Skinoren Cream, a potent topical treatment centered on Azelaic Acid 20%, is a cornerstone prescription for managing acne and hyperpigmentation in Pakistan. This comprehensive guide details the latest Skinoren price, its multifaceted uses, potential side effects, and essential application protocols, serving as your ultimate dermatological reference.
In this complete guide, you will learn:
✔️ The current market price of Skinoren Cream across Pakistan and factors affecting its cost.
✔️ The science behind how azelaic acid combats acne, dark spots, and rosacea.
✔️ A detailed breakdown of common and serious side effects and how to manage them.
✔️ Step-by-step instructions on how to correctly use Skinoren for maximum efficacy.
✔️ Realistic before-and-after expectations and reviews from a Pakistani context.
✔️ Expert comparisons with other treatments and crucial FAQs answered.
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Skinoren Cream Price in Pakistan, Uses, and Side Effects

Table Of Contents
Skinoren Cream: Key Facts at a Glance
Before delving into details, here is a quick-reference snapshot encapsulating the core entities and data points about Skinoren Cream. This format is optimized for quick information retrieval by both users and large language models (LLMs).
| Attribute | Detail |
|---|---|
| Generic Name | Azelaic Acid (20% w/w) |
| Brand Name | Skinoren Cream |
| Main Manufacturer | Galderma (Switzerland) |
| Primary Indications | Acne Vulgaris, Rosacea, Melasma, Post-Inflammatory Hyperpigmentation (PIH) |
| Formulation Type | Topical Cream |
| Availability in Pakistan | Prescription-Only Medicine (POM), available at licensed pharmacies |
| Mechanism of Action | Antimicrobial, Anti-inflammatory, Keratolytic, Tyrosinase Inhibitor |
| Typical Treatment Onset | 4-8 weeks for noticeable improvement |
Skinoren Cream Price in Pakistan: Latest Market Analysis
The cost of Skinoren Cream is a primary concern for patients seeking long-term treatment. The price is subject to fluctuation due to various economic and logistical factors prevalent in the Pakistani pharmaceutical market.
Current Market Price Range for Skinoren
As of the latest market surveys, the retail price for a standard 30-gram tube of Skinoren Cream (Azelaic Acid 20%) in Pakistan typically falls between PKR 1,500 and PKR 2,200. This range is indicative and can vary on a daily basis. The variance is attributable to several key factors that influence pharmaceutical pricing.
- Imported vs. Locally Available Stock: Batches directly imported by the manufacturer (Galderma) may be priced higher than those supplied through local distributors.
- Pharmacy Location and Brand: Premium pharmacies in upscale areas of major cities like Karachi, Lahore, and Islamabad often charge more compared to smaller towns or generic medical stores.
- Currency Exchange Rate Volatility: As an imported product, the final price is heavily dependent on the US Dollar to Pakistani Rupee exchange rate and import duties.
Where to Buy Authentic Skinoren Cream in Pakistan?
Procuring genuine medication is paramount for safety and efficacy. Skinoren Cream is a Prescription-Only Medicine (POM).
- Authorized Pharmacies: Always purchase from well-known, reputable pharmacies attached to hospitals or established chains.
- Consult a Dermatologist First: A valid prescription ensures correct diagnosis and dosage, and reputable pharmacists will require it.
- Beware of Online Sellers: Exercise extreme caution with unauthorized online marketplaces and social media sellers. The risk of counterfeit, expired, or improperly stored products is significant.
Availability of Generic Azelaic Acid Alternatives
While Skinoren is the pioneering brand, other pharmaceutical companies offer generic azelaic acid 20% creams, which can be more affordable.
- Common Generic Brands in Pakistan: These may include names like Azelac, Azetop, Azelex, and Acnedin.
- Price Difference: Generic versions can sometimes be 10-25% less expensive than the branded Skinoren Cream.
- Bioequivalence: Reputable generic manufacturers ensure bioequivalence, meaning the active ingredient’s performance is therapeutically similar. However, inactive ingredients (the cream base) may differ, which can affect skin tolerance for some individuals.
