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Azelaic acid is a saturated dicarboxylic acid that inhibits the growth of Propionibacterium spp. and reduces keratinization. it is used to treat mild to moderate acne vulgaris and rosacea. Topical application twice daily.
At the time of the last update, we found no published data on its excretion in breast milk.
It is a natural product found in various foods including breast milk.
Less than 4% is absorbed through the skin (Täuber 1992) and eliminated rapidly, so it is unlikely to reach a significant concentration in breast milk and may be considered safe during lactation. (Ly 2023, Kong 2013, Fluhr 2010, Leachman 2006, Worret 2006, Akhavan 2003)
Do not apply on the breast or clean well before breastfeeding.
It is advisable to avoid applying creams, gels and other topical products containing kerosene (mineral oil) to the nipple so that the infant does not absorb it. (Concin 2008, Noti 2003)