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Soolantra
Soolantra (generic name: ivermectin) is a topical cream used to treat the inflammatory lesions (bumps and pimples) associated with rosacea, a chronic skin condition that causes redness and visible blood vessels in the face. Ivermectin, the active ingredient, is an antiparasitic agent that also has anti-inflammatory properties. Soolantra is applied once daily to reduce the symptoms of rosacea and help manage flare-ups.
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Frequently Asked Questions
How long does it take for Soolantra to work?
Many patients begin to see improvement in their rosacea symptoms within 4 weeks, but it may take up to 12 weeks of daily use to see the full benefit.
Can I wear makeup over Soolantra?
Yes, you can apply makeup over Soolantra after it has dried completely. However, it’s important to use non-irritating, hypoallergenic products to avoid worsening rosacea symptoms.
Can Soolantra be used for acne?
No, Soolantra is not indicated for acne treatment. It is specifically formulated for the inflammatory lesions of rosacea. Acne and rosacea are different skin conditions and require different treatments.
Should I avoid the sun while using Soolantra?
Yes, you should use sunscreen and limit sun exposure while using Soolantra, as excessive sun exposure may worsen rosacea symptoms or cause additional skin irritation.
What should I do if I miss a dose of Soolantra?
If you miss a dose, apply it as soon as you remember. However, if it’s almost time for your next dose, skip the missed dose and continue with your regular schedule. Do not apply extra cream to make up for a missed application.
Comprehensive Drug Guide
How Does Soolantra Work?
The exact mechanism of action for Soolantra in treating rosacea is not fully understood. However, ivermectin is known to have antiparasitic effects, particularly against the Demodex mites, which are believed to contribute to rosacea in some patients. Additionally, ivermectin has anti-inflammatory properties that help reduce the redness, swelling, and inflammation associated with rosacea.
Common Dosages
- Soolantra is available as a 1% topical cream for once-daily use.
Typical Dosing
- Apply a thin layer of Soolantra cream once daily to the affected areas of the face, avoiding the eyes, lips, and mucous membranes. Make sure to cleanse the skin before applying the cream.
- Wash your hands after applying the cream to avoid accidental contact with sensitive areas like the eyes.
Typical Dosing
FDA Approved Indications
- Inflammatory lesions of rosacea in adult patients (typically the bumps and pimples associated with subtype 2, or papulopustular rosacea).
Who Shouldn't Take Soolantra?
- Known hypersensitivity to ivermectin or any of the other components of the formulation.
- Pregnancy and breastfeeding: Consult your doctor before using Soolantra if you are pregnant or nursing.
Advice From The Pharmacist
- Use Soolantra exactly as prescribed by your doctor, applying it only to the areas of the face affected by rosacea.
- Avoid applying the cream to broken or irritated skin.
- Soolantra is intended for external use only. If it accidentally gets into your eyes, rinse them immediately with water.
- Do not use other topical treatments for rosacea at the same time as Soolantra without consulting your doctor.
Side Effects of Soolantra
Common Side Effects
- Skin burning or stinging sensation at the application site
- Dry skin or mild irritation
- Redness or itching
Uncommon/Severe Side Effects
- Severe allergic reactions, such as rash, swelling, or difficulty breathing.
- Eye irritation if the cream comes into contact with the eyes.
Risks and Warnings of Soolantra
- Irritation and Sensitivity: Some patients may experience skin irritation or a burning sensation when first using Soolantra. If this persists or worsens, consult your healthcare provider.
- Allergic Reactions: While rare, allergic reactions may occur. Discontinue use immediately if you develop hives, swelling, or trouble breathing, and seek medical attention.
- Long-term Use: While Soolantra is safe for long-term use in most patients, it’s essential to follow your healthcare provider’s advice and schedule regular follow-ups to ensure the treatment is effective and well-tolerated.
Interactions with Soolantra
Common Drug Interactions
- Other topical products: Avoid using other topical treatments or cosmetics on the face simultaneously with Soolantra without first consulting your doctor. This can prevent possible interactions or increased irritation.
- Corticosteroids: Using corticosteroid creams with Soolantra may increase the risk of skin thinning or other adverse effects.
Alternatives to Soolantra
- Metronidazole (topical): A commonly prescribed topical treatment for rosacea that helps reduce redness and inflammation.
- Azelaic acid: Another topical treatment for rosacea that helps reduce swelling and bumps caused by the condition.
- Oral doxycycline: Sometimes used in more severe cases of rosacea or when topical treatments alone are insufficient.
- Finacea (azelaic acid gel): A topical gel used for rosacea that helps reduce inflammation and skin irritation.
