There are no adequately controlled studies on the effects of topical Azelaic Acid in pregnant females. Animal studies have shown the potential for developmental effects on the embryo but the concentration in these studies was much greater than the maximum daily dose in humans. Azelaic Acid should be prescribed with extreme caution to pregnant females.
Infants should not come into contact with skin that has been treated with Azelaic Acid. Again, is it not known if Azelaic Acid passes into breast milk, but due to its relatively low absorption rate through the skin, the levels which could potentially reach the breastmilk would be too low to cause any harm. Caution should be taken if prescribing Finacea gel to a breastfeeding mother.
Full product summary for Finacea gel