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About Product
This content has been written and checked for quality and accuracy by
Mohamed Imran Lakhi Content Administrator GPhC: 2060586 Updated on: 29/06/2020 Next review: 29/12/2020

What is Soolantra cream used for?

Soolantra cream, made by Galderma, is a topical cream used for the treatment of rosacea - an inflammatory skin condition.

The cream contains ivermectin which helps to reduce the redness and inflammation.

Soolantra cream is available to buy online in 30g tubes. When you buy Soolantra cream online from Prescription Doctor, your order will be reviewed by a qualified online doctor. During your consultation, you will be able to ask the doctor any questions you have about your condition or your treatment.

What is rosacea?

Rosacea is an inflammatory skin condition which causes a red rash to appear on the skin on the face. The rash may come and go, though rosacea is typically a long-term condition which requires ongoing treatment to manage its symptoms.

In most cases, rosacea appears like a rash across the cheeks and/or nose, giving a rosy or blushed appearance to the affected area.

Areas affected by rosacea usually include:

  • Cheeks
  • Chin
  • Forehead
  • Nose

There are 4 distinct types of rosacea, each dependent on whereabouts on the face is affected and the symptoms which develop.

Erythematotelangiectatic rosacea - This type usually causes flushing and redness of the skin. Blood vessels may become visible through the skin.

Papulopustular rosacea - As the name suggests, this kind of rosacea causes papules and pustules to develop in patches on the face, giving the appearance of Acne. The skin surrounding the spots usually appears red and swollen.

Phymatous rosacea (rhinophyma) - Usually affecting the nose, this progressive form of rosacea causes redness and swelling of the nose. According to the British Association of Dermatologists, rhinophyma typically affects fair-skinned men between the ages of 50 and 70 and is often wrongly assumed to be related to alcohol - there is no clear link between rhinophyma and alcohol consumption, though alcohol is believed to worsen the symptoms of rosacea in some people.

Ocular rosacea - This is when rosacea affects areas around the eyes, causing skin to become red and inflamed. It can cause swelling of the eye lids, irritation and dryness, sensitivity to light (photophobia) and, in severe cases, blurred vision.

What causes rosacea?

There are a number of triggers which can cause a flare-up of rosacea, including:

  • Diet
  • Exercise
  • Skin care products
  • Stress
  • Weather

While these can be managed, there are other triggers which cannot.

One such trigger of rosacea which is more difficult to manage is a micro-organism which resides in the pores of the facial skin.

These organisms are called Demodex - specifically Demodex folliculorum. Research has indicated that these mites - or bacteria which live on the mites themselves - could be the culprit. By analysing the skin of rosacea sufferers, scientists linked an increased presence of these mites with the condition.

It is believed that when these mites die, they release bacteria which irritates the skin and causes the marked inflammation and redness commonly associated with rosacea.

The anti-parasitic properties of Soolantra reduce the number of these mites on the skin which, in turn, reduces the inflammation of the skin.

What happens if rosacea is left untreated?

If left untreated, rosacea can lead to rhinophyma - predominantly in male rosacea sufferers. Nose becomes bumpy, swollen and soft. Rhinophyma can cause nasal disfigurement, which can hinder breathing.

Another complication of rosacea, particularly ocular rosacea, is conjunctivitis. This happens when bacteria infect the eye and causes redness, inflammation and discomfort in the whites of the eyes.

Therefore, it is important to speak to your doctor about your condition as soon as you notice symptoms. Your doctor will be able to discuss with you the most appropriate treatment for your rosacea and may be able to offer tailored advice on managing your symptoms.

While there is no cure for rosacea, there are a number of different treatments which can help you manage your condition and reduce the presence of symptoms.

What does Soolantra do for rosacea?

Soolantra contains the active ingredient Ivermectin, which is known to have antiparasitic and anti-inflammatory properties.

When applied to the skin, Soolantra kills the microbes attributed to rosacea. It also helps to reduce inflammation of the affected area, making the condition less apparent.

During clinical trials, the effects of Soolantra were noticeable from the second week of treatment and continued to improve.

Soolantra is not a cure for rosacea, but it is an effective treatment for this debilitating condition and can help to keep the condition under control.

How to use Soolantra cream?

Soolantra is applied directly to the face once a day.

The cap of the Soolantra tube is child-proofed. To open the tube, press the cap down firmly and rotate it counter-clockwise.

When removing and replacing the cap, be careful not to the squeeze the tube of Soolantra cream. Squeezing the tube may result in spillage.

It is recommended to apply a pea-sized amount of the cream to the chin, forehead, bridge of the nose and both cheeks on your face.

Massage the cream gently into these 5 areas to apply a thin layer of Soolantra cream which covers the areas most prone to flare-ups.

