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Thread: Effective Oral Treatment for Rosacea caused by Microscopic Demodex Skin Mites

  1. #1
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    Default Effective Oral Treatment for Rosacea caused by Microscopic Demodex Skin Mites

    Cheap, Effective, 2 Week, Oral Treatment for skin and eye problems caused by microscopic Demodex Skin Mites. If your skin and/or eye problems are caused by demodex mites, this treatment may be a cure. The oral treatment kills the mites all over your body even in hard to reach glands. If you have ocular rosacea (aka blepharitis demodex) it is very important to get it treated before it damages your vision.

    If your dermatologist did not test you for Demodex mites, you should ask them to do so. Demodex mites have been implicated in Rosacea, ocular rosacea, acne, blepharitis demodex, etc.

    The combined Oral Ivermectin + Oral Metronidazole treatment worked for me. The report on this treatment was published in the International Journal of Infectious disease in 2013. Treatment takes 2 weeks using Oral Ivermectin and Oral Metronidazole. Insurance copay was just $13.03 (Uninsured retail about $52 USD.

    Article: "Evaluation of the efficacy of oral ivermectin in comparison with ivermectin–metronidazole combined therapy in the treatment of ocular and skin lesions of Demodex folliculorum"
    https://www.sciencedirect.com/scienc...0197121201315X

    The 2013 study compares using Oral Ivermectin vs. Oral Ivermectin + Oral Metronidazole to treat 4 different skin conditions including rosacea, acne, blepharitis demodex (ocular rosacea) etc.
    Results of scientific study on 120 people with confirmed Demodex mites:

    Remission: 71.6% of people in the study with the oral Ivermectin+ oral Metronidazole treatment went into remission vs. 45% on just oral Ivermectin.
    Marked improvement: 26.7% (Oral Iver.+ Oral Metro.) vs. 33% (Oral Iver. only).
    No Improvement: 1.7% (Oral Iver.+ Oral Metro.) vs. 21.7% (Oral Iver. only)

    Using the more effective 2 drug combined treatment (from paper) based on body weight for the oral Ivermectin:
    1. Two doses of oral Ivermectin one week apart. Each weekly dose is 200 micrograms Ivermectin per kilogram of body weight. Worked out to 12 mg per dose for me. Take on an empty stomach with a large glass of water.
    2. Oral Metronidazole, 250 mg. three times a day for two weeks. Do not drink alcohol while taking oral Metronidazole and for 72 hours after taking the last tablet.

    As always, it is best to discuss this treatment with your doctor. These are prescription drugs. My family doctor was most helpful.

    I had demodicosis caused by demodex mites. Onset at age 11.5 after a severe bout of German Measles and possibly the flu. Immune system was at rock bottom allowing the mites to become infested in spite of good hygiene. It got worse with every bout of the flu after that. It started with large blackheads, advanced into pustules, body acne and irritated red eyes.

    After being misdiagnosed with “allergic conjunctivitis” and acne vulgaris (bacterial origin) for 51 years, it advanced into blepharitis demodex (ocular rosacea) – painfully gritty, dry eyes with eyelashes falling out, etc. Over the years, 4 board certified dermatologists prescribed about 8 different antibiotics, Retin- A, Micro-Retin A, benzoyl peroxide, etc. None of the expensive treatment worked. They never checked for demodex mites.

    Demodicosis can be confused for “Hormonal acne” due to the fact that the mites live 2-3 weeks and may indeed be tuned in to the hormonal cycles of the body. The mites eat oil. When your hormones are causing more oil to be generated, there is more for the mites to eat. Any drug or diet change that levels out or reduces the oil in your skin can temporarily control the mites by controlling their food source. In other studies, the topical version of Metronidazol has not been found to be effective but the oral version is. Oral Metronidazol is believed to work indirectly by changing something the mites are consuming or changing the environment so that they die. Some papers report successful treatment with just the oral metronidazole.

