Can You Use Salicylic acid and Azelaic acid Together?
Yes, they work well together
Usually, yes. Azelaic acid tends to be gentle, and both are conditionally recommended acne treatments. Introduce one, wait a few weeks, then add the other so you know which one your skin is reacting to.
How to use salicylic acid and azelaic acid in one routine
Morning
Salicylic acid cleanser, moisturizer, sunscreen
Night
Cleanser, azelaic acid, moisturizer
Why
The 2024 American Academy of Dermatology guidelines list both azelaic acid and salicylic acid as conditionally recommended acne treatments.
A Cochrane review found the evidence for both is of limited quality, so neither is a miracle on its own. Using them at different times of day keeps irritation low.
What to watch for
Azelaic acid can tingle at first. Salicylic acid can dry. If both happen at once, drop one for a couple of weeks.
Check your whole routine
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Salicylic acid (BHA) + Azelaic acid
Fine togetherAzelaic acid tends to be gentle. Start one at a time and watch for irritation.
A routine that keeps them apart
Morning
Cleanser → Azelaic acid → moisturizer → sunscreen
Night
Cleanser → Salicylic acid (BHA) → Azelaic acid → moisturizer
On a prescription? Ask your prescriber before adding other actives. Want this checked against your actual products? Acnera scans your whole routine.
Frequently asked questions
Can You Use Salicylic acid and Azelaic acid Together?
Usually, yes. Azelaic acid tends to be gentle, and both are conditionally recommended acne treatments. Introduce one, wait a few weeks, then add the other so you know which one your skin is reacting to.
Can I use salicylic acid and azelaic acid at the same time?
Many people can, but splitting them between morning and night is gentler.
Which is better for acne, azelaic acid or salicylic acid?
Both have limited-quality evidence. Salicylic acid suits clogged pores, and azelaic acid is also used for post-acne marks.
Sources: AAD acne guidelines 2024; Cochrane review of topical acne treatments. General information, not medical advice. If you use a prescription treatment, ask your prescriber before adding actives.
Read the full guide: What not to mix with salicylic acidOther pairings
- Niacinamide + Salicylic acidFine together
- Glycolic acid + Salicylic acidUse with caution
- Adapalene + Salicylic acidUse with caution
- Salicylic acid + Vitamin CSplit AM / PM
- Retinol + Salicylic acidUse with caution
- Benzoyl peroxide + Salicylic acidUse with caution
- Vitamin C + Azelaic acidFine together
- Retinol + Azelaic acidFine together