reactive skin
  • Can trigger breakouts or deliver no visible results

Product details

What TikTok says

Skip to videos

From 9 TikTok videos5 sponsored, marked with outlined numbers

Several creators say it smooths texture and brightens skin, with some noting fading of dark spots 12. Sponsored creators also say it suits sensitive and all skin types and helps blemishes 34. Creators warn the suspension can feel gritty, which one says is normal, and that it can pill, which one links to too much product or poor layering 567. One creator with rosacea switched to another azelaic serum after peeling, while a sponsored creator reports fewer closed comedones 78.

Sponsored means the creator disclosed a brand partnership or the video ran as a paid ad.

Videos open on TikTok in a new tab.

“I have noticed it helping with hyperpigmentation and dark spots, but nothing super crazy.”
“Azelaic acid is probably the best thing that happened to me this year.”
“And yes, this product is suitable for all skin types.”
“It does tingle a little bit when you put it on, but that's just the azelaic acid doing its job.”
See all 9 TikTok videos (4 unsponsored) →

How to use it

From Reddit routines

Where to buy

What the science says

Azelaic acid has strong evidence for helping acne clear, often beating a placebo and working about as well as tretinoin 1. For rosacea, the research has strong evidence too, with studies finding it reduced spots and redness, though it did not seem to help visible blood vessels 2. For dark patches, azelaic acid has some evidence of fading melasma, while results for other pigment concerns were mixed 3. Stinging and burning were the most common side effects in those pigment studies 3.

  1. Azelaic Acid for acne Strong evidence · 31 studies
  2. Azelaic Acid for rosacea Strong evidence · 17 studies
  3. Azelaic Acid for hyperpigmentation Some evidence · 12 studies

Research context, not treatment advice. Studies are about the ingredient, not necessarily this exact product.

How we grade research

Full ingredient list · 17

The Ordinary Azelaic Acid Suspension 10% ingredients

Aqua (Water), Isodecyl Neopentanoate, Dimethicone, Azelaic Acid, Dimethicone/Bis-Isobutyl PPG-20 Crosspolymer, Dimethyl Isosorbide, Hydroxyethyl Acrylate/Sodium Acryloyldimethyl Taurate Copolymer, Polysilicone-11, Isohexadecane, Tocopherol, Trisodium Ethylenediamine Disuccinate, Isoceteth-20, Polysorbate 60, Triethanolamine, Ethoxydiglycol, Phenoxyethanol, Chlorphenesin

Listed in label order, highest concentration first. Linked ingredients have their own page.

Real Reddit threads — 764 mentions across 28 threads

The Ordinary Azelaic Acid Suspension 10% on Reddit, in one place — 28 threads from r/30PlusSkinCare, r/AsianBeauty and 5 more, summarized.

“Infrequent use of their Azelaic Acid”

Positive

“I also have some redness in my cheeks that Azelaic Acid seems to help with”

Positive

“I mainly focus on hydration and sun protection these days when it comes to topicals.”

Positive

“PM: The Ordinary Azelaic acid 3x/wk”

Positive

“Yeah the texture is a little odd.”

Positive

“the way that it mattifies and pills up if you move it too much”

Positive

“sampling the Ordinary's in-store and not liking the texture”

Cautionary

“I also definitely agree with the TO azelaic being very sensorially and cosmetically unpleasant”

Cautionary

“It has a hard time not just pulling with ITSELF”

Cautionary

“I use TO azelaic acid suspension with Stridex max for salicylic acid...”

Mentioned

“The azelaic acid suspension has a conflict with their 2% salicylic acid, so should I not combine azelaic and salicylic acid?”

Mentioned

“Wait wait wait, peptides conflict with azelaic acid??”

Mentioned

“The Ordinary Azelaic acid has done wonders to calm my skin and give me a more even tone. And it’s very gentle.”

Positive

“I was layering niacinamide from TO and then AZ but I realized it wasn’t getting down to my skin so I switched the order and it’s evening out much better.”

Positive

“Paula’s choice Azelaic Acid booster is great and the Ordinary’s Azelaic Acid works well too and is pretty inexpensive.”

Positive

“On non tret days I use the ordinary azelaic acid.”

Positive

“Been using Estée Lauder products, Origins and The ordinary.”

Positive

“I swear by The ordinary products. I use them on non tret days”

Positive

Dupes & Alternatives

Compare all 12 alternatives

Often paired with

Products Redditors use alongside this one

  • Differin Adapalene Gel 0.1%

    Differin

    Adapalene Gel 0.1%

    Mentioned together in 12 threads

    “I have been alternating azelaic acid (The Ordinary, 10%) and Differin (adapalene, 0.1%) for 3 months now”

    — r/SkincareAddiction

  • Vanicream Gentle Facial Cleanser

    Vanicream

    Gentle Facial Cleanser

    Mentioned together in 10 threads

    “AM: vanicream gentle facial cleanser, byoma milky toner, the ordinary azelaic acid”

    — r/acne

  • Vanicream Moisturizing Cream

    Vanicream

    Moisturizing Cream

    Mentioned together in 7 threads

    “Treat with The Ordinary Azelaic Acid Suspension 10% - this is rosacea-friendly! * Moisturize with Vanicream Daily Facial Moisturizer for Sensitive Skin (apply with damp hands) * Double moisturize with…”

    — r/SkincareAddiction

  • Round Lab 1025 Dokdo Cleanser

    Round Lab

    1025 Dokdo Cleanser

    Mentioned together in 5 threads

    “roundlab Dokdo cleanser, birch juice moisturiser and BOJ rice and probiotics sun cream in the am. Introduced 10% azelaic acid by the ordinary in the am on my second month.”

    — r/tretinoin

Compared with

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