Soolantra

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Originally Posted by MariaSt

Davem81 is still using Soolantra every day, it’s not that he interrupted its use and demodex got back. There is a possibility that for some reason it stopped working. Or he can’t fight demodex debris effectively. Davem81, ask your doctor if you can take oral antibioics or apply metronidazole cream in the morning, while on Soolantra.

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Originally Posted by MariaSt

It didn't help me either, after 3-4 months of use. I think some people are resistant to it, because ivermectin has been used for cattle for many years and we consume their meat. Every antibiotic/antifungal/antiparasitic agent becomes ineffective after some time of oral/topical use, bacteria develop resistance to it.

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Thanks MariaSt. I do intend to persist for a while longer - I'm not ready to 'write off' the investment of 4 months+ in this treatment just yet. The one heartening thing to note from the studies (if I've understood this correctly) is that a significant number of people did not achieve their clearance until sometime between 4 months and 1 year of daily treatment. If this is so, it would seem to indicate that achieving demodex control can indeed be a very long-term process, and that there's hope yet that it may still pay off for me.

Saying that, it is much, much harder to cope with the setbacks at this stage of the treatment than it was earlier on. When I began soolantra, I mentally 'wrote-off' the following two months of my life - my expectation being that the worst of any flare would occur within this kind of timeframe. I even arranged my work schedule for minimal people-contact during this period. That mindset made getting through the expected early difficulties a relatively straightforward matter. Conversely, the urge to simply abandon treatment is much stronger at this point as I must admit that after 4 months, my hopes of a happy ending are lessened. I actually also think that the continuing recent flare-up I've suffered over the past month or so has been worse than anything that occurred earlier on. I'm wondering if the oiliness of my skin, itself caused by the soolantra, might be feeding my symptoms at this point? This is one reason that I'm very keen to get down to a maintenence level, though that doesn't seem wise right now. I did think that things were improving for a few days last week, but that didn't last long... Cry:

I'm just very confused right now, and I'm at a loss at to where I'd go if I do end up junking the soolantra. No treatment I've ever tried has brought me an acceptable long-term control of my symptoms. Oral antibiotics have probably been the best however I'm very reluctant to return to that method, having probably spent a cumulative 3-4 years of my life on them already. I also have a tendancy of flaring very badly whenever I come off them. Soolantra was therefore something of a last hope, and I fear I'll be back to square 1 if it doesn't work out...

Yesterday marked 9 weeks of nightly Soolantra use for me. I have also been using Sulphur soap and applying Skinoren (Azelaic Acid) in the AM’s also. On top of this, I was on Lymecycline for 6 weeks, and have spent the remaining 3 weeks on Efracea…. I have been taking Probiotics daily during this time also.

Since I have stopped the Lymecycline and starting Efracea, I have noticed slightly more P+P’s on my cheeks and a slight dryness and burning sensation to go with it. Nothing like the state my skin was in a few months ago, but I’m preparing myself for the fact that things seems to be going back to the way they were before I started all this.

I still use Soolantra every evening, but I am noticing my skin is getting rather oily around my nose. Not sure if I should taper off or continue daily use for atleast 12 weeks.

Either way, I’ll likely stick it out and if it doesn’t work, I’ll hopefully have a better buying experience from Demodex Solutions and get hold of some ZZ Cream. I would be happy to stay on Efracea indefinitely if my skin were to stay like this, but I fear this is just the beginning of it all starting again for me.

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Originally Posted by Stu_

I still use Soolantra every evening, but I am noticing my skin is getting rather oily around my nose. Not sure if I should taper off or continue daily use for atleast 12 weeks.

Either way, I’ll likely stick it out and if it doesn’t work, I’ll hopefully have a better buying experience from Demodex Solutions and get hold of some ZZ Cream. I would be happy to stay on Efracea indefinitely if my skin were to stay like this, but I fear this is just the beginning of it all starting again for me.

