Skin Medicinals SM4 Azelaic Acid/Metronidazole/Ivermectin 15%/1%/1%
A prescription with 3 ingredients, including azelaic acid.
Prescription with 3 ingredients that contains azelaic acid
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What's inside
Ingredients List
Key Ingredients
Benefits
Ingredients Explained
Azelaic acid is a multitasker ingredient that helps treat acne, pigmentation, and irritation. It is a great option for sensitive skin.
What makes it special?
OTC Azelaic acid is usually available in concentrations from 10-15% and anything over requires a prescription.
Here's what each tier does best:
Unlike other acids, azelaic acid will not make your skin more photosensitive/sun sensitive.
Though this ingredient is naturally occurring in grains like wheat, rye, and barley, it is usually synthetically created for cosmetics to ensure stability and effectiveness.
Learn more about Azelaic AcidMetronidazole is a prescription medication. It is used to treat rosacea.
We recommend speaking with a professional about this ingredient.
Ivermectin is a prescription medication.
It is used to treat parasitic-worm infections, head lice, and skin conditions like rosacea.
Ivermectin is created from bacterium called Streptomyces avermitilis. We recommend speaking with a professional about using this ingredient.
Learn more about IvermectinReviews
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Where it's from
Skin Medicinals is a American brand
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Read more about us· Published December 3, 2025 • Added by katiewelch