Azelaic Acid Serum: Benefits, How to Use It and the Best Options in Pakistan
Azelaic acid treats acne and the dark marks it leaves, and it's gentle enough for sensitive skin and pregnancy. Here's how to use it and what to buy in Pakistan.

Azelaic acid is one of the most useful and underrated ingredients for Pakistani skin. It treats acne, fades the brown marks acne leaves behind (daanon ke nishan), helps melasma (chaiyan) and calms redness, and it's gentle enough for sensitive skin and pregnancy.
What does azelaic acid do?
- Fights acne: reduces acne bacteria and helps keep pores clear.
- Fades pigmentation: slows overactive pigment cells, so brown marks and melasma lighten without affecting normal skin.
- Calms redness: reduces inflammation, which is why it's also used for rosacea.
Because it targets overactive pigment cells rather than all of them, it's a good fit for brown skin, which tends to darken after any irritation.
What is the best azelaic acid serum in Pakistan?
Prices are the lowest prices we found at Pakistani retailers and pharmacies on 3 November 2026 and change often. Some pharmacies treat 20% azelaic acid as a prescription medicine.
Which azelaic acid product should you choose?
| Product | Key ingredient | Price | Skin type | Our verdict |
|---|---|---|---|---|
| The Ordinary Azelaic Acid Suspension 10% (30ml) | Azelaic acid 10% | Rs 3,450 | Acne-prone, sensitive, combination | Best over-the-counter azelaic acid |
| Skinoren Cream 20% (10g) | Azelaic acid 20% | Rs 807 | Stubborn acne, melasma | Stronger; use on a dermatologist's advice |
| Elluvi Hydra Glow Serum (30ml) | Niacinamide 10%, zinc PCA 1% | Rs 1,149 | Oily, combination | Best morning partner for azelaic acid |
The Ordinary Azelaic Acid Suspension 10% (about Rs 3,450) is the best over-the-counter option for most people. It's a cream-gel rather than a watery serum, and it can feel slightly gritty; that's normal.
Skinoren 20% cream (about Rs 807 for 10g) is twice as strong and very affordable, but it stings more and is usually prescribed. Ask a dermatologist, especially for melasma.
For the best results on marks, pair azelaic acid with niacinamide in the morning. Elluvi Hydra Glow Serum (10% niacinamide, Rs 1,149) is an affordable partner.
How do you use azelaic acid?
- Cleanse and pat skin completely dry.
- Apply a thin layer over the whole area, not just the spots.
- Follow with moisturiser.
- In the morning, finish with SPF 50 sunblock.
Start once a day, at night, for the first two weeks. Mild tingling or itching for a few minutes is common at first. If it lasts or your skin peels, use it every other night.
How long does azelaic acid take to work?
- Acne: fewer new breakouts in about 4 to 6 weeks.
- Acne marks: visible fading in 8 to 12 weeks.
- Melasma: 3 months or more, and only with strict daily sunblock.
Azelaic acid vs niacinamide
Both fade marks and calm redness. Azelaic acid is stronger for acne and pigment; niacinamide is gentler and better for oil control. Read our full comparison: azelaic acid vs niacinamide.
How we chose these products
We compared azelaic acid products sold in Pakistan by strength, format and current price at Pakistani retailers and pharmacies. This guide is research-based; see our editorial policy. For more options, see the best serums for acne marks and best creams for melasma.
Frequently asked questions
Is azelaic acid safe in pregnancy?
Azelaic acid is one of the treatments most commonly considered suitable in pregnancy and while breastfeeding. Always confirm with your doctor first.
10% or 20% azelaic acid?
Start with 10% if you have sensitive skin or mild marks. 20% works faster for stubborn acne and melasma, but stings more; use it with a dermatologist's guidance.
Can I use azelaic acid with niacinamide?
Yes, they're a great pair for marks and redness. Use niacinamide in the morning and azelaic acid at night, or layer niacinamide first.
Can I use azelaic acid with retinol?
Yes, but introduce them one at a time. Many people use azelaic acid in the morning and retinol at night.
Azelaic acid ke kya fayde hain?
Azelaic acid treats pimples (daane), fades acne marks (daanon ke nishan) and melasma (chaiyan), and calms redness. Use it daily for 8 to 12 weeks with sunblock.
