Benson,
You found the correct thread about Soolantra. Yes, many in this thread (you are the 1250th post in this thread) have reported 'die-off' (mites die) and your skin seems to get worse before it gets better. Many report it takes months of Soolantra use and then continue to use it as maintenance only, once they get demodectic rosacea under control. I only use Soolantra maybe once or twice a month and in the meantime use the ZZ Cream, Avar-e Green, Ovace, or simply nothing for a couple of days. I only use water to wash my face since I find soap seems to irritate. When I do use soap I only use Ivory which is mild. So spend some time reading the other 1249 posts in this thread to get an idea of Soolantra use, since it will probably answer any question you may have about Soolantra. This thread is a wealth of data on Soolantra. There are many, many threads started by others about Soolantra, i.e. like this one (started earlier than this thread), but this is the king of the Soolantra threads.