In the case of patients who have moderate to severe acne or if they try to treat rosacea that has been stubborn rosacea, dermatologists usually give them a strong therapy such as Ezanic cream gel 20%. The top dosage offers maximum azelaic acid benefits, specifically targeting inflammation, the killing of bacteria, and the elimination of abnormal cell growth that leads to breakouts. In contrast to some retinoids or benzoyl peroxide treatments, azelaic acid cream is usually very well-tolerated, even for long periods of use. It is very important for patient care to always have this specialized medicine in stock, especially in high-demand areas like Nigeria. Such dependence makes it necessary to have a highly reliable International Wholesale pharmaceutical distributor. For Nigerian clinics and pharmacies, the validity of every tube of azelaic acid cream is the key to the success of the clinic in Nigeria.