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Table of Content:
What is ivermectin cream? | Ivermectin Rx | Common ivermectin formulas | How to get a prescription? | Side-effects | How to use it? | Ivermectin and other medications | FAQ

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.
Product packaging shown for visual reference only.
Important Disclaimer: Compounded medications are not reviewed by the FDA for safety or efficacy.
How to get a prescription for ivermectin cream?
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. Prescription renewals are only $39.
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.

How to request a ivermectin cream prescription online
- Select “Start consultation” to sign-up with Miiskin.
- Use the consultation form to request ivermectin cream.
- If medically appropriate, you will receive an ivermectin cream prescription from a dermatologist.
- Purchase your ivermectin cream in the pharmacy of your choice.


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.

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:
Azelaic acid – helps reduce redness, inflammation, and uneven tone; often complements ivermectin well
Metronidazole – another anti-inflammatory commonly combined in rosacea treatment plans
Niacinamide – calms redness and strengthens the skin barrier
Gentle, non-comedogenic moisturizers (ceramides, glycerin, hyaluronic acid) – help reduce dryness and irritation
Broad-spectrum sunscreen (SPF 50) – essential to protect sensitive rosacea-prone skin and prevent flares
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:
Topical retinoids (tretinoin, adapalene, tazarotene) – may increase redness and irritation, especially in sensitive or rosacea-prone skin
Benzoyl peroxide – can be drying and irritating for rosacea-prone skin
Strong exfoliating acids (AHAs/BHAs) – may worsen stinging, redness, and barrier disruption
Physical exfoliants (scrubs, cleansing brushes) – can aggravate inflammation and trigger flares
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.
Provider & Prescription Information
Miiskin connects patients with independent dermatologists who provide care through their private practices. Compounded prescriptions can be ordered via Miiskin and are dispensed by Foothills pharmacy. Generic prescriptions can be filled at any local or online pharmacy.

Start a virtual consultation to request a custom medication
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/







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