Avoid areas of the skin which have mucous membranes, such as the eyes, mouth and inside of your nose. If you get the cream in any of these areas, promptly wash the area with warm water.

Always wash your hands after applying Soolantra cream.

Always replace the cap once you have finished using your Soolantra cream. Press the cap down firmly and rotate it clockwise to lock the cap into place.

You should apply Soolantra cream before applying other cosmetic products such as moisturisers and make-up. Wait for the areas to dry before applying other products to the face.

If you are using other topical treatments, such as gels or creams, you should speak to your doctor to see whether it is safe to use Soolantra with them.

Soolantra cream side effects and cautions

Before you use Soolantra, it's important to read the safety information leaflet supplied. This leaflet contains important information on using and storing Soolantra cream as well as complete lists of side effects and ingredients. You should retain this leaflet in case you need to refer to it again in the future.

You can also view the patient information leaflet for Soolantra cream online here.

If you are unsure about anything in the leaflet, speak to your doctor or ask a pharmacist for assistance.

Side effects of Soolantra cream

All medicine carries the risk of side effects, though not everybody gets them. It's important to understand the risks associated with your medication so that you can stay safe during your course of treatment.

Common side effects include:

  • Burning sensation on the skin

Uncommon side effects include:

  • Dry skin
  • Inflammation
  • Itching
  • Redness
  • Skin irritation
  • Swelling of the face

This is not an exhaustive list of side effects. For further information regarding the safety of Soolantra cream, including a complete list of side effects, please consult the patient information leaflet supplied with your treatment.

If you experience any side effects of Soolantra, regardless of whether they are listed above or in the patient information leaflet, inform your doctor as soon as possible or ask a pharmacist for advice.

Allergic reaction

Do not use the cream if you are allergic to ivermectin or any of the ingredients listed within the patient information leaflet.

If you believe you are experiencing an allergic reaction from this medicine, stop using the treatment and go straight to your nearest accident and emergency department. Remember to take the packaging and any remaining medication with you so that doctors know exactly what you have used.

Signs of an allergic reaction include:

  • Chest tightening
  • Dry, red and cracked skin
  • Itchy, red watery eyes
  • Raised, itchy, red rash (hives)
  • Swelling of the lips, tongue, eyes or face
  • Tummy pain, nausea, vomiting or diarrhoea
  • Wheezing

Pregnancy and breastfeeding

Do not use Soolantra cream if you are pregnant or think you might be pregnant. Speak to your doctor for further advice.

If you become pregnant while using Soolantra, inform your doctor right away. Your doctor may need to stop your treatment and prescribe something more suitable for you.

Do not use Soolantra cream if you are breastfeeding. Speak to your doctor for further advice.

You should stop breastfeeding before using Soolantra cream. You should discuss this with your doctor.

Other safety information

Always seek your doctor's advice before you buy Soolantra cream online.

Please inform our prescriber of all the medications you are currently taking, including those prescribed by your doctor or bought over the counter, as well as health and herbal supplements.

Do not use Soolantra cream past the expiry date printed on the packaging. The date refers to the last day of the specified month.

Never throw away medicine via household or water waste. Take any unwanted or expired medicine to your local pharmacy and ask them to dispose of it safely on your behalf.

Keep this medicine out of the sight and reach of children and pets.

Never share your medicine with anybody else, even if they are experiencing the same symptoms or have been diagnosed with the same condition as you.

Frequently asked questions

What should I do if I forget to use Soolantra cream when I should?

If you forget to apply Soolantra cream when you should, use it as soon as you remember. If it is almost time for you to use it again, skip the missed application and use the cream at the regular time.

Do not use more Soolantra cream to make up for the missed dose.

What should I do if I use more Soolantra cream than I should?

If you accidentally expel or apply more Soolantra cream than you should, wipe away any excess with a clean tissue and discard of it safely.

Using more Soolantra than you should will not treat your condition any faster, but may increase your risk of side effects.

If you don't know how much Soolantra cream you are supposed to use, consult the patient information leaflet supplied with your treatment or ask a healthcare professional, such as your doctor or a pharmacist.

What should I do if I accidentally get Soolantra cream in my eye?

If you accidentally get Soolantra cream in your eye, rinse your eyes thoroughly with water.

What should I do if I or somebody else accidentally swallows Soolantra cream?

If you or somebody else swallows Soolantra cream, seek emergency medical attention by going straight to your nearest accident and emergency department. Remember to take the packaging and any remaining medicine with you so that doctors know exactly what has been ingested.

How long does it take for Soolantra to work?

During clinical trials, Soolantra was shown to reduce rosacea symptoms in just 2 weeks. If you do not notice an improvement in your symptoms after 3 months of continuous use of Soolantra cream, speak to your doctor.

