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Thread: Rosacea - can this be Demotex induced?

  1. #11
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    Hi RedRecluse,

    What I had at the root of the hairs did not look like pili multigemini at all, in fact I was able to remove the thick layer with my fingertips. I am quite convinced they were demodex (and since they were visible to the naked eye, LOTS of them).

    I have used the ZZ cream since July of last year. Prior to that, I was on Soolantra for about two months but I quit because my skin was irritated and kept having new pustules every day. I applied the ZZ mixed with a little water once a day before bed and sometimes on pustules during the day to make them dry quicker. I personally think that I should have cleansed properly every evening/morning while using the zz because the zinc oxide would stay on the skin and possibly got trapped in my facial hairs, thus creating further mess. Then again, none of this solves the problem of oily skin and its vicious cycle.

  2. #12
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    Quote Originally Posted by atlas222 View Post
    Hi ElaineA,

    Besides the combination treatment of oral metronidazole and ivermectin, did you change anything about your skin care routine? Do you have oily skin? If so, has that changed since you had the treatment? I am curious because my skin totally cleared when on the same treatment as you then had a relapse.
    I do have oily/combination skin - always have had since age 12 when this all started shortly after the severe viral infection(s) that lead to the severe demodex issues. The demodex treatment study paper published in the 2013 issue of the Journal of Infection Disease did say that 2 people initially cleared up after the oral treatment but did relapse a short while later. The 2 relapse patients were given a second round of treatment and did go into remission after that.

    I had switched from Biore Charcoal cleanser to Neutrogena Hydro Boost cleansing gel. I like the Neutrogena cleanser better but I don't think that made a huge difference to the mites. Its just a good cleanser that doesn't over dry my skin.

    I had severe ocular rosacea caused by demodex and very long term skin issues as well. I call it all demodicosis which is the generic term for a demodex infestation. My latest (5th) dermatologist calls it rosacea Type 2 and ocular rosacea.

    When I figured out that my severe eye issues were caused by demodex, I first tried tea tree oil masks ( 50% tea tree oil mixed with either 50% castor oil or 50% grapeseed oil to dilute the tea tree oil - later I added a drop of clove oil and a few drops of peppermint oil). I was doing the tea tree oil masks for 30 minutes twice a day or as tolerated since this mask is very drying in spite of the oil. The oil masks did help reduce the surface infestation on my skin but did not clear it up. I also added Cliradex wipes on my lids and face twice a day for about 4.5 months to try and kill off the demodex in my eyelid glands and pores. While my skin and eyes were better, I could not stop using the Cliradex Wipes for more than a few days without the ocular rosacea flaring backup. I finally asked my family practice doctor for the Oral Ivermectin and Oral Metronidazole prescriptions which knocked the demodex out for me. It was the only way to kill the demodex down in the glands. I was still having some die offs up to 2 weeks after completing the oral treatment. I have been clear for 5.5 months now.

    Still using the Neutrogena Hydro Boost Cleansing Gel and sometimes the Hydro Boost Gentle cleansing lotion if my skin is a little dry. I've been following that with Epionce Lytic Tx twice a day, followed by the Epionce Renewal Lite Moisture Lotion to clear my severely congested pores. My AquaFacial tech recommended the Epionce products and said it would help normalize the oiliness. Mid day (or after work), I wash with Neutrogena Hydro Boost product, use the Neutrogena Multi-Vitamin serum followed by the Hyro Boost Water Gel moisturizer and Hydro Boost eye cream. The Hydro Boost moisturizers are light and have hyaluranic acid which helps your skin retain moisture.

    Now, I always use a clean towel every day for drying my face after washing. The mites can live on a wet towel for up to 54 hours. Some people change their pillow cases daily too. The jury is still out as to how long the mites can live on a dry pillow case.

  3. #13
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    And what about the broken capillaries? I guess they won't disapear (or become less) without any laser treatment, right?

  4. #14
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    Quote Originally Posted by atlas222 View Post
    Hi RedRecluse,

    What I had at the root of the hairs did not look like pili multigemini at all, in fact I was able to remove the thick layer with my fingertips. I am quite convinced they were demodex (and since they were visible to the naked eye, LOTS of them).

