dermac 10% cream - Azelaic Acid (10% w/w) medicine

Aziderm 10% Gel: Comprehensive Guide to Uses, Side Effects, and More

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🏭 Gary Pharmaceuticals Pvt Ltd 📦 Varies by brand 💊 Allopathy 📅 Updated: Oct 16, 2026
📋 Prescription Required 💊 Generic Available
Medically Reviewed
11 min read
Evidence: Well-established for acne and rosacea.
Reviewed by
SaathiMed Expert Panel | Oct 16, 2026
🩺
Medically Fact-Checked & Clinically Verified by SaathiMed Clinical Review Board
Clinical Reference Standards: CDSCO (Central Drugs Standard Control Organisation), Indian Pharmacopoeia (IP) & WHO | Last Updated: September 2026

When to Call Your Doctor IMMEDIATELY

  • Severe allergic reaction (rash, hives, swelling of face, lips, or throat, difficulty breathing)
  • Severe skin irritation, blistering, or peeling
  • Signs of infection (increased redness, warmth, pus)
  • Worsening of acne despite consistent use
  • No improvement after 12 weeks of treatment

If experiencing severe symptoms, call emergency services immediately.

What is dermac 10% cream used for?

This medicine is a topical gel containing 10% azelaic acid used to treat acne and rosacea. It works by killing acne bacteria, reducing inflammation, and unclogging pores. Apply a thin layer twice daily to clean, dry skin.

  • Generic Name: Azelaic Acid
  • Manufacturer: Gary Pharmaceuticals Pvt Ltd
  • Form: Allopathy
  • Pregnancy Category: Consult doctor
  • Prescription Required: Yes

🇮🇳 dermac 10% cream के बारे में (Hindi Summary)

उपयोग: यह दवा एक टॉपिकल जेल है जिसमें 10% एज़ेलाइक एसिड होता है। इसका उपयोग मुँहासे (एक्ने) और रोसेशिया के इलाज के लिए किया जाता है। यह मुँहासे पैदा करने वाले बैक्टीरिया को मारती है, सूजन कम करती है, और बंद रोमछिद्रों को खोलती है। यह त्वचा पर लगाने वाली दवा है और इसे दिन में दो बार साफ त्वचा पर लगाया जाता है।

साइड इफेक्ट्स: इस दवा के सामान्य दुष्प्रभावों में लगाने की जगह पर हल्की जलन, खुजली, लालिमा या सूखापन शामिल हैं। ये आमतौर पर हल्के होते हैं और कुछ समय में ठीक हो जाते हैं। गंभीर दुष्प्रभाव दुर्लभ हैं, लेकिन अगर आपको गंभीर एलर्जी, सूजन, या सांस लेने में कठिनाई हो तो तुरंत डॉक्टर से मिलें।

सुरक्षा सलाह: इस दवा का उपयोग करने से पहले अपने डॉक्टर को अपनी एलर्जी और अन्य दवाओं के बारे में बताएं। आँखों, मुँह और अन्य श्लेष्मा झिल्ली के संपर्क से बचें। धूप में बाहर जाते समय सनस्क्रीन और सुरक्षात्मक कपड़े पहनें। अन्य त्वचा उत्पादों का उपयोग सावधानी से करें। गर्भवती या स्तनपान कराने वाली महिलाएं डॉक्टर से सलाह लें। बच्चों की पहुंच से दूर रखें।

💡 Did You Know? The first generic medicine was introduced in India in 1970 after the Patents Act was amended.

💊 dermac 10% cream Uses & Benefits

[{"condition":"Acne vulgaris","description":"This medicine is used to treat mild to moderate inflammatory and non-inflammatory acne lesions.","evidence":"Well-established"},{"condition":"Post-inflammatory hyperpigmentation","description":"This medicine may help lighten dark spots left after acne lesions heal.","evidence":"Moderate"},{"condition":"Rosacea","description":"This medicine can reduce redness and bumps associated with rosacea.","evidence":"Well-established"}]

Off-label uses: [{"condition":"Melasma","description":"Sometimes used off-label to lighten dark patches on the skin.","evidence":"Limited"}]

Primary treatment for: Acne vulgaris

Also treats: Rosacea, Post-inflammatory hyperpigmentation

📋 Drug Information

Generic Name(s)Azelaic Acid
Brand NameAziderm 20% Cream
ManufacturerGary Pharmaceuticals Pvt Ltd
Packaging / FormVaries by brand (Allopathy)
Therapeutic ClassDERMA
Action ClassAntimicrobials- Acne
Route of AdministrationTopical
StorageStore at room temperature (15-30°C). Keep away from direct sunlight and moisture.
Shelf Life24 months from the date of manufacture.
WHO GuidelineNot established from the available information.
ICMR GuidelineNot established from the available information.

