Is azelaic acid safe during pregnancy?
Reviewed by VeriMom Editorial Team · Last reviewed
Pregnancy-Safe Ingredients Database — 28,000+ Ingredients Rated
azelaic acid
NO KNOWN RISKS93
/100
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Pregnancy-safe products containing azelaic acid

HEJ organic
Hej organic Naked Instant Pore Refining Face Cream
99/100

The Purest Solutions
The Purest Solutions Exfoliating Fruit Enzyme Powder Peeling
99/100

Derma Decode
Derma Decode 1% Kojic Acid 10% Azelaic Acid Brightening Serum
99/100

HEJ organic
Hej organic Naked Enzyme Peeling Powder
99/100

Versine
Versine Multi-tasking Serum For Acne-prone Skin
98/100

Karam MD
Karam MD Polish Exfoliating Powder
98/100

By Humankind
By Humankind Deodorant - Unscented
98/100

Alive:Lab
Alive:Lab Centella Dressing Powder
98/100

Bioderma
Bioderma Pigmentbio Foaming Cream
98/100

Elina Organics
Elina Organics Mermaid Elixir
98/100
Related ingredients
Pregnancy Skincare Safety Blog — Expert Guides & Tips
See also
Sources & references
Authoritative references used to score this ingredient.
Frequently asked questions
- Is azelaic acid safe during pregnancy?
- No harmonised reproductive classification for azelaic acid (ECHA Annex VI) and no credible human teratogenicity reports in the peer‑reviewed literature; CIR/Safety assessments report topical use as safe and there is no mechanistic evidence of reproductive toxicity. Topical azelaic acid is absorbed at low but measurable levels systemically after dermal application (PubMed, PubChem), so exposure is low but non‑zero.
- Is azelaic acid safe while breastfeeding?
- No evidence of reproductive or lactation-specific hazard; no harmonised CLP reproductive flags. Systemic exposure from topical use is low but measurable, so small amounts could theoretically reach breast milk, but no data indicate harm (CIR, PubMed, ECHA registration data).
- Is azelaic acid safe for baby skin?
- No infant‑specific reproductive/toxicological signals identified (h=0, m=0). Because infant skin has higher absorption (immature barrier and higher surface‑area‑to‑weight), exposure scoring is increased by one level versus adults (adult e=1 → infant e=2). No data justify increasing hazard or mechanism scores for 0–3 yr.
- How does VeriMom score azelaic acid?
- VeriMom scores azelaic acid at 93/100 (no known risks) based on EU CosIng status, ECHA hazard classifications, and peer-reviewed PubMed studies. Our scoring pipeline is fully transparent.
- What are pregnancy-safe alternatives to azelaic acid?
- See our curated list of pregnancy-safe alternatives to azelaic acid based on similar function and a no-known-risks safety band.
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Medical Disclaimer
This information is for educational purposes only and does not constitute medical advice. Safety scores are based on publicly available data and may not reflect all risks. Always consult your healthcare provider before using any product during pregnancy or breastfeeding.