Bottom line: apply a peasized amount of 1% ivermectin cream once a day to the red, bumpy spots on your face. Most people notice a calmer complexion within 24weeks, and the medication stays on the skin without the antibioticresistance worries that come with older treatments.
Why it matters: Soolantra tackles both the inflammation and the tiny Demodex mites that love to hide in clogged pores. It's a gentle, FDAapproved option that lets you focus on feeling confident again, instead of constantly covering up flareups.
What is Soolantra?
How it works
Soolantra contains 1% ivermectin a compound that does two things at once. First, it calms the inflammatory pathways (think NFB inhibition) that make those red papules angry. Second, it knocks out the Demodex mites that often overpopulate on rosaceaprone skin. Studies like the one by Ci et al., 2009 show a clear drop in inflammatory markers after just a few weeks of use.
FDA approval & history
In December2014 the FDA gave Soolantra the green light for treating inflammatory papulopustular rosacea. The approval was based on several randomized, doubleblind trials that demonstrated both safety and efficacy see the FDA release for details.
Who can benefit?
If you're an adult (18years or older) with moderatetosevere papulopustular rosacea, Soolantra is a solid choice. In clinical trials, about 79% of participants had moderate disease, while the remaining 21% fell into the severe category, and most responded positively.
Dosage & Form
Strength and packaging
Soolantra comes only as a 1% ivermectin cream that's 10mg of ivermectin per gram of cream. It's sold in tubes of 30g, 45g, and 60g, so you can pick a size that matches your treatment plan.
How much to use
Think "peasize": a dab just big enough to cover the affected area on each cheek, forehead, nose, and chin. Spread it into a thin, even layer no need to overload.
Frequency
Once daily is all you need. Applying at the same time every morning (or night, if you prefer) helps you remember and keeps the skin consistently treated.
Duration of therapy
Give it at least 12weeks before deciding if it's working for you. Many people stay on it longer because the benefits continue as long as the cream is used.
Quick comparison
| Treatment | Strength / Form | Typical Cost (USD) | Application Frequency | Clearance Rate |
|---|---|---|---|---|
| Soolantra | 1% ivermectin cream | $320 (45g) | Once daily | 3840% |
| Metronidazole gel | 0.75% gel | $70 (30g) | Twice daily | 2230% |
| Azelaic acid | 20% cream | $180 (30g) | Twice daily | 2535% |
How to Apply
Prep the skin
Start with a gentle, fragrancefree cleanser. Pat (don't rub) your face dry a soft towel works best.
Application technique
Dispense a peasize amount onto your fingertip. Dab it onto each affected spot, then smooth it out in a thin, even layer. Wash your hands afterward; you don't want the cream lingering on other surfaces.
What to avoid
- Contact with eyes, lips, or inside the nostrils.
- Applying over open wounds or broken skin.
- Using more than the recommended amount "more" doesn't mean "better".
Missed dose & overdose
If you skip a day, simply apply the next morning as usual. Don't doubledose to make up for the missed one.
Tips & tricks
- Set a phone reminder "Soolantra time!"
- Store the tube in a cool, dry place (the bathroom cabinet works if it's not too steamy).
- Pair the cream with a broadspectrum sunscreen. Sunlight can trigger rosacea flareups, so protection is key.
Benefits Overview
Efficacy data
In a pivotal trial, 3840% of patients achieved "clear" or "almost clear" skin after 12weeks, compared with just 1219% on the vehicle cream (p<0.001). That's a real, visible shift.
Rapid onset
Some users start seeing less redness as early as week2. While the full effect may take three months, the early improvement is enough to boost confidence right away.
Antibioticfree
Because ivermectin isn't an antibiotic, you avoid the dreaded resistance issues that can arise with longterm metronidazole or doxycycline use. A review by Chon et al., 2012 highlights this advantage.
Qualityoflife impact
More than 60% of trial participants rated their improvement as "good" or "excellent" on patientreported outcome measures meaning they felt better not just on the surface, but in daily life.
Risks & Safety
Common side effects
Most people experience nothing more than mild skin irritation a brief sting or a faint burning sensation that fades within a day.
Serious reactions
Allergic responses (rash, swelling, difficulty breathing) are rare but possible. If any of those appear, stop the cream and contact your doctor immediately.
