Azelaic Acid vs Licorice Root Extract

Azelaic Acid: Treats acne and rosacea bumps; may also help uneven pigmentation. Licorice Root Extract: Some licorice-derived compounds are studied for uneven pigmentation.

Research updated 2026-10-25
Five azelaic acid tubes and bottles on white, most marked 10 percent, from Peach Slices, Paula's Choice, Facetheory, The Ordinary and NaturiumFive licorice root products on white, including two Acwell bottles, Éminence, Horbäach liquid extract and Versed

Which one is right for you?

Choose Azelaic Acid if…

Choose for acne or rosacea bumps, especially when uneven tone is also a concern.

  • Acne or rosacea bumps
  • Dark marks after spots
  • Pregnancy, where many alternatives are off the table

Choose Licorice Root Extract if…

Consider as an optional pigment ingredient; independent clinical evidence is limited.

  • Mild uneven tone
  • Sensitive skin that dislikes stronger pigment actives
  • Modest expectations
Fine together

Can you use both?

A gentle pairing for dark marks and redness.

At a glance

● Azelaic Acid
● Licorice Root Extract
Type
Anti-inflammatory and pigment-targeting acid
Botanical pigment-targeting mixture
What it does
Treats acne and rosacea bumps; may also help uneven pigmentation.
Some licorice-derived compounds are studied for uneven pigmentation.
Best for
Rosacea; Acne; Post-Inflammatory Hyperpigmentation
Melasma; Uneven Skin Tone
Studied concentrations
15% gel for rosacea in vehicle-controlled trials; 20% creams are also used clinically.
Extracts are not standardized; the cited small study used a liquiritin cream.
When to use
Morning or night, as directed by the finished product.
On the schedule specified for the product or prescribed treatment.
Time to results
Often 8–12 weeks in small cosmetic studies; results may be subtle
Usually assessed over 8–16 weeks
Irritation
Stinging, itching and dryness can occur; reduce use for persistent irritation.
Botanical extracts can cause allergy or stinging; check the complete formula.
Sensitive skin
Choose a simple formula and test a small area first. Individual tolerance matters more than an ingredient’s reputation for being gentle.
Choose a simple formula and test a small area first. Avoid actively inflamed or broken skin unless the product is specifically directed for it.
Available
Prescription or cosmetic status depends on the active, formula and country; check the label.
Prescription or cosmetic status depends on the active, formula and country; check the label.

What it helps

Compare uses by strength of evidence. Evidence level describes confidence in a benefit, not its size.

Evidence level
Azelaic Acid
Licorice Root Extract
Strong evidenceMost established uses
Redness and fine superficial vessels across a light-skinned cheek and nose.

Rosacea

Two large trials support 15% gel for inflammatory bumps, with some erythema improvement.
—
Moderate evidenceSome supportive research
Inflamed acne on light skin. The spots sit in a patch of pink, and the ring of redness around each one is easy to see. A few have a yellow-white head, and the skin between them is dry and flaking.

Acne

A guideline-supported topical option; evidence depends on the strength and formula.
—
Limited evidenceEarly or small studies
Flat light-brown residual marks on a fair cheek.

Post-Inflammatory Hyperpigmentation

May help acne-related pigment; the reviewed rosacea trials did not measure this benefit.
Flat tan patches with soft irregular edges across the forehead and upper cheek of an adult with light skin, the surface completely smooth.

Melasma

A small study investigated a specific liquiritin cream.
Uneven Skin Tone.

Uneven Skin Tone

Possible pigment benefit is based on small compound-specific studies.
Insufficient evidence
Flat tan patches with soft irregular edges across the forehead and upper cheek of an adult with light skin, the surface completely smooth.

Melasma

The cited rosacea trials and acne guideline do not establish melasma clearance.
A relaxed forehead with pronounced deep horizontal furrows.

Deep Wrinkles

The reviewed sources do not establish this ingredient as a treatment for this concern.
Acne scarring on light skin. Small sharply cut pits and broad shallow dips across a cheek, several sitting inside faint flat pink marks, with no active spots.