When is the best time to use Soolantra?

It is best to apply Soolantra cream in the morning. Try to incorporate the use of Soolantra cream into your daily skincare routine. If you find it difficult to remember using your Soolantra, set a reminder on your phone or store your Soolantra cream somewhere obvious to remind you to take it.

Can I drink alcohol while using Soolantra?

Soolantra cream is not affected by alcohol. However, alcohol consumption may be a trigger of rosacea and could exacerbate your symptoms. If alcohol makes your rosacea worse, avoid or limit your alcohol consumption while using Soolantra cream.

Will the use of Soolantra impair my ability to drive or operate machinery?

No, Soolantra should not impact your ability to drive or operate machinery. If you do notice any disturbance to your vision, which might be caused by getting Soolantra in your eyes, you should refrain from such activities until it is safe for you to do so.

Can I use make-up while using Soolantra cream?

Yes, you can use make-up after applying Soolantra. You should apply Soolantra first and allow it to dry before applying other cosmetic products.

Is Soolantra an antibiotic?

No, Soolantra cream is not an antibiotic. Soolantra is a macrocyclic lactone anthelmintic, which means it kills parasites, but not necessarily bacteria.

Can Soolantra cream make rosacea work?

Soolantra may cause some discomfort during application, such as a burning feeling on the skin. If you notice your rosacea to be getting while using Soolantra, inform your doctor as soon as possible.

Can I buy Soolantra cream online?

Yes, you can buy Soolantra cream online from Prescription Doctor following a short online consultation. Simply answer a few simple questions about your general health and your condition for our doctor to review. If your order is approved before 3pm, our UK based pharmacy will dispense and dispatch your treatment the same day via a next-day discreet delivery.

Tips for managing rosacea

While there is no cure for rosacea, there are treatments, such as Soolantra cream, which can provide respite from the symptoms. Aside from treatments, there are a number of other changes you may consider to help you cope with rosacea.

Identifying any potential triggers can be hugely beneficial to managing your condition. It might be useful to keep a diary and log down when your rosacea symptoms flare up, as well as what you ate and drank that day. This can be useful for yourself and your healthcare provider to identify the possible triggers of rosacea.

Resisting the urge to scratch your face when you have rosacea can be challenging, but can prevent your symptoms from getting worse. You should take special care if your rosacea manifests as papules or pustules (spots). Breaking open the skin of papules or pustules can increase your risk of infection and worsen your condition.

Soaps, shampoos and face washes may exacerbate your symptoms or irritate your skin. Switching to mild fragrance-free soaps may be less irritating. Ask a pharmacist for advice on preventing irritation when washing your face during a flare up of rosacea.

Shaving, especially for men, can be uncomfortable while the symptoms of rosacea are present. Try swapping your shaving cream to one designed for sensitive skin. Electric razors may not provide as smooth of a shave as a traditional razor, but they can be more gentle on your skin.

Avoid using perfumes and aftershaves on the face while you have a flare up. These products contain alcohol which can dry out the skin and cause a stinging sensation if applied to burst papules or pustules.

Dietary changes, such as reducing your intake of alcohol and avoiding spicy food, may prove to reduce the severity of your symptoms. Speak to your doctor about your diet and how it might impact your rosacea.

Finally, you can explore other treatments which can help manage your condition. Speak to your doctor about your rosacea, especially if it is causing you distress. They will be able to advise on the most suitable treatment for you, based on your medical history. A pharmacist can provide further advice on products and treatments which might make your condition easier to manage.

Table of contents

What is Soolantra Cream used for?

What is rosacea?

What does Soolantra do for rosacea?

How to use Soolantra Cream?

Soolantra side effects and cautions

Frequently asked questions

Tips for managing rosacea

Additional resources

How to get rid of rosacea?

How to treat rosacea naturally?

How does rosacea affect you?


NHS, 2020. Rosacea.

Galderma, 2020. Soolantra 10mg/g Cream: Summary of Product Characteristics

British Association of Dermatologists (BAD), 2018. Rosacea.

Treatment information

  • Product Name: Soolantra
  • Active Ingredient(s): Ivermectin
  • Manufacturer: Galderma
  • Administration: Apply to affected area
  • Presentation: Cream
  • Available Quantity: 30g tube
  • Exemption: Prescription Only Medicine
  • Application: Men and women over 18 with acne
  • Dosage: Apply once daily to affected area
  • Description: Topical treatment for rosacea
  • Drug Class: Antiparasitic
  • Alcohol Consumption: Avoid or limit alcohol consumption
  • When Pregnant: Tell our prescriber if you are pregnant or intend on becoming pregnant
  • When Breastfeeding: Tell our prescriber if you are breastfeeding
Click here to view the Soolantra - Patient Information Leaflet

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