Verified
The small bumps on my cheeks started reducing after about a month. My face still flushed in the heat, but the rough texture was much better by the second month.
5 Aug 2026
Soolantra
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Delivery
from 4 days
Active ingredient
Ivermectin
Soolantra is a topical ivermectin cream for adults with rosacea-related facial bumps and pustules. It helps reduce inflammatory lesions by acting against Demodex mites and calming inflammation.
Description
Soolantra is a cutaneous ivermectin cream used for inflammatory lesions of rosacea in adults. The active ingredient is ivermectin, an antiparasitic medicine with local anti-inflammatory effects. Ivermectin belongs to the antiparasitic drug class.
Composition
The active ingredient is ivermectin, an antiparasitic medicine with local anti-inflammatory effects.
Dosage and usage
Apply Soolantra once daily to clean, dry facial skin. Use a pea-sized amount for each of the five facial zones: forehead, chin, nose, left cheek, and right cheek.
- Place a small amount on each facial zone.
- Spread it in a thin, even layer across affected skin.
- Keep the cream away from the eyelids, eyes, lips, and mucous membranes.
- Wash hands after applying it.
- Allow the cream to dry before applying moisturiser, sunscreen, or cosmetics.
Do not use extra cream to speed improvement. More product can increase irritation without improving results.
Apply the cream at a time you can repeat every day. Evening works well for many people because skincare layers are usually simpler and facial flushing from daytime heat has settled.
How it works
Ivermectin affects nerve and muscle signalling in mites, which reduces their survival. Its anti-inflammatory activity may also calm pathways involved in rosacea lesions. This dual action sets it apart from treatments that mainly target bacteria or reduce surface inflammation.
Indications
Soolantra is a topical treatment for papulopustular rosacea, the form of rosacea marked by persistent facial redness with acne-like bumps or pus-filled spots. It is applied to facial skin rather than taken by mouth. The cream is supplied in a 45 g tube for cutaneous use.
Soolantra focuses on inflammatory lesions, so it is best suited to people whose rosacea includes bumps and pustules rather than redness alone.
Comparison
Soolantra is one option for papulopustular rosacea. Choice depends on the lesion pattern, skin sensitivity, past response, and whether persistent redness or inflammatory bumps are the main concern.
| Treatment | Main action | Common limitation |
|---|---|---|
| Ivermectin cream | Targets Demodex mites and reduces inflammation | Results build gradually over weeks |
| Metronidazole topical treatment | Anti-inflammatory action in rosacea | Does not directly target mites |
| Azelaic acid topical treatment | Reduces inflammation and helps inflammatory lesions | Stinging and tingling can be more noticeable |
Ivermectin is often considered when inflammatory bumps are prominent or when Demodex-associated rosacea is suspected. Metronidazole is a long-established alternative for inflammatory rosacea. Azelaic acid can be useful for bumps and uneven texture, though sensitive skin may find it more irritating.
No topical option removes every rosacea trigger. Daily sun protection, gentle cleansing, and avoiding known personal triggers still influence results.
Contraindications
Soolantra is not for you if you have a known allergy to ivermectin or any cream component. Avoid use on skin that is severely damaged, actively infected, or extensively irritated unless a clinician has assessed the area.
Use around the eyes requires care because the cream is for external facial skin only. Accidental eye exposure can cause stinging and irritation; rinse the eye with plenty of water if this occurs.
Pregnancy and breastfeeding require an individual medical decision. Absorption through intact facial skin is expected to be low, yet human pregnancy data for topical ivermectin remain limited. Children should only use topical ivermectin when it has been specifically prescribed for their age and condition.
When this is not for you
Do not use Soolantra if you know you are allergic to ivermectin or another ingredient in the cream. Do not apply it to badly damaged, infected, or severely irritated skin without medical advice. Ask a clinician before using it during pregnancy or breastfeeding, or in children.
Side effects
Most people tolerate Soolantra well, though sensitive rosacea skin can react during the first weeks. The most commonly reported local reactions include burning sensation, irritation, itching, dryness, and redness at the application site.
Mild symptoms may ease as the skin adapts. Persistent burning, marked swelling, blistering, hives, or a widespread rash needs prompt medical assessment. These symptoms can indicate contact dermatitis or hypersensitivity rather than ordinary adjustment.
Rosacea itself can fluctuate. Heat, abrupt temperature changes, alcohol, hot drinks, ultraviolet exposure, and abrasive skincare may cause a flare that looks like treatment failure.
Keep cleansing simple while using Soolantra: lukewarm water, a fragrance-free cleanser, and a bland moisturiser are often better tolerated than foaming cleansers or facial brushes.
Common mistakes
Several avoidable habits can make Soolantra seem less helpful than it is.
