Aziderm® Azelaic Acid Cream 10% & 20% is a topical ointment for the treatment of acne, hyperpigmentation or dark spots, with azelaic acid as its active compound. Aziderm Cream – Azelaic Cream 10% & 20% is used to treat acne. It helps treat acne symptoms and lessen scarring caused by acne. The medication's main ingredient is a potent exfoliant that quickens the skin cycle.