👨‍⚕️ Doctor's Practical Tips

Evidence-based practical advice from experienced clinicians

1
Apply a thin layer of this medicine to the affected area twice daily, or as directed by your doctor.
2
Cleanse your skin gently before applying the gel to enhance absorption.
3
Avoid using harsh scrubs or alcohol-based products that can irritate the skin.
4
Use a broad-spectrum sunscreen daily, as this medicine may make your skin more sensitive to the sun.
5
Be patient; it may take several weeks to see noticeable improvement in acne.
6
If you experience severe irritation, reduce the frequency of application or consult your doctor.
7
Do not apply this medicine to broken or sunburned skin.

🔍 Is This Medicine Right for Your Symptom?

Educational reference. Always consult a doctor for diagnosis.

✅
Acne (pimples, blackheads, whiteheads)
This medicine is commonly prescribed for this.
Likely Use
✅
Rosacea (facial redness, bumps)
This medicine can help reduce symptoms.
Likely Use
❌
Fever
This medicine is not a fever reducer.
Not Primary

🔬 How This Medicine Works (Pharmacology)

Pharmacokinetics

AbsorptionFollowing topical application, azelaic acid penetrates the stratum corneum and is absorbed into the epidermis and dermis. Systemic absorption is minimal, typically less than 4% of the applied dose.
DistributionAzelaic acid distributes primarily in the skin layers where it exerts its local effects. It does not significantly accumulate in systemic circulation.
Protein BindingNot established from the available information.
MetabolismAzelaic acid is metabolized in the skin and systemically via beta-oxidation to shorter-chain dicarboxylic acids. It is not metabolized by cytochrome P450 enzymes.
Half-LifeThe elimination half-life of azelaic acid is approximately 12 hours after topical application.
ExcretionAzelaic acid and its metabolites are excreted primarily in the urine, with a small amount excreted in feces.
BioavailabilitySystemic bioavailability after topical application is approximately 4% relative to oral administration.
Onset of ActionImprovement in acne lesions may be noticed within 4 weeks of regular use, with continued improvement over 12 weeks.
Peak Plasma TimePeak plasma concentrations are typically reached within 2 to 4 hours after topical application.
Duration of ActionThe effects of this medicine are sustained with regular use, and improvement continues as long as treatment is continued.

How It Works

This medicine works through multiple mechanisms. Azelaic acid inhibits the synthesis of proteins in Propionibacterium acnes, reducing its population on the skin. It also normalizes keratinization by decreasing the production of keratin, which helps prevent the formation of comedones. Additionally, it has anti-inflammatory effects by reducing the production of reactive oxygen species and inhibiting the release of pro-inflammatory cytokines. This medicine also inhibits tyrosinase, an enzyme involved in melanin production, which helps reduce hyperpigmentation.

Mechanism Steps

1
Antibacterial action: This medicine inhibits protein synthesis in Propionibacterium acnes, reducing bacterial growth.
2
Keratinization normalization: This medicine decreases keratin production, preventing clogged pores and comedone formation.
3
Anti-inflammatory effect: This medicine reduces reactive oxygen species and pro-inflammatory cytokines, decreasing redness and swelling.
4
Tyrosinase inhibition: This medicine inhibits tyrosinase, reducing melanin production and lightening hyperpigmentation.

💡 How to Take dermac 10% cream

Strength: Gel containing 10% w/w azelaic acid.

1Wash your hands and the affected area with a mild cleanser and water.
2Pat the skin dry.
3Apply a thin layer of the gel to the affected area, avoiding the eyes, lips, and mucous membranes.
4Rub in gently until absorbed.
5Wash your hands after application.
6Use twice daily or as directed by your doctor.

Dosage Information

Adult DosageApply a thin layer of this medicine to the affected area twice daily (morning and evening) after cleansing the skin. The dose and frequency may be adjusted by your doctor based on your condition and response to treatment. Dose must be individualized by a qualified clinician based on indication, age, weight, renal and hepatic function.
Pediatric DosagePediatric dosing is not established from available information. Consult a pediatrician.
Elderly DosageNo specific dosage adjustments are required for elderly patients. However, consult a doctor for personalized advice.
Renal ImpairmentNo dosage adjustment is required for renal impairment as systemic absorption is minimal.
Hepatic ImpairmentNo dosage adjustment is required for hepatic impairment as systemic absorption is minimal.
Maximum Daily DoseNot established from the available information. Use as directed by your doctor.

Dosage Timeline

🌅 Morning ❌ ☀️ Afternoon ❌ 🌆 Evening ❌ 🌙 Night ❌

🍽️ Food Timing Guide

Not applicable
No food interactions
This medicine is for topical use and does not interact with food.