    I have used the ZZ cream since July of last year. Prior to that, I was on Soolantra for about two months but I quit because my skin was irritated and kept having new pustules every day. I applied the ZZ mixed with a little water once a day before bed and sometimes on pustules during the day to make them dry quicker. I personally think that I should have cleansed properly every evening/morning while using the zz because the zinc oxide would stay on the skin and possibly got trapped in my facial hairs, thus creating further mess. Then again, none of this solves the problem of oily skin and its vicious cycle.
    Pili multigemini would be various hairs in one pore. They usually have the appearance of a single thick hair, which is actually made up of several hairs joined into what appears to be one. Pili multigemini isn't to do with how the roots appear, at least in my question.

    Was it something similar to this? Outer root sheath? http://www.regrowhair.com/wp-content.../fue_illus.jpg

    Did you ever try mechanical or chemical exfoliators? I used to use lactic acid on my face which would turn me bright red for 3 days. I would peel on the 3rd/4th day and my skin would be great afterwards.

    I'm wondering if something like that would help to remove this oily layer of your skin and help to penetrate into the deeper layers, roots, etc.
    How I was cured from Demodectic / Demodex Rosacea (Types 1 & 2 & nearing 3), Seborrhoeic Dermatitis and Eczema

    Got a smartphone? Then please post a non-revealing pic of your face/skin to www.imgur.com, instead of using walls of text to describe it to us. It may be the best thing you've ever done!

  5. #15
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    Hi ElaineA,

    I used off label ivermectin / metro and really don't feel like trying it again. Good job on convincing a physician to prescribe the drugs
    What is the reasoning behind you current skin routine? Are the products oil free, and are you not worried to feed the mites again?

    Hi RedRecluse,

    No, mine did not look like pili multigemini at all. I will have to take a close up photo the next time I extract one of these nasty things.

    I am not sure I need to remove the oily layer of my skin with more chemical exfoliators. My skin barried might be damaged and my oil glands produce way too much oil (likely due to demodex brevis?). Has anyone been able to clear their skin with low dose roaccutane without aggravating their rosacea symptoms?

  6. #16
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    Quote Originally Posted by Reddevil View Post
    And what about the broken capillaries? I guess they won't disapear (or become less) without any laser treatment, right?
    Quote Originally Posted by Reddevil View Post
    Dear all,

    I've been scanning and reading about all the threads from the last years
    Just to give you my story: I've always had quite a good skin (except for the acne in my puberty years), just some oily nose and forehead but nothing too serious. More than 2 years ago, I noticed my upper temples getting slightly redder permanently, but I never really cared about it. I also got very dry skin, combined with the oily nose and forehead ('mixed' skin) Starting from last year, it got worse and worse and I started using a lot of OTC creams that didn't seam to work at all. I began to notice very small thread veins on my nose and cheeks, of course making the redness worse.

    Last month I went to a dermatologist who diagnosed me with Rosacea (something I already diagnosed myself with after a lot of reading on Dr. Google) .
    He prescribed me a 0,75% Metrodinazol creme and SVR Sensifene (some calming creme/lotion). I've been on it now for a month but I don't see any improvement - I even think it got worse. Besides from the very red cheeks and nose including some whiteheads, I do have some very small pimples on my forehead but nothing too serious. I now started using Cetaphil cleanser the last couple of days, hoping this will work a bit on the pimples.

    I've included a picture below:
    Attachment 5331

    Do you think it could be Demotex induced and that I should ask my derm for a Ivermectine cream? Or do the symptoms look different (not that much P&P's) that it could be something else? Will IPL/laser be the only solution you think (since I have the many spider veins).

    Thanks for your suggestions!
    My skin lools similar ,enlarged pores ,visible veins , and ,do you have the white plugs inside your pores as well ? And have you ever flushed ?
    Last edited by feckes94; 6th May 2019 at 04:22 AM.

  7. #17
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    Default Zz cream

    Does anyone know if the sulfer in the zz cream is the same as SULFA drugs? I?m allergic to sulfa drugs like bactrim and septra but just ordered the zz cream because of all the positive things I heard. Not sure I can use it though.

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