Hi there, soolantra cream contains topical ivermectin 1%, which is reported to have anti-parasitic and anti-inflammatory properties. It is FDA approved for use in rosacea patients and is most useful for patients with pink inflammatory spots. It is applied once a day and most people tolerate it well. Occasionally, some patients may experience side effects such as irritation or allergies. Other treatments for rosacea include:
Topical treatments - other creams such as rozex gel, azelaic acid, and mirvaso gel have been used in selected patients with good effect. A good appropriate skincare routine can help too.
Oral medicines - oral antibiotics or oral isotretinoin are sometimes used in severe cases to control the inflammatory component of rosacea
Laser treatments - Vascular lasers can help shut down the active blood vessels and reduce flushing and erythema. I find the VBEAM or pulsed dye laser most effective in achieving this.
Rosacea is chronic and can be difficult to control, causing a lot of distress to patients. Do see a dermatologist for an early evaluation and effective management plan.
Best regards
Dr Stephanie Ho, Dermatologist