Quick Comparison
| Azelaic Acid | Panthenol (Pro-Vitamin B5) | |
|---|---|---|
| Typical Concentration | OTC: 10% (The Ordinary). Prescription: 15% gel (Finacea for rosacea), 20% cream (Azelex for acne). Apply twice daily. Well-tolerated but may sting/itch initially. Full effects at 8-12 weeks. | Concentrations: 1-5% in most products. Up to 5% in healing/repair formulations. Apply morning and night. Safe for all skin types, including very sensitive and compromised skin. No usage limits. |
| Application | Topical (gel, cream, serum). Slightly gritty texture in some formulations. Apply to clean skin. | Topical (cream, serum, lotion, ointment). Compatible with all other skincare ingredients. |
| Research Papers | 9 papers | 10 papers |
| Categories |
Mechanism of Action
Azelaic Acid
Azelaic acid exhibits multi-modal activity: (1) Tyrosinase inhibition—competitively inhibits tyrosinase selectively in hyperactive melanocytes (melasma, PIH) while sparing normal ones; may involve mitochondrial enzyme interference in dysregulated melanocytes. (2) Antimicrobial—bacteriostatic against Cutibacterium acnes by inhibiting bacterial protein synthesis. (3) Comedolytic—normalizes follicular keratinization, reducing hyperkeratinization and corneocyte cohesion; may modulate keratinocyte differentiation. (4) Anti-inflammatory—scavenges ROS, inhibits neutrophil free radicals, reduces pro-inflammatory cytokines. Inhibits 5-alpha-reductase in sebocytes, potentially reducing sebum. Multi-pathway activity explains efficacy in acne, rosacea, and hyperpigmentation. Safe during pregnancy.
Panthenol (Pro-Vitamin B5)
Panthenol (D-pantothenic acid alcohol) penetrates the stratum corneum and is converted to pantothenic acid (vitamin B5) by pantetheinase and alkaline phosphatase enzymes in the skin. Pantothenic acid is a precursor to coenzyme A (CoA), which is required for the synthesis of fatty acids (via acetyl-CoA carboxylase and fatty acid synthase) that form the ceramides, cholesterol, and free fatty acids of the stratum corneum lipid barrier. This supports barrier repair, improves lamellar structure, and reduces transepidermal water loss (TEWL). Panthenol has direct humectant properties—its hydroxyl groups attract and bind water in the stratum corneum. It stimulates fibroblast proliferation and migration, accelerating wound healing and re-epithelialization. Panthenol may also have mild anti-inflammatory effects. As a provitamin, it is stable in formulations and well-tolerated. The Bepanthen/Bepanthol healing creams leverage these mechanisms for wound care and barrier repair.
Risks & Safety
Azelaic Acid
Common
Stinging, burning, itching on initial application (usually subsides within 2 weeks). Mild dryness.
Serious
None. Safe during pregnancy and breastfeeding.
Rare
Allergic contact dermatitis, hypopigmentation (rare at cosmetic concentrations).
Panthenol (Pro-Vitamin B5)
Common
None — extremely well-tolerated.
Serious
None. One of the safest skincare ingredients available.
Rare
Contact allergy is extremely rare.
Full Profiles
Azelaic Acid →
A dicarboxylic acid naturally produced by yeast on the skin. Azelaic acid is a true multi-tasker that treats acne, rosacea, and hyperpigmentation simultaneously. It is one of the few active ingredients considered safe during pregnancy, and it uniquely targets only abnormal melanocytes — meaning it brightens dark spots without lightening normal skin. Effective for both inflammatory acne and post-inflammatory hyperpigmentation (PIH).
Panthenol (Pro-Vitamin B5) →
The provitamin form of vitamin B5 (pantothenic acid) that provides deep hydration, barrier repair, and wound healing support. When applied to skin, panthenol is converted to pantothenic acid, which is a component of coenzyme A — essential for fatty acid synthesis and skin barrier function. It is one of the most common ingredients in moisturizers and healing creams, and is the active ingredient in products like Bepanthen/Bepanthol.