Facial redness can be a persistent and bothersome concern for many individuals, often impacting their daily lives. This visible skin characteristic may stem from various underlying issues, ranging from temporary flushing to chronic skin conditions. A prescription topical treatment known as Soolantra is frequently discussed as a potential solution for reducing certain types of facial redness. This article explains how Soolantra works and for whom it is intended.
Understanding Soolantra’s Action
Soolantra cream contains ivermectin, a substance known for its dual properties: anti-inflammatory and antiparasitic actions. The anti-inflammatory effect of ivermectin is thought to involve its ability to inhibit the production of inflammatory cytokines, such as TNF-alpha, IL-1, and IL-6, which are signaling molecules that contribute to inflammation in the skin.
Beyond its anti-inflammatory effects, ivermectin also targets Demodex mites, microscopic organisms that naturally reside on human skin. An increased number of Demodex mites is often observed in certain skin conditions, where they are believed to play a role in the inflammatory process. By reducing the population of these mites, Soolantra addresses a potential contributing factor to skin inflammation and redness.
Primary Conditions Treated by Soolantra
Soolantra (ivermectin cream, 1%) is approved for the topical treatment of inflammatory lesions associated with rosacea in adults. These lesions appear as bumps, pimples, papules, and pustules on the face. Rosacea is a chronic inflammatory skin condition, characterized by persistent facial redness, which can be accompanied by visible blood vessels.
While Soolantra can help reduce the redness that accompanies these inflammatory lesions, it is important to recognize that it is not a general treatment for all forms of facial redness. For example, it is not primarily used for redness caused by flushing alone or for visible blood vessels (telangiectasias), which are other common features of rosacea. Its efficacy is primarily observed in addressing the inflammatory component of the condition.
Guidance for Using Soolantra
Soolantra is a prescription medication. It is typically applied once daily to the affected areas of the face. Dispensing a pea-sized amount of cream onto each of five facial areas: the forehead, chin, nose, and each cheek.
The cream should then be spread smoothly and evenly as a thin layer across the entire face, taking care to avoid contact with the eyes, eyelids, lips, and inside the mouth. Hands should be washed thoroughly both before and after applying the cream. Soolantra can be incorporated into a daily skincare routine, applied after cleansing and before other cosmetics or sunscreens.
While some individuals may notice initial improvements in their skin as early as two weeks after starting treatment, more significant results often become apparent within four weeks. It can take up to 12 weeks to observe the full effects of the medication. The typical duration for a course of treatment can extend up to four months, and a healthcare provider may determine if repeating the treatment course is beneficial. If no improvement is seen after three months of consistent use, it is advisable to consult with a doctor to reassess the treatment plan.
Important Considerations and Side Effects
Soolantra may cause side effects. Common side effects reported by a small percentage of users include skin burning sensation, skin irritation, itching, or dry skin at the application site. These reactions are generally mild to moderate in severity and often temporary.
Some individuals may experience a temporary worsening of their rosacea symptoms at the beginning of treatment, sometimes referred to as an “initial flare.” This reaction is uncommon and typically resolves within about a week. It is important to discuss any persistent or severe side effects with a healthcare professional.
While the risk of drug interactions with Soolantra is generally low due to minimal absorption into the bloodstream, it is always important to inform your doctor about all medications, supplements, and herbal preparations you are currently using. For pregnant or breastfeeding individuals, Soolantra should only be used if the potential benefits outweigh the potential risks, as adequate studies in pregnant women have not been conducted, and it is not known if the medication passes into breast milk. Serious allergic reactions are rare but possible, and symptoms such as rash, hives, swelling of the face, lips, or tongue, or difficulty breathing warrant immediate medical attention.