Does Soolantra work for facial flushing?

Question

Hello, I have a mild persistent erythema and some flushs. I tried a lot of drugs, but my flushs are not gone. Recently I read that Soolantra/Ivermectin becomes also good results on erythematotelangiectatic rosacea. That is why I ask if in your experience can Soolantra help facial flushing? Is there an inonvenience to try it? Which beta blocker is the best for facial flushing?

Steven L. Greene, MD · Answer

Soolantra is a relatively new approach in the treatment of inflammatory Rosacea.  This means that it is especially useful in mitigating the effects of the mite that stimulates the immune inflammatory component of your condition.  Flushing seen in many patients with Rosacea appears to be stimulated by foods and ultraviolet and other environment trouble-makers that encourage this often embarrassing side effect. From my experience, certain creams that suppress flushing can be prescribed that offer temporary suppression of flushing as well as vascular laser treatments that help to seal the dilated blood vessels that occur in this condition.  I hope this is helpful in your quest to get control of your flushing.Steven L. Greene MDAdvanced Dermatology and Laser Institute of Seattle

Davin Lim, MBBS, FACD - Account Suspended · Answer

Not usually- different pathway with Solantra, via parasite killing namely demodex mite reduction. 
Rosacea is very complex and a tailored treatment program give the best results. This is because there are many types of rosacea (telengtctatic or capillaries, flushing and redness, acne like rosacea, ocular rosacea and even rhinophyma rosacea.)

To add to the complexity, everyone has different flare factors- Sunlight, stress, foods, chemical irritants, creams, changes in temperature, alcohol. The list goes on. A good website that educates you about rosacea is rosacea dot org

To help treat your rosacea a detailed history, together an examination is needed. Once this is established a treatment tailored according to YOUR type of rosacea will give the best results. As a guide, I use a combination of -

1. Lasers (to treat redness, broken capillaries, rhinophyma, flushing)- best laser is the V BEAM. IPL- BBL  can be used, but usually not as effective. Laser toning using the long pulse Nd Yag at 1064 can help with background redness.

2. Creams - anti inflammatory- Rozex, Azalelic acid, Solantra. Creams are effective in 30% of cases.

3. Tablets -anti - inflammatory and sometimes low dose Vitamin A. Vitamin A cream can be used in very low concentration and gradually titrated. See a medical dermatologist for this.

4. For females- Mineral make up is recommend- paraben and preservative – talc free.

For the best results, be holistic in your approach, start off with the foundations of rosacea management, - avoiding flare factors, use of anti- inflammatory agents, and then progress to

consult a dermatologist for both medical and laser treatment options,

Kind regards.

Dr Davin S. Lim.

Laser Dermatologist.

Brisbane, Australia. Real Self Advisory Board.

Does Soolantra work for facial flushing?

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Does Soolantra work for facial flushing?

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