Co-cyprindiol and Azelaic Acid gel

Co-cyprindiol (widely known as Dianette or Clairette) is a combined oral contraceptive pill and should therefore be taken on the first day of your period. It is to be taken at the same time for 21 days consecutively and followed by a seven-day break. Taken in this manner it will also act as contraception 

Azelaic Acid (generic Finacea) acne gel should be applied twice daily, ideally in the morning and then again in the evening. It should be applied after washing the skin with a mild cleanser.

Azelaic Acid gel reduces the amount of sebum (oil) produced by the skin, which in turn leads to fewer acne causing bacteria, as the sebum is their food source, and fewer blocked pores. Co-cyprindiol is a contraceptive pill which helps to block hormones that cause acne. 

The combination of these two medications works to both tackle acne that has formed and prevent further formation.

Azelaic Acid gel is most effective when treating acne that is characterised by papules (small red bumps) and pustules (white-tipped spots), and for those with sensitive skin. Co-cyprindiol is effective for women who experience hormonal acne, as it blocks the hormones that are most associated with causing acne flare ups.

It is important to use both treatments optimally if you are to see the effect of the acne treatments.

Co-cyprindiol, like a lot of medication, may cause side effects in some people taking it. Women may experience changes in mood, an increase in body weight, headaches and nausea. Some people applying Azelaic Acid gel may experience redness, dry skin and irritation.
For full information on side effects and correct use, see the Co-cyprindiol and Azelaic Acid gel patient information leaflets.