Acne Scarring

The reviewed sources do not establish this ingredient as a treatment for this concern.
Redness and fine superficial vessels across a light-skinned cheek and nose.

Rosacea

The cited pigment study did not test rosacea.
Inflamed acne on light skin. The spots sit in a patch of pink, and the ring of redness around each one is easy to see. A few have a yellow-white head, and the skin between them is dry and flaking.

Acne

The reviewed sources do not establish this ingredient as a treatment for this concern.
The front of a forearm on fair skin. Two pale patches with sharp edges sit against lightly tanned skin, and the difference between the patch and the skin around it is subtle.

Vitiligo

The reviewed sources do not establish this ingredient as a treatment for this concern.
How it works

Azelaic Acid

Azelaic Acid mechanism diagram. Helps calm inflammation: Acts on pathways involved in acne and rosacea. Affects pigment production: Tyrosinase-related activity may help dark marks.
Open full-size diagram
Diagram explanation and sources

Helps calm inflammation: Acts on pathways involved in acne and rosacea. Affects pigment production: Tyrosinase-related activity may help dark marks.

Schematic illustration; not a measurement of skin penetration. Effects vary with ingredient identity and formulation.

Source 1 · Source 2

Licorice Root Extract

Licorice Root Extract mechanism diagram. Contains several active compounds: Glabridin and liquiritin have different actions. May help uneven pigmentation: Extracts and clinical evidence vary.
Open full-size diagram
Diagram explanation and sources

Contains several active compounds: Glabridin and liquiritin have different actions. May help uneven pigmentation: Extracts and clinical evidence vary.

Schematic illustration; not a measurement of skin penetration. Effects vary with ingredient identity and formulation.

Source 1

Using both in one routine

Built from where each one usually sits in a routine. Introduce one at a time.

Morning
Step 1
Cleanser
Step 2
Azelaic AcidMorning or night
Step 3
Licorice Root ExtractMorning or night
Step 4
Moisturizer
Step 5
Sunscreen
Night
Step 1
Cleanser
Step 2
Azelaic AcidMorning or night
Step 3
Licorice Root ExtractMorning or night
Step 4
Moisturizer

Strengths and forms

Concentrations

Azelaic acid strength should be read together with the product’s indication. Prescription examples include 15% gel for inflammatory rosacea and 20% cream for acne.

15%

20%

Prescription rosacea formulation

Gel formulations are labeled for inflammatory papules and pustules of rosacea. They are not simply a weaker version of a 20% acne cream.

Prescription acne cream

A cream strength used for acne. The cream base and indication differ from the 15% rosacea gel.

Choosing a strength: Choose by the concern and finished product. Cosmetic azelaic acid products are not automatically equivalent to prescription formulations.

Higher strengths: Stinging and irritation can limit use. A larger number does not prove better delivery or better results for a different diagnosis.

Formula matters: Gel, foam and cream vehicles affect delivery and tolerability. Do not compare their percentages as if they were identical formulations.

Licorice root extract contains multiple compounds, including liquiritin and glabridin. Whole-extract percentages do not reveal the dose of these individual compounds.

Choosing a strength: Look for the named extract or purified compound and evidence for the finished product.

Higher strengths: There is no established universal percentage range or proof that higher whole-extract concentrations improve pigmentation.

Formula matters: A small study of liquiritin cannot establish a recommended strength for every licorice extract, species, or formulation.

Forms
Cream · Gel · Foam
Serum · Cream

When you’ll see results

Approximate windows, not promises.

● Azelaic Acid
● Licorice Root Extract
First few weeks

First few weeksAssess tolerance and texture; immediate softness can come from the base formula.

First few weeksAssess tolerance first; pigment change is usually slower.

4–8 weeks

4–8 weeksSubtle changes may appear in some tested products; evidence varies.

4–8 weeksSome studied regimens begin showing pigment improvement.

8–12 weeks

8–12 weeksCompare photographs in the same lighting and reassess benefit.

8–12 weeksA useful review point for benefit and irritation.

