Get an ivermectin cream prescription

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Ivermectin is commonly prescribed by dermatologists as part of treatment for the condition below.

Collage showing a woman with rosacea on her face and ivermectine cream and a bottle labeled “FOOTHILLS” on a light background with abstract shapes.

Dermatologist  Dr. Aditi Shende
Medically reviewed by:
Dr. Aditi Shende
Dermatologist
a woman in a blue shirt looks at her face in a handheld mirror and touches her chin. next to her are skincare products: a light green bottle and jar labeled “foothills” on a soft purple background, and a box labeled “ivermectin cream, 1%” on a purple surface.

What is ivermectin cream and what is it used for?

Dr. Aditi Shende, board-certified dermatologist, explains that Ivermectin cream is a topical antiparasitic agent that is FDA-approved for the treatment of papulopustular rosacea.

Off-label uses of ivermectin cream

  • Acne
  • Scabies
  • Lice
  • seborrheic dermatitis

Ivermectin cream helps reduce redness, inflammation, and the number of pimples associated with rosacea. The cream also targets Demodex mites, which are thought to contribute to rosacea symptoms.1

 

Ivermectin Rx

Your dermatologist may prescribe a compounded ivermectin cream prepared by Foothills Pharmacy based on your individual needs. Simply select Foothills as your pharmacy of choice, and your dermatologist will determine the appropriate ivermectin strength and, when clinically appropriate, may include additional ingredients based on professional judgment and patient-specific factors such as skin type, sensitivity, and treatment goals.

Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.

Common ivermectin combination creams

Board-certified dermatologist Dr. Aditi Shende notes that dermatologists tailor each prescription by evaluating symptoms, severity, and other clinical factors to ensure appropriate care.

Ivermectin + Metronidazole + Azelaic acid

Ivermectin + Niacinamide + Oxymetazoline HCL

Ivermectin + Oxymetazoline HCL

Ivermectin + Metronidazole

Product packaging shown for visual reference only.

Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.

Can you buy ivermectin without a prescription?

No, ivermectin cream is not available over the counter. You need a doctor’s prescription in order to get it.

How to get a prescription for ivermectin cream?

You can get a prescription for ivermectin cream by having a virtual consultation with a dermatologist via Miiskin. Consultation price is $59-$79. Prescription renewals are only $39-$49.

Where to buy ivermectin cream online?

Select Foothills as your preferred pharmacy. Once your dermatologist issues a prescription (if medically adequate) you can order it right on Miiskin and it will be shipped to you.

What is the price of ivermectin cream?

The price of generic or compounded ivermectin on Foothills pharmacy is $48.99 for a 30 gram tube.

Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.

ivermectin prescription online

How to get a ivermectin cream prescription online

Buy prescription medicine

Process to getting a prescription for ivermectin cream online
Through an online consultation, you connect with a dermatologist. Upon reviewing your case, if the doctor determines that a cream with ivermectin is appropriate for you, they will provide a prescription that you can get from the pharmacy of your choosing.

Topical ivermectin side-effects

The side effects of topical ivermectin cream are usually temporary and resolve as the skin adjusts to the treatment. Common side-effects include:

  • Skin irritation (redness, burning, or stinging)
  • Dry skin or peeling
  • Itching at the application site
  • Eye irritation if the cream comes into contact with the eyes2

Dr. Shende says that if you experience any severe reactions or allergic symptoms, such as swelling or difficulty breathing, seek medical attention immediately. However, such severe allergic reactions are rare with topical ivermectin.

image showing side effect of using ivermectin, skin irritation on girl's face

How to use ivermectin cream?

Dr. Shende says you should always follow your dermatologist’s instructions. However, as general rule, this is how you should apply ivermectin to your face:

1. Cleanse gently

Use on clean, dry skin

2. Use a very small amount

Apply a pea-sized amount of ivermectin 1% cream

3. Apply evenly

Spread evenly over the affected areas

4. Do Not Overuse

Apply once daily, usually in the evening

6. Avoid Sensitive Areas

Avoid the eyes, mouth, and open wounds

7. Clean Hands After Application

Wash your hands after applying

7. Use as prescribed

Use consistently as prescribed

8. Results

Results are typically noticeable within a few weeks

Ivermectin and other medications

Ingredients that can be used alongside ivermectin

These ingredients are commonly used with ivermectin (especially for rosacea-prone skin) to improve results, reduce inflammation, and support the skin barrier:

Included Azelaic acid – helps reduce redness, inflammation, and uneven tone; often complements ivermectin well

Included Metronidazole – another anti-inflammatory commonly combined in rosacea treatment plans

Included Niacinamide – calms redness and strengthens the skin barrier

Included Gentle, non-comedogenic moisturizers (ceramides, glycerin, hyaluronic acid) – help reduce dryness and irritation

Included Broad-spectrum sunscreen (SPF 50) – essential to protect sensitive rosacea-prone skin and prevent flares

Included Mild cleansers (fragrance-free) – support barrier health during treatment

Ingredients to avoid or use cautiously with ivermectin

These ingredients don’t cancel out ivermectin, but layering them may increase irritation, especially in sensitive or rosacea-prone skin:

Warning Topical retinoids (tretinoin, adapalene, tazarotene) – may increase redness and irritation, especially in sensitive or rosacea-prone skin

Warning Benzoyl peroxide – can be drying and irritating for rosacea-prone skin

Warning Strong exfoliating acids (AHAs/BHAs) – may worsen stinging, redness, and barrier disruption

Warning Physical exfoliants (scrubs, cleansing brushes) – can aggravate inflammation and trigger flares

Warning Alcohol-heavy toners or astringents – increase dryness, sensitivity, and irritation

*If irritation occurs, simplifying your routine and spacing out active ingredients can help improve tolerability.

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References:
1https://pmc.ncbi.nlm.nih.gov/articles/PMC4665052/
2https://www.aafp.org/pubs/afp/issues/2016/0915/p512.html
3https://www.aafp.org/pubs/afp/issues/2016/0915/p512.html
4https://www.aafp.org/pubs/afp/issues/2016/0915/p512.html
5https://pmc.ncbi.nlm.nih.gov/articles/PMC9069911/
6https://www.nejm.org/doi/full/10.1056/NEJMoa1200107
7https://www.ncbi.nlm.nih.gov/books/NBK545083/
8https://pmc.ncbi.nlm.nih.gov/articles/PMC6409879/