⏰ What to Do If You Miss a Dose

📌 Less than half the dosing interval has passed
→ Apply the missed dose as soon as you remember.
💡 Continue with the regular schedule.
📌 More than half the dosing interval has passed
→ Skip the missed dose.
💡 Do not apply a double dose to catch up.

⚠️ Side Effects of dermac 10% cream

✅ Common Side Effects

Burning or stinging at application site (Common (5-10%))
Usually resolves with continued use. If severe, reduce frequency or consult doctor.
Itching (Common (5-10%))
Avoid scratching. Consult doctor if persistent.
Redness (Common (5-10%))
May decrease over time. Use gentle skincare products.
Dryness or peeling (Common (5-10%))
Apply a moisturizer if needed. Consult doctor if severe.

🚨 Serious Side Effects

Severe allergic reaction (rash, swelling, difficulty breathing) (Rare (<0.1%))
Seek immediate medical attention.
Severe skin irritation or blistering (Rare (<0.1%))
Discontinue use and consult a doctor.

⚠️ Rare Side Effects

Skin discoloration
Consult a dermatologist if concerned.
Worsening of acne
Consult a doctor; may need alternative treatment.

Consult your doctor if you experience any unusual symptoms.

🔬 Drug Interactions

Drug Severity Effect
Retinoids (topical) Moderate
Benzoyl peroxide (topical) Moderate
Alcohol-containing skincare products Minor

⚡ Moderate Interactions

  • Other topical acne treatments (e.g., retinoids, benzoyl peroxide)

🍷 Alcohol Interaction

No known interaction between this medicine and alcohol when used topically. However, alcohol consumption may worsen acne in some individuals.

🔎 Check Your Other Medicines

Educational tool. Always confirm with your doctor or pharmacist.

🛡️ Safety & Warnings

🚫 Contraindications

["Hypersensitivity to azelaic acid or any component of the gel"]

⚠️ Warnings & Precautions

["For external use only. Avoid contact with eyes, lips, and mucous membranes.","Do not apply to broken or irritated skin.","Use sunscreen and protective clothing during treatment.","Avoid concurrent use of other topical irritants.","Consult a doctor if no improvement after 12 weeks of use."]

🤱 Lactation Safety

It is not known whether azelaic acid passes into breast milk. Consult your doctor before using this medicine while breastfeeding. Avoid applying to the breast area to prevent infant exposure.

💊 Overdose Management

Overdose with topical azelaic acid is unlikely. If excessive amounts are applied, rinse the area with water and consult a doctor if irritation occurs.

⏰ Missed Dose

If you miss a dose, apply it as soon as you remember. If it is almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply a double dose to make up for a missed one.

Additional Safety Advice

General Safety

Before using this medicine, inform your doctor if you are allergic to azelaic acid or any other medications. Avoid contact with the eyes, mouth, and other mucous membranes. If accidental contact occurs, rinse thoroughly with water. Do not apply to open wounds or areas of sunburn. Use sunscreen and protective clothing when outdoors, as this medicine may increase sensitivity to sunlight. Avoid using other topical products that may irritate the skin, such as harsh cleansers, alcohol-based products, or abrasive scrubs, unless advised by your doctor. If you are pregnant or breastfeeding, consult your doctor before using this medicine. Keep out of reach of children. Do not use this medicine for any condition other than that for which it was prescribed.

👴 Special Considerations for Elderly

💡 For Patients Above 65

No specific precautions for elderly patients. However, consult a doctor for personalized advice.

🤰 Pregnancy Planning (TTC)

If you are planning to become pregnant, consult your doctor before using this medicine. It is generally considered safe, but medical guidance is recommended.

🏥 Post-Surgery Considerations

Avoid applying this medicine to surgical wounds or areas of broken skin. Consult your doctor before resuming use after surgery.

🦷 Dental Procedures

No specific considerations for dental procedures. Continue use as normal unless advised otherwise by your doctor.

💚 Lifestyle Tips for Better Results

🏃
Maintain a consistent skincare routine with gentle cleansers and moisturizers.
🥗
Avoid picking or squeezing acne lesions to prevent scarring.
😴
Use non-comedogenic makeup and skincare products.
💧
Manage stress through relaxation techniques, as stress can worsen acne.
🧘
Get adequate sleep and stay hydrated.
🌞
Eat a balanced diet rich in fruits and vegetables.

🏋️ Exercise Considerations

No specific exercise restrictions. However, if you sweat heavily, gently cleanse your skin afterward to prevent pore clogging.