3–6 months

3–6 monthsPhotoaging trials often need several months; expect modest rather than dramatic change.

3–6 monthsMany melasma trials assess results over three to four months; recurrence is common.

6–12 months

6–12 monthsLong-term evidence is limited for many cosmetic actives; continue only if useful.

6–12 monthsLong-term use depends on the active; follow a monitored plan rather than extending treatment automatically.

Safety and sensitive skin

Common reactions

Stinging, itching and dryness can occur; reduce use for persistent irritation.

Botanical extracts can cause allergy or stinging; check the complete formula.

When to stop

Stop for persistent burning, swelling, blistering or a new rash. Seek urgent care for breathing difficulty or a severe allergic reaction.

Stop for persistent burning, swelling, blistering or a new rash. Seek urgent care for breathing difficulty or a severe allergic reaction.

Sensitive or inflamed skin

Choose a simple formula and test a small area first. Individual tolerance matters more than an ingredient’s reputation for being gentle.

Choose a simple formula and test a small area first. Avoid actively inflamed or broken skin unless the product is specifically directed for it.

Important limits

Do not use a cosmetic product as a substitute for diagnosis of an unexplained, changing or persistent skin problem.

Do not use a cosmetic product as a substitute for diagnosis of an unexplained, changing or persistent skin problem.

Pregnancy

It is the usual first choice. Very little is absorbed through the skin, it has a long record, and it is what dermatologists switch people to when retinoids stop. Confirm with the doctor managing your pregnancy.

Data are limited; ask the clinician managing your pregnancy.

How it works

In the skin

On the skin. The finished product delivers azelaic acid in a particular vehicle.

Entering skin. Below the 500 Da guideline; delivery still depends on the formula, solubility, stability and skin condition. Size does not prove effectiveness or penetration depth.

Conversion. No activation step is established as necessary for its intended topical role.

Skin response. Acts on inflammation, acne-related bacteria and pigment pathways; it is not simply an exfoliating peel.

Additional effects. Proposed pathways do not establish a measured depth of delivery or clinical benefit beyond the studies cited.

On the skin. The finished product delivers licorice root extract in a particular vehicle.

Entering skin. No single molecular mass. The 500 Da guideline cannot be applied to this whole ingredient family or mixture.

Conversion. No activation step is established as necessary for its intended topical role.

Skin response. Compounds such as liquiritin and glabridin have different pigment-related actions; they are not interchangeable extracts.

Additional effects. Proposed pathways do not establish a measured depth of delivery or clinical benefit beyond the studies cited.

Getting in
Below the 500 Da guideline; delivery still depends on the formula, solubility, stability and skin condition. Size does not prove effectiveness or penetration depth.
No single molecular mass. The 500 Da guideline cannot be applied to this whole ingredient family or mixture.

Product examples

Azelaic Acid
  • Anua Azelaic Acid 3 Cica Skin Clarifying Toner
Licorice Root Extract
  • Anua Azelaic Acid 3 Cica Skin Clarifying Toner

Common questions

Azelaic Acid:What should I choose azelaic acid for?

Choose for acne or rosacea bumps, especially when uneven tone is also a concern.

Azelaic Acid:How strong is the evidence?

Two large vehicle-controlled trials support 15% gel for papulopustular rosacea. Acne has guideline support, but a 10% cosmetic serum should not be assumed equivalent to a studied prescription formula.

Licorice Root Extract:What should I choose licorice root extract for?

Consider as an optional pigment ingredient; independent clinical evidence is limited.

Licorice Root Extract:How strong is the evidence?

A 20-woman split-face study tested a specific liquiritin cream for four weeks with sun protection. It does not establish that all licorice extracts treat melasma or rosacea.

Sources

Sources and further reading

  1. Efficacy and safety of azelaic acid (15%) gel as a new treatment for papulopustular rosacea: results from two vehicle-controlled, randomized phase III studies. (2003)
  2. AAD acne guideline (2024)
  3. Topical liquiritin improves melasma. (2000)
  4. FINACEA 15% prescribing information
  5. AZELEX 20% acne cream label
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