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Hi Stu,

I'm also experiencing the oiliness, which I believe has been caused by cumulative, daily soolantra application. For me it's the nose and forehead, and it really is becoming quite an issue in itself. I was concerned that this might happen before I began the treatment as I've had similar issues with cream-based topicals before, but I only started to notice it as a problem after around 2-3 months of daily applications. Earlier than this, it had seemed the perfect moisturiser...!

My current intention is to persevere a while longer, at least to the 5-6 month mark (I'm at just over 4 now) then taper down to, I don't know, perhaps twice-weekly applications and see how that plays out, because I do have some concerns right now that I'm creating a vicious circle with this oiliness...

I don’t know what to do! I don’t even know if I have Rosacea or acne to be honest! I have been using soolantra (this will be my 5th week) I have read this forum from page 1. I have put a picture on the photos thread of my face so if anyone would like to help me out because I am struggling with all of this crappy stuff

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Originally Posted by alanna89

I don’t know what to do! I don’t even know if I have Rosacea or acne to be honest! I have been using soolantra (this will be my 5th week) I have read this forum from page 1. I have put a picture on the photos thread of my face so if anyone would like to help me out because I am struggling with all of this crappy stuff

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If you carefully go through this entire thread on Soolantra from the beginning through the end, you will note that most report that it takes months for Soolantra to work. If you are allergic to Soolantra, you can test it by putting some on your inside forearm and see if your forearm turns red, which may indicate you are allergic. Patience and endurance is what is needed when you accept Soolantra for your treatment regimen. Many in this thread report it works for them and simply use it as a maintenance regimen after clearance.

You state in your other thread you are seeing your doctor on Monday. It would be prudent to ask your doctor for a diagnosis when you visit on Monday. You apparently didn't ask for a diagnosis when you accepted a prescription for Soolantra? So apparently about five weeks ago you saw a physician who prescribed you Soolantra which is prescribed for rosacea, but as WebMD reports, "This medication is used to treat a certain skin condition called rosacea, a type of adult acne." [italics added] There is one expert on rosacea, Albert M. Kligman, M.D., Ph.D., now deceased, who wrote, "It is interesting that the original term for rosacea was "acne rosacea”, which has more features in common with acne than currently realized. If the “acne” portion had been retained in the later works, rosacea might have received much greater investigative attention." Source

So whether or not you have acne or rosacea, the differential diagnosis is usually whether or not you have flushing, and generally if you are an adult, the term 'adult acne' is reserved for rosacea. There are some who report no flushing and still have a diagnosis of rosacea. If you want some more information on diagnosing rosacea, read post no 4 and 6 in this thread.

By the way, newbies can't post photos. You have to post x number of posts before you are allowed to add images.

Hi! Do you think it might be a good idea to combine / mix Finacea and Soolantra in rosacea treatment? Is there anyone who has tried this before?

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Originally Posted by Ralbihn

Hi! Do you think it might be a good idea to combine / mix Finacea and Soolantra in rosacea treatment? Is there anyone who has tried this before?

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I use Azelaic Acid in the morning and Soolantra in the evening.. Not sure if combine them though

As a I already mentioned in another thread, it's not advisable to mix two different medical creams. It can change their stability and overall effectivity. Furthermore, the mixture may become even more irritating.

Thank you for replying.. I have read the whole the thread from page 1 to this one and it took me a week and half!

The reason why I ask is because I haven’t seen any improvement at all. People have said in this thread about the die off period in weeks 3/5 or whatever?
I have had the die off and still getting it but I haven’t had any good days at all, no difference in my skin! It’s still bumpy, spotty, redness is still there its disgusting!

I haven’t seen any doctor not one about my skin... I ordered the soolantra from a well known pharmacy online. They wanted pictures and I sent them two and they prescribed it to me.
I have tested it on my arm and no reaction at all.

I did post a photo and it did allow me but I deleted it because no one was commenting on it just viewing it.

Would also like to add... I have had bad skin all my life but literally as soon as I hit 29 this got worse.

Everyone's response to various creams is different. Some have die-offs, others haven't. Use Soolantra for 4 months at least and if there is still no difference, stop it. I would also suggest you go to a dermatologist for proper diagnosis.