🥗 Diet Recommendations

Include foods rich in omega-3 fatty acids (e.g., fish, flaxseeds) to reduce inflammation.
Limit high-glycemic foods and dairy if they seem to trigger your acne.
Stay well hydrated by drinking plenty of water.
Consume antioxidant-rich fruits and vegetables.

💼 Impact on Daily Work & Life

This medicine does not affect your ability to drive or operate machinery. It can be applied before work or school as part of your daily routine.

🛑 When to Stop This Medicine

Do not stop using this medicine without consulting your doctor. If you experience severe side effects or no improvement after 12 weeks, consult your doctor for alternative treatments.

📅 Long-Term Use Effects

Long-term use of this medicine is generally safe. It does not cause thinning of the skin or other serious side effects associated with some acne treatments. Regular monitoring by a dermatologist is recommended to assess effectiveness and adjust treatment as needed.

🌿 Non-Medicine Approaches

These can complement medicine but do not replace prescribed treatment.

Salicylic acid cleansers

Can help unclog pores and reduce mild acne.

Evidence: Well-established
Tea tree oil

Has antibacterial properties and may reduce acne.

Evidence: Moderate
Phototherapy

Light therapy can reduce acne-causing bacteria.

Evidence: Moderate

💉 Vaccination Considerations

💉 If You're Getting Vaccinated

No known interactions with vaccines. Continue routine vaccinations as scheduled.

📦 Storage Guide

✅ DO

Store at room temperature (15-30°C)

❌ DON'T

Do not refrigerate unless specified

✅ DO

Keep in original container

❌ DON'T

Do not transfer to unmarked containers

✅ DO

Keep away from direct sunlight

❌ DON'T

Do not store in bathroom cabinet

✈️ Traveling with This Medicine

When traveling, carry this medicine in its original packaging with the prescription label intact. Bring a copy of your prescription in case of customs checks. Store at room temperature and avoid extreme heat or cold. If crossing time zones, continue your regular application schedule as closely as possible. Keep the gel in your carry-on luggage if flying, as checked baggage may expose it to extreme temperatures.

💰 Cost Analysis & Savings

👥 Real Patient Stories

Educational, anonymized scenarios. Individual results may vary.

👤 A 22-year-old college student with mild to moderate acne
She started using this medicine as prescribed by her dermatologist. After 6 weeks, she noticed a significant reduction in both blackheads and inflammatory pimples. She experienced mild dryness initially, which subsided with a moisturizer.
💡 Lesson: Consistent use and gentle skincare can lead to good results with this medicine.
👤 A 35-year-old woman with rosacea and post-inflammatory hyperpigmentation
She applied this medicine twice daily for 3 months. Her facial redness decreased, and dark spots from previous acne faded gradually. She used sunscreen diligently to prevent worsening.
💡 Lesson: This medicine can effectively manage rosacea and lighten dark spots when used regularly with sun protection.

💬 Questions Patients Often Ask

Q: How long does it take to work?

A: You may start seeing improvement in 4 weeks, but it can take up to 12 weeks for full effects.

Q: Can I use this medicine with other acne treatments?

A: Consult your doctor before combining with other topical treatments, as it may increase irritation.

Q: Is this medicine safe for sensitive skin?

A: It is generally well-tolerated, but if you have sensitive skin, start with once-daily application and use a moisturizer.

Q: Can I use this medicine during pregnancy?

A: Consult your doctor before use. It is often considered safe, but medical advice is necessary.

🤔 Common Patient Concerns

💭 These are the concerns patients most commonly raise

  • Can I use this medicine long-term?
  • Will it make my skin dry?
  • Can I wear makeup while using this medicine?
  • Does it interact with my other skincare products?
  • What if I miss a dose?
  • Can I use it on my back and chest?

🔄 Substitutes for dermac 10% cream

View All

Alternative brands with exact same active ingredient:

Medical Note: Always consult your doctor before switching medications.

🛑 Myths vs. Facts

  • Myth: Azelaic acid makes skin sensitive to the sun.
    Fact: Azelaic acid does not significantly increase sun sensitivity, but using sunscreen is still recommended.
  • Myth: Azelaic acid works overnight.
    Fact: It may take several weeks to see noticeable improvement.

🔄 Alternative Options

Generic Alternatives

  • Azelaic acid 10% gel (various manufacturers)

Brand Alternatives

  • Aziderm 10% Gel
  • Azelaic Acid 10% Gel

📊 Comparison with Similar Medicines

[{"medicine":"Azelaic acid 10% gel","class":"Dicarboxylic acid","main_use":"Acne, rosacea","route":"Topical"},{"medicine":"Benzoyl peroxide gel","class":"Organic peroxide","main_use":"Acne","route":"Topical"},{"medicine":"Salicylic acid gel","class":"Beta hydroxy acid","main_use":"Acne","route":"Topical"}]

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