Exazel 20% Cream contains Azelaic Acid 20% w/w, a topical medication primarily used for the treatment of mild to moderate acne vulgaris and rosacea. Azelaic acid is a naturally occurring dicarboxylic acid that exhibits antibacterial, anti-inflammatory, and keratolytic properties, making it effective in reducing the growth of acne-causing bacteria, decreasing inflammation, and promoting the normalization of skin cell turnover. Exazel 20% Cream helps to unclog pores, reduce comedones, and diminish the appearance of papules and pustules associated with acne. Additionally, it is beneficial in managing the redness and swelling associated with rosacea. The cream formulation allows for easy application and absorption into the skin, providing targeted treatment with minimal irritation. It is typically applied twice daily to clean, dry skin, avoiding contact with the eyes, mouth, and mucous membranes. Patients may experience mild side effects such as skin dryness, itching, or burning sensations, which usually subside with continued use. Exazel 20% Cream is suitable for adults and adolescents over 12 years of age and should be used under the guidance of a healthcare professional to ensure optimal results and minimize potential adverse effects.