Skin Medicinals SM4 Azelaic Acid/Metronidazole/Ivermectin 15%/1%/1%

Skin Medicinals SM4 Azelaic Acid/Metronidazole/Ivermectin 15%/1%/1%

Prescription with 3 ingredients that contains azelaic acid

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What's inside

Key Ingredients

Benefits

Ingredients Explained

Buffering, Masking

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 Acid

Metronidazole 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 Ivermectin

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Where it's from

Skin Medicinals is a American brand

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· Published December 3, 2025 Added by katiewelch