.

.

Abdominal or stomach pain or cramps
 Blurred vision
 Decreased urine
 Dry mouth
 Fatigue
 Flushed, dry skin
 Fruit-like breath odor
 Increased hunger
 Increased thirst
 Increased urination
 Irregular heartbeat
 Loss of appetite
 Muscle pain or cramps
 Nausea or vomiting
 Numbness or tingling in the hands, feet, or lips
 Seizures
 Shortness of breath
 Sweating
 Troubled breathing

 Unexplained weight loss
 Unusual tiredness or weakness
 Less common
 Agitation
 Anxiety
 Bleeding, blistering, burning, coldness, discoloration of the skin, feeling of
pressure, hives, infection, inflammation, itching, lumps, numbness, pain, rash,
redness, scarring, soreness, stinging, swelling, tenderness, tingling, ulceration,
or warmth at the injection site
 Bleeding or oozing from the puncture site, mouth, or nose that continues
 Bloody or cloudy urine
 Bloody, black, or tarry stools
 Confusion
 Coughing that sometimes produces a pink frothy sputum
 Depression
 Dizziness, faintness, or lightheadedness when getting up suddenly from a
lying or sitting position
 Drowsiness
 Feeling, seeing, or hearing things that are not there
 Feeling that others are watching you or controlling your behavior
 Headache
 Lightheadedness
 Mood or mental changes
 Muscle tremors
 Nightmares or unusually vivid dreams
 Pale skin
 Rapid, deep breathing
 Restlessness
 Skin rash
 Sleepiness or unusual drowsiness
 Trouble with breathing when moving or walking
 Unusual bleeding or bruising

.

Azelaic acid is a naturally occurring acid. It helps the skin to renew itself more
quickly and therefore reduces pimple and blackhead formation.  It also helps to kill
the bacteria that cause acne and rosacea.

Azelaic Acid is used to treat mild-to-moderate acne (pimples). It is used to relieve
symptoms such as bumps, lesions, redness, etc. associated with different forms of
acne.

 Application site redness, itching, and burning
 Dry skin
 Tenderness of skin
 Stinging sensation at application site
 Sudden swelling of eyelids, face, throat, tongue
 Difficulty in swallowing
 Difficulty in breathing.

 If you have sensitive skin, you should apply Azelaic acid only once a day for
the first week of treatment and then proceed to twice daily applications.
 Before applying the cream/gel, clean the skin thoroughly with plain water
and make it dry.
 Avoid contact with eyes, mouth or other inner skin layers (mucous
membranes). In case of accidental contact, wash immediately with large
amounts of cold water.
 Inform your doctor if you are pregnant, planning pregnancy or breastfeeding.
 This medicine should be used with caution in patients suffering from asthma
due to the increased risk of worsening of the patient's condition.
 Frequent use of this medicine may alter the skin tone in and around the area
of application.  This medicine is not recommended for use in patients less than 12 years of
age since the safety and efficacy of use are not clinically established.