How effective is Soolantra cream for rosacea?

Doctor's Answer

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

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