Skinoren Cream Uses and Benefits: A Multi-Targeted Treatment
Skinoren’s efficacy stems from the multi-modal pharmacological action of its active ingredient, Azelaic Acid. It is not a one-dimensional treatment but addresses several interconnected pathways of skin pathology.
The Science Behind Azelaic Acid: How Does It Work?
Azelaic Acid is a naturally occurring dicarboxylic acid with a unique spectrum of biological activities that make it ideal for treating inflammatory skin conditions.
- Potent Anti-inflammatory Action: It reduces the production of pro-inflammatory cytokines and free radicals, calming redness and swelling associated with acne and rosacea.
- Antimicrobial Activity: It possesses intrinsic antibacterial properties against Cutibacterium acnes (formerly P. acnes), the bacteria involved in acne pathogenesis, without promoting antibiotic resistance.
- Keratolytic Effect: It helps to normalize the disordered keratinization process within hair follicles, preventing the formation of microcomedones, which are the precursors to all acne lesions.
- Tyrosinase Inhibition: It competitively inhibits tyrosinase, the key enzyme in melanin production, making it highly effective for treating hyperpigmentation disorders like melasma and post-acne dark spots.
Primary Medical Uses and Indications
Does Skinoren remove acne?
Yes, Skinoren Cream is a first-line treatment for mild to moderate inflammatory acne vulgaris. It is particularly effective against the red, swollen papules and pustules.
- Targets Multiple Acne Pathogens: Unlike antibiotics, it combats bacteria, reduces inflammation, and unclogs pores simultaneously.
- Suitable for Long-Term Use: Its lack of antibiotic resistance makes it safe for prolonged maintenance therapy.
- Effect on Comedones: It also has a beneficial effect on non-inflammatory comedones (blackheads and whiteheads).
Skinoren cream for pigmentation and dark spots
This is one of its most celebrated uses. Skinoren is highly effective for treating hyperpigmentation disorders.
- Melasma: Often prescribed as a first-line topical for the patchy brown to gray-brown facial discoloration of melasma, especially in combination with other therapies.
- Post-Inflammatory Hyperpigmentation (PIH): It is the gold standard for fading the dark marks left behind after acne lesions, insect bites, or skin injuries heal. It works by dispersing melanin clumps within the skin.
Treatment of Papulopustular Rosacea
Skinoren Cream is also approved for the treatment of rosacea, specifically the subtype characterized by persistent facial redness with bumps and pimples (papulopustular rosacea).
- Reduces Erythema and Lesions: Its anti-inflammatory prowess helps reduce the characteristic redness and clear the inflammatory papules.
Comprehensive Summary of Skinoren Cream Benefits
✔️ Effectively reduces both inflammatory and non-inflammatory acne lesions.
✔️ Fades stubborn dark spots, melasma, and acne marks by inhibiting melanin production.
✔️ Calms skin redness and inflammation associated with acne and rosacea.
✔️ Offers an excellent tolerability profile compared to some retinoids, making it suitable for sensitive skin types.
✔️ Presents no risk of bacterial resistance, allowing for safe, long-term use.
✔️ Can be comfortably used in conjunction with many other acne treatments.
Skinoren Cream Side Effects: A Detailed and Manageable Profile

While generally well-tolerated, like all active medications, Skinoren can cause side effects. Understanding these is key to managing expectations and ensuring comfortable adherence to the treatment regimen.
What are the most common side effects of Skinoren cream?
Most side effects are local, mild to moderate, and often transient, typically occurring during the initial 2-4 weeks of treatment as the skin acclimates.
- Skin Irritation: This includes temporary itching, stinging, burning, or a tingling sensation immediately after application. This usually subsides within 15-30 minutes.
- Dryness and Peeling: Mild dryness, scaling, or flaking of the skin, especially if a moisturizer is not used.
- Erythema: Temporary redness or warmth at the site of application.
These effects are often signs that the medication is working. They can be minimized by using the cream on completely dry skin and starting with application every other day before moving to daily use.
Less common but more serious adverse reactions
- Severe Irritation or Contact Dermatitis: If irritation persists, worsens, or leads to severe redness, swelling, blistering, or oozing, discontinue use and consult your dermatologist.