Study safety profile
Across more than 2,000 participants, systemic adverse events were virtually nonexistent, and only 1.3% discontinued because of skin irritation virtually the same as the placebo group.
Precautions
- Pregnancy: Use only if your doctor says the benefits outweigh any potential risk.
- Lactation: Limited data; discuss with your provider.
- Pediatrics: Not approved for children under 18.
- Older adults: No safety differences noted up to age 80.
Managing irritation
- Apply after a lightweight moisturizer to create a barrier.
- If redness persists, try using the cream every other day for a week, then return to daily use under doctor supervision.
- Never scratch or pick at lesions that only worsens inflammation.
When Not Suitable
Contraindications & warnings
Do not use Soolantra orally, in the eyes, or on mucous membranes. It's strictly a topical treatment for facial skin.
Patients to discuss first
If you have active skin infections (like impetigo), uncontrolled eczema, or a known allergy to ivermectin, bring those up with your dermatologist before starting.
Alternative rosacea treatments
When Soolantra isn't the right fit, other options include:
- Metronidazole gel a classic antibiotic cream.
- Azelaic acid 20% helps with redness and papules.
- Doxycycline (oral) for more severe inflammatory rosacea.
- Laser or IPL therapy targets visible blood vessels.
Cost & Access
Retail price
A 45g tube of Soolantra typically runs around $320 in the U.S., though prices can vary by pharmacy and region.
Insurance coverage
Many insurers list Soolantra as a "specialty" medication, meaning a priorauthorization may be required. It's worth calling your pharmacy's benefits line to verify.
Patient assistance programs
Galderma, the manufacturer, offers a copay card that can reduce outofpocket costs for eligible patients. Check their official website for eligibility criteria.
Costeffectiveness snapshot
| Treatment | 15week total cost* | Clear/almost clear % |
|---|---|---|
| Soolantra | $320$350 | 3840% |
| Metronidazole gel | $60$70 | 2230% |
| Azelaic acid 20% | $150$180 | 2535% |
*Includes medication price plus typical officevisit fees (estimate based on a 2019 healtheconomics analysis).
Practical Checklist
Before you start
- Confirm the diagnosis with a dermatologist.
- Review any current meds, pregnancy plans, and allergies.
- Obtain a written prescription (Soolantra is prescriptiononly).
Firstday routine
- Cleanse with a mild, fragrancefree face wash.
- Pat skin dry.
- Dispense a peasize amount of Soolantra.
- Spread evenly over the affected areas.
- Wash hands thoroughly.
- Apply a broadspectrum sunscreen (SPF30+).
Weekly selfcheck
- Count papules/pustules note any decrease.
- Observe redness intensity a subtle fade is a good sign.
- Take a photo in the same lighting each week to see progress.
When to call your doctor
- No noticeable improvement after 8weeks.
- Worsening irritation or signs of an allergic reaction.
- New symptoms like severe itching, swelling, or breathing difficulty.
Conclusion
Soolantra gives you a oncedaily, antibioticfree route to calmer, clearer skin when rosacea feels like a relentless red beast. Its dual action on inflammation and Demodex mites, backed by solid clinical data, means many users see a real difference within a month and can stay on the treatment longterm if they wish. By following the simple "peasize" dosing rule, protecting your skin with sunscreen, and staying in touch with your dermatologist about progress and any side effects, you set yourself up for success.
Got questions about dosing, cost, or just want to share your own rosacea journey? Drop a comment below we'd love to hear from you. Remember, you're not alone in this, and the right treatment can make a world of difference.
FAQs
How often should I apply Soolantra for rosacea?
Apply a pea‑sized amount once daily, preferably at the same time each day, to the affected facial areas.
When will I see results with Soolantra?
Many users notice reduced redness as early as two weeks, with optimal clearance typically achieved after 12 weeks of consistent use.
Can I use Soolantra with other rosacea products?
Yes, you can combine it with gentle moisturizers and sunscreen. Avoid using other topical acne or anti‑inflammatory agents unless directed by your dermatologist.
What are the common side effects of Soolantra?
The most frequent reactions are mild skin irritation, a transient stinging sensation, or slight burning that usually resolves within a day.
Is Soolantra safe during pregnancy?
Use only if your doctor determines the benefits outweigh any potential risk; limited safety data are available for pregnant women.
Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult with a healthcare professional before starting any new treatment regimen.
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