    I'm at the 2 year+ post treatment mark. My skin is clear. My eyes are clear, no longer red, no longer losing multiple eye lashes near daily, no longer painfully dry, and are now working to make the oily tear film. I've been able to stop using Cliradex wipes. I've also been able to cut back from daily use of natural tear drops - just use a few times per month instead of multiple times a day.

    Still washing face and eyes with 1% Tea Tree oil face wash (Tranquil Eyes by Eye Eco or Foaming Peppermint-Tea Tree oil Face Wash by Beauty by Earth (Amazon)) followed by spraying with the Hypochlorous Acid Eyelid and Eyelash Spray by Heyedrate (or Occusoft Hypochlorous spray) nightly as a precaution to fight off future mite re-infestation. I am now taking the Visual Advantage AREDS II Multivitamin which contains Lutein (10 mg) + Zeaxanthin (2 mg) along with my Omega 3 supplements. These supplements have improved my Meibomian Glands function possibly by reducing lid inflammation.

    I've also had 8 IPL and 2 Erbium treatments to repair broken capillaries, 3 Aqua Facials and an Erbium Laser Resurfacing (deep peel) to clear congested pores. All helped. I've used Epionce Lytic TX and Lytic TX Plus to help clear the pores. Currently using Alastin Skin Nectar which has also helped diminish some eyelid hyperplasias/papules. The Skin Nectar is less drying than the Lytic but more expensive. Either product is followed 5-7 minutes later by the a facial moisturizer to moisturize and normalize the oiliness in the pores.

    Heat compresses were helpful for clearing the blocked eyelid oil glands. I'm used the Thermalon Dry Eye Moist Heat Compress - microwaveable heat compress from Walgreens and elsewhere.
    Last edited by ElaineA; 8th February 2020 at 12:23 AM. Reason: Update progress.

  2. #2
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    Hello,

    This is interesting to me. I had a punch biopsy done once on an area of my chin. The results showed a demodex mite or two with some inflammation in the hair follicle but everything else looked fine. From what I understand, demodex mites are naturally found on the face but people with symptoms have a larger amount. I have fine flaking on my t-zone, around and in my ears, and on my scalp and eyebrows, as well as pustules that appear mostly on the sides of my chin. I tried soolantra once but it really just made everything worse. In fact everything makes my face worse lol. How can you tell the difference between demodex overgrowth or seb derm? They both seem to cause itching, flaking, pustules, redness and hair loss. Both topical treatments for seb derm and demodex only flare up my skin. Would it be unsafe to take the oral treatment for demodex if you aren't sure if that's what you have?

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    Quote Originally Posted by Kelly1180 View Post
    Hello,

    This is interesting to me. I had a punch biopsy done once on an area of my chin. The results showed a demodex mite or two with some inflammation in the hair follicle but everything else looked fine. From what I understand, demodex mites are naturally found on the face but people with symptoms have a larger amount. I have fine flaking on my t-zone, around and in my ears, and on my scalp and eyebrows, as well as pustules that appear mostly on the sides of my chin. I tried soolantra once but it really just made everything worse. In fact everything makes my face worse lol. How can you tell the difference between demodex overgrowth or seb derm? They both seem to cause itching, flaking, pustules, redness and hair loss. Both topical treatments for seb derm and demodex only flare up my skin. Would it be unsafe to take the oral treatment for demodex if you aren't sure if that's what you have?
    Unless you have a reaction to the drugs, they shouldn't be unsafe. However, if mites aren't the problem they won't help either. I have read that the mites are hard to test for. They don't like light and tend to scuttle to the edge of a slide when put under a microscope to do the count. It sounds like your skin issues may have a different cause.

    Tea tree oil products are broadly microbial and can address bacterial, fungal (yeast) and mite issues. Tea tree oil can be harsh though if too strong a solution is used. I'm not sure what you may have tried. The Tranquil Eyes 1% Tea Tree Oil eye lid and facial cleanser by eye eco is fairly gentle - it has shea butter. Cliradex wipes with a special 10% tea tree oil extract were also helpful for me. The wipes have glycerin in them which helped both eyelids and face. But I definitely had mites so I couldn't say whether those would help other types of problems.

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