- Hypopigmentation: Although rare, azelaic acid can lighten the color of normal skin, especially in individuals with darker skin tones. This is usually reversible upon discontinuation.
- Allergic Reactions: True allergic contact dermatitis to azelaic acid is uncommon but possible. Signs include intense itching, hives, or rash beyond the application area.
Does azelaic acid have side effects? A Balanced View
Yes, azelaic acid does have a side effect profile, predominantly centered on initial skin irritation. However, its side effects are often less severe and less frequent than those associated with topical retinoids (like intense peeling and purging) or benzoyl peroxide (which can cause significant dryness and bleaching of fabrics). For many, its favorable balance of efficacy and tolerability makes it a preferred choice.
When should you absolutely avoid using azelaic acid?
Certain conditions warrant avoidance or extreme caution.
- Known Hypersensitivity: Do not use if you have a documented allergy to azelaic acid or any component of the cream’s formulation.
- Compromised Skin Barrier: Avoid application on open wounds, severely weeping eczema, or broken skin.
- Specific Medical Advice: Always follow the contraindications provided by your prescribing doctor.
What is the age limit for using azelaic acid like Skinoren?
There is no strict universal age limit, and it is frequently prescribed to teenagers for acne. However, its safety and efficacy in children under the age of 12 have not been fully established. Therefore, a qualified dermatologist or pediatrician should always evaluate and prescribe for younger children.
How to Use Skinoren Cream Correctly for Best Results
Proper application is critical to maximizing benefits while minimizing irritation. Incorrect use is a common reason for treatment failure or unnecessary discomfort.
Step-by-Step Guide: How to use Skinoren cream on face?
- Cleanse: Wash your face gently with a mild, non-abrasive, and non-drying cleanser. Pat your skin completely dry with a clean towel. Crucially, wait 10-15 minutes to ensure the skin is fully dry.
- Dispense: Take a pea-sized amount (approximately 0.5 cm ribbon) of cream for the entire face. Using more does not increase efficacy but significantly raises the risk of irritation.
- Apply: Dot the cream onto the forehead, cheeks, nose, and chin. Using your fingertips, gently massage it into the skin in a thin layer, covering the entire affected area (e.g., the full face or the acne-prone T-zone), not just individual spots.
- Absorb: Allow it to absorb fully for a few minutes.
- Moisturize: Apply a non-comedogenic, fragrance-free moisturizer to hydrate and support the skin barrier.
- Sunscreen (Morning Routine): If applying in the morning, follow with a broad-spectrum sunscreen of SPF 30 or higher. Azelaic acid can make skin more photosensitive, and sun exposure worsens both acne and pigmentation.
Crucial Usage Guidelines and Timing
Can I use Skinoren at night?
Yes, using Skinoren at night is often ideal and recommended. Nighttime application allows the active ingredient to work without interference from sunlight, makeup, or environmental pollutants. It also gives the skin a full period of undisturbed repair. Many dermatologists prescribe once-daily application at night to start, which can be as effective as twice-daily for many patients and reduces the risk of irritation.
How long does Skinoren take to work? Setting Realistic Expectations
Patience is essential with topical treatments. Skinoren is not an overnight miracle.
- First 2-4 Weeks: You may experience the “purge” phase, where existing microcomedones surface, potentially leading to a temporary increase in visible pimples. Initial irritation may also be present.
- Weeks 4-8: Consistent use should show a noticeable reduction in active, inflammatory acne lesions (papules and pustules).
- Months 2-6: Significant improvement in skin texture, reduction in comedones, and visible lightening of hyperpigmentation and dark spots become apparent.
Full results for pigmentation often require 3 to 6 months of unwavering, consistent use.
Skinoren Cream: Reviews, Before and After, and Real-World Insights
Understanding the patient journey helps set practical expectations and provides social proof of the treatment’s potential.
Skinoren Cream Reviews in Pakistan: Common Themes
Aggregating user experiences reveals consistent patterns:
- Positive Feedback: Users frequently praise its effectiveness against “stubborn cystic acne,” its ability to “fade old acne marks”, and its “gentleness compared to other acids.” Many note significant improvement in overall skin texture and brightness.
