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Home / Skin Conditions / Ivermectin cream uses

What is ivermectin used for and how to get a prescription?

Dr. Aditi Shende, board-certified dermatologist, talks about the use of ivermectin cream for rosacea and other skin problems and tells you how to get a prescription.

Dermatologist  Dr. Aditi Shende
Medically reviewed by:
Dr. Aditi Shende
Dermatologist

Table of Content:
What is ivermectin cream? | Using ivermectin cream for rosacea | How to get a prescription? | What is the price? | Side-effects | How effective is it? | How to use it? | How long does it take to work? | Ivermectin + metronidazole | Ivermectin + niacinamide | FAQ

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The information presented in this article is based on scientific research and the professional advice of our Content Medical Reviewers, who are experts in the field of Dermatology. How we write our content →


What is ivermectin cream and what is it used for?

Ivermectin cream is a topical antiparasitic medication primarily prescribed to treat papulopustular rosacea. In addition to this chronic inflammatory skin condition, it may also be used off-label for other concerns such as scabies, head lice, acne, and seborrheic dermatitis.

Can ivermectin cream treat rosacea?

According to Dr. Aditi Shende, a board-certified dermatologist, ivermectin cream is most frequently prescribed for inflammatory rosacea, particularly papulopustular rosacea. Rosacea is a long-term skin condition that causes facial redness, acne-like bumps, and in some cases, skin thickening.

Ivermectin works by reducing inflammation and redness while also decreasing the number of bumps and pimples. It also targets Demodex mites, which are believed to play a role in rosacea flare-ups.

Can you buy ivermectin cream over the counter?

Ivermectin cream is not available over the counter. It is a prescription-only medication, which means you need to consult a healthcare provider before obtaining it.

How to get a prescription for ivermectin?

You can obtain a prescription for ivermectin cream by completing an online consultation with a licensed healthcare provider, who will assess your symptoms and determine whether the treatment is appropriate for you.

Request an ivermectin cream prescription

Have a consultation with a dermatologist via Miiskin to request a prescription for ivermectin cream and choose between a generic or customized medication.

Consult a dermatologist

Where to buy ivermectin cream online?

If you choose Foothills as your preferred pharmacy, you can order your prescribed ivermectin cream right on Miiskin for only $48.99. The price includes free delivery nation-wide. Alternatively, you can also select any pharmacy in the country and buy it there.

What is the price of ivermectin cream?

If you choose Foothills pharmacy, your ivermectin cream will costs $48.99.

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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 eyes

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 effective is ivermectin cream?

Dr. Shende says ivermectin cream is a highly effective medication approved by the FDA for the treatment of papulopustular rosacea. Clinical studies have shown significant improvement in patients with moderate-to-severe papulopustular rosacea and saw significant reductions in lesions. Unlike other rosacea treatments that may take a month to show results, ivermectin cream showed improvement in about two weeks, but individual responses may vary. A clinical study revealed that 40-80% of patients experienced clear or nearly clear skin after three months.

How to use ivermectin 1% cream?

Dr. Shende says that to use ivermectin 1% cream, apply a pea-sized amount to clean, dry skin once daily, usually in the evening. Spread it evenly over the affected areas, avoiding the eyes, mouth, and any open wounds. After applying, wash your hands to prevent the spread of the cream to unintended areas. It’s important to use the cream consistently as prescribed, and results typically become noticeable within a few weeks. Follow your healthcare provider’s instructions for the best outcomes.

How long does topical ivermectin take to work?

Dr. Shende says that topical ivermectin usually starts showing improvement within 2 to 4 weeks of consistent use. However, significant results, such as the reduction of redness, bumps, and other symptoms of rosacea, typically occur after about 12 weeks of regular application. The exact time can vary depending on the severity of the condition and individual response to the treatment. Continuous use is crucial for maintaining results and preventing rosacea flare-ups.

Can I get an ivermectin metronidazole cream?

If your online dermatologist, assesses your skin problem and decides you can benefit from a compounded formula which includes ivermectin + metronidazole + azelaic acid cream they will issue a prescription. Simply choose Foothills as your preferred pharmacy and you can order it right on Miiskin.

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

Can I get an ivermectin niacinamide cream?

Yes, if your online dermatologist, assesses your skin problem and decides you can benefit from a compounded formula which includes ivermectin + niacinamide they will issue a prescription and then you can buy it from Foothills pharmacy.

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

Request an ivermectin cream prescription

Have a consultation with a dermatologist via Miiskin to request a prescription for ivermectin cream and choose between a generic or customized medication.

Consult a dermatologist
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Frequently asked questions about ivermectin cream

What does ivermectin do to your skin?

Dr. Shende says ivermectin targets Demodex mites, which are microscopic parasites that can cause or worsen conditions like rosacea. By killing these mites and reducing inflammation, ivermectin helps alleviate symptoms like redness, bumps, and irritation. Additionally, it has anti-inflammatory properties that further soothe the skin, improving the overall appearance and health of the skin in affected areas.

Can you absorb ivermectin through the skin?

Dr. Shende says that ivermectin can in fact be absorbed through the skin when applied topically, but the systemic absorption is minimal compared to oral administration. This means that while it effectively treats the skin condition locally, it is unlikely to cause significant systemic effects or side effects. This low absorption is one reason why topical ivermectin is generally well-tolerated with a low risk of serious side effects.

What parasites does ivermectin treat?

Dr. Shende says that ivermectin is effective against a variety of parasites. It’s widely used to treat scabies (Sarcoptes scabiei), a skin infestation caused by mites. It also treats onchocerciasis (river blindness) caused by