- Applying it only to individual spots instead of the full affected facial zones.
- Using it irregularly, then expecting quick changes after restarting.
- Applying it immediately after a hot shower, facial waxing, or vigorous exfoliation.
- Combining it with multiple irritating acne treatments.
- Stopping after a few days because redness has not disappeared.
- Applying thick layers in the belief that more cream works faster.
One overlooked detail is the nose and chin. These areas are often skipped, even when they are part of the rosacea pattern.
If shaving irritates your skin, apply Soolantra after shaving only once the skin is dry and any nicks have settled. Using it on freshly cut skin can sting.
What doctors say
In dermatology practice, clinicians usually set expectations around gradual improvement. The first goal is fewer inflammatory lesions, not perfectly even skin within several days. Treatment response is often assessed after several weeks of consistent daily use.
A doctor may combine topical rosacea therapy with trigger reduction, barrier-supporting skincare, or another treatment when flushing, visible blood vessels, or eye symptoms are also present. Eye grittiness, eyelid inflammation, light sensitivity, or visual changes need separate assessment because ocular rosacea requires targeted care.
Clinical guidance from the ROSacea COnsensus panel supports topical ivermectin among evidence-based options for papulopustular rosacea. [4]
Frequently asked questions
When can results from Soolantra be expected?
Improvement in inflammatory lesions often develops over several weeks of daily application rather than within days. Clinical trials reviewed by the EMA in 2024 found that treatment response was assessed over a 12-week period, which gives a realistic framework for judging progress. [1] The number of bumps may fall before lingering facial redness improves. Consistent application and gentle skincare support a fair assessment of response.
Can Soolantra be used with moisturiser and sunscreen?
Yes, moisturiser and sunscreen can be used after Soolantra has dried on the skin. The 2023 FDA prescribing information advises avoiding contact with eyes, lips, and mucous membranes while using topical ivermectin. [2] Choose fragrance-free products when possible, since fragranced skincare can sting reactive rosacea skin. Mineral sunscreens containing zinc oxide or titanium dioxide are often comfortable for sensitive facial skin.
Can Soolantra be combined with acne treatments?
Combining treatments may be appropriate when a prescriber recommends it, yet self-combining several active products can damage the skin barrier. Benzoyl peroxide, retinoids, exfoliating acids, and alcohol-based toners can all add irritation. A 2019 review in the British Journal of Dermatology described topical ivermectin as a useful option for papulopustular rosacea, with tolerability remaining a key part of treatment choice. [3] Use one change at a time when building a skincare routine.
Is Soolantra suitable for persistent redness without bumps?
Soolantra is aimed at inflammatory rosacea lesions such as papules and pustules. Persistent redness and flushing can have different drivers, including dilated superficial blood vessels and neurovascular sensitivity. WHO materials on skin health published in 2023 describe rosacea as a chronic inflammatory skin condition with varied signs, which explains why one treatment may improve bumps more than flushing. Management for redness may involve separate topical, procedural, or trigger-focused approaches.
Can Soolantra be used long term?
Longer-term use is decided by the treating clinician according to symptom control and skin tolerance. The Ministry of Health and Prevention, MOHAP, advises medicine users to follow professional treatment directions and report suspected adverse effects through appropriate healthcare channels; this guidance remained applicable in 2025. Continued treatment may be used when inflammatory rosacea remains active, while some people move to a maintenance plan after their skin stabilises. Recurrent burning, swelling, or rash should be assessed before ongoing use.
Do you offer anonymous delivery?
Your order will be securely packed and shipped within 24 hours. This is exactly what your package will look like (images of an actual item sent). It has the size and look of a regular private letter (9.4x4.3x0.3 in. or 24x11x0.7 cm) and its contents cannot be seen.
Soolantra: Reviews and Experiences
3.6
Based on 4 reviews
Verified
I used too much during the first few nights and my skin felt dry around the nose. A thinner layer and a plain moisturiser made a big difference. The chin breakouts became much less frequent.
16 Aug 2026
Verified
The first two weeks were frustrating because I could not see a change. By week six, there were fewer painful bumps, though redness after coffee was still there.
21 Aug 2026
Verified
It was comfortable on most days, but it stung after I used a scrub. Once I stopped the scrub, the irritation settled. I needed more time than expected before seeing improvement.
31 Aug 2026
Sources
- European Medicines Agency (2024). Soolantra: Summary of Product Characteristics.
- U.S. Food and Drug Administration (2023). SOOLANTRA (ivermectin) cream, for topical use: Prescribing Information.
- PubMed (2019). Topical ivermectin in the treatment of papulopustular rosacea: a systematic review of evidence and clinical guidance.
- Journal of the American Academy of Dermatology (2019). Standard management options for rosacea, part 1: overview and broad spectrum of care.