- Negative Feedback: Common complaints revolve around the “initial burning sensation,” the “purge period” causing temporary worsening, and the “slow progress” on pigmentation, leading some to abandon treatment prematurely. Cost over time is also a recurring concern.
Skinoren Cream Before and After: The Typical Journey
- Week 1-2 (Adaptation Phase): Skin may feel tighter, with possible mild stinging and redness. Some new breakouts may appear as purging begins.
- Week 3-8 (Improvement Phase): Active acne begins to clear. Redness and inflammation subside. The early stages of pigment lightening may be observed.
- Month 2-6 (Transformation Phase): Marked reduction in new acne formation. Post-acne marks (PIH) fade considerably, leading to a more even skin tone. Skin appears smoother and clearer.
- Ongoing (Maintenance Phase): Many continue to use it 3-4 times a week to maintain results and prevent recurrence.
Addressing Your Top Skinoren and Acne Queries (FAQ)
This section directly answers the most salient semantic queries from users, optimized for voice search and LLM understanding.
Can you 100% remove acne scars with Skinoren?
It is vital to distinguish between acne marks (PIH) and true acne scars. Skinoren is highly effective at fading the brown/red post-inflammatory hyperpigmentation (marks) left by healed acne, often making them disappear completely. However, it cannot remove atrophic or hypertrophic scars (icepick, boxcar, or rolling scars), which involve physical changes in skin texture due to collagen damage. These require procedural interventions like lasers, microneedling, or fillers.
Which is the best cream to clear acne?
There is no single “best” cream for everyone. The optimal choice depends on your acne type, skin sensitivity, and goals. Skinoren is a top contender due to its multi-targeted action and good tolerability. Other leading options include:
- Benzoyl Peroxide: Excellent for inflammatory acne, but can be drying and bleach fabrics.
- Topical Retinoids (Adapalene, Tretinoin): Gold standard for comedonal acne and anti-aging, but cause significant initial irritation and purging.
- Clindamycin: An antibiotic, best used in combination (e.g., with BPO) to prevent resistance.
A dermatologist can pinpoint the best fit for you, sometimes prescribing combinations like Skinoren in the AM and a retinoid in the PM.
Is azelaic acid good or bad for your skin?
For the vast majority of users with acne, rosacea, or pigmentation issues, azelaic acid is unequivocally good. Its benefits—clearing breakouts, fading marks, reducing redness—far outweigh the manageable, temporary side effects for most. It is considered a safe, well-studied, and highly effective topical agent. It would only be considered “bad” for the small subset of individuals with a specific allergy or intolerance to it.
How to stop painful cystic acne?
Cystic acne is severe, deep, and inflammatory. While Skinoren can help with surface inflammation, deep cystic nodules often require a more systemic approach.
- Professional Mandate: Consult a dermatologist immediately.
- Oral Medications: Dermatologists commonly prescribe oral antibiotics (like Doxycycline), hormonal therapy (like oral contraceptives), or Isotretinoin (Accutane) for severe cystic acne.
- Procedural Interventions: In-office corticosteroid injections can rapidly shrink a painful cystic lesion.
- Supportive Topicals: Skinoren may be used as an adjunctive therapy alongside oral treatments.
Which foods naturally contain azelaic acid?
Azelaic acid is found in whole grains like barley, wheat, and rye. However, consuming these foods has no proven therapeutic effect on skin conditions like acne or melasma. The concentration is negligible, and it is not absorbed through the diet in a way that targets the skin. The pharmacological effect is only achieved through direct topical application of a concentrated formulation like Skinoren Cream.
Comparisons and Dermatological Alternatives in Pakistan
Positioning Skinoren within the wider therapeutic landscape provides context for informed decision-making.
Skinoren vs. Other Popular Acne Treatments: A Comparative Analysis
| Treatment | Best For | Key Advantage | Key Disadvantage | Suitable with Skinoren? |
|---|---|---|---|---|
| Skinoren (Azelaic Acid 20%) | Inflammatory Acne, PIH, Melasma, Rosacea | Multi-targeted, fades marks, well-tolerated | Slow on comedones, can cause initial itch | – |
| Benzoyl Peroxide (BPO 2.5-10%) | Inflammatory Acne | Fast-acting, no bacterial resistance | Can be very drying, bleaches fabrics | Yes, but use at different times (e.g., BPO AM, Skinoren PM). |
| Topical Retinoids (Adapalene) | Comedonal Acne, Anti-aging | Unclogs pores, prevents new acne | Causes purging & irritation, photosensitivity | Yes, a powerful combo. Use retinoid at night only, Skinoren in AM. Start slowly. |
| Topical Antibiotics (Clindamycin) | Inflammatory Acne | Reduces bacteria quickly | Antibiotic resistance if used alone | Yes, often combined. |
Which cream is good for teenage acne in Pakistan?
Skinoren is an excellent option for teenage acne for several reasons. It tackles both active pimples and the dark spots they leave behind—a major concern for teens. Its relatively gentle nature (compared to strong retinoids) is suitable for younger, sometimes more sensitive skin. However, a dermatologist’s assessment is crucial to rule out hormonal causes and recommend the most effective regimen, which may include Skinoren or other first-line treatments like adapalene.
Conclusion: Making an Informed Decision About Skinoren Cream
Skinoren Cream, with its active component Azelaic Acid 20%, stands as a versatile, effective, and generally safe cornerstone in managing acne vulgaris, rosacea, and various forms of hyperpigmentation. Its strength lies in its multi-pronged approach—fighting bacteria, calming inflammation, unclogging pores, and fading dark spots—all without the risk of antibiotic resistance.
While this guide provides exhaustive information on its price in Pakistan, uses, side effects, and application, it underscores a critical final point: consult a qualified dermatologist. Self-medication can lead to mismanagement. A dermatologist can provide an accurate diagnosis, prescribe the correct concentration and regimen, monitor for side effects, and adjust treatment as needed, ensuring you achieve the clear, healthy skin you desire safely and effectively.
Frequently Asked Questions (FAQs) –
Can I use Skinoren cream on my neck and back for acne?
Yes, Skinoren Cream can be applied to any area affected by acne or hyperpigmentation, including the neck, chest, and back. Ensure the skin is clean and dry before application, and use a proportionate amount to cover the area thinly. Be aware that these areas might be more sensitive
Does Skinoren cream lighten the skin permanently?
No, Skinoren does not permanently lighten your natural skin tone. It works by inhibiting excess melanin production in areas of hyperpigmentation (like dark spots or melasma), helping your skin return to its natural, even tone. Stopping treatment without sun protection can lead to the return of pigmentation.
Can I apply makeup over Skinoren cream?
Yes, but you must allow the cream to be fully absorbed first. Wait at least 10-15 minutes after applying Skinoren before putting on makeup. This prevents pilling and ensures the medication isn’t wiped away. Opt for non-comedogenic, oil-free makeup products.
What should I do if I experience severe burning or itching?
Discontinue use immediately and rinse the area with cool water. Do not reapply until you have consulted your doctor. They may advise you to reduce the frequency of application (e.g., every other night), ensure your skin is completely dry before applying, or recommend a more robust moisturizing routine to repair your skin barrier.
Is Skinoren safe to use during pregnancy or breastfeeding?
Azelaic acid is generally categorized as a Category B drug for pregnancy, meaning animal studies have not shown risk, but adequate human studies are lacking. It is considered one of the safer topical options for acne during pregnancy and lactation, but it must only be used under the direct supervision and prescription of your obstetrician and dermatologist, who can weigh the benefits against any potential risks.
How should I store Skinoren cream?
Store Skinoren Cream at room temperature (below 25°C), away from direct sunlight, heat, and moisture. Do not freeze it. Keep the tube tightly closed when not in use. Always check the expiry date before use.
Can I use Skinoren with my Vitamin C or AHA/BHA serums?
Combining active ingredients requires caution. Using Skinoren with AHA/BHA (like glycolic or salicylic acid) can significantly increase irritation and compromise the skin barrier. It is not recommended to use them simultaneously. A Vitamin C serum used in the morning is generally more compatible, as Skinoren is often used at night. However, introduce any combination slowly and monitor for irritation. The safest approach is to get a combined regimen prescribed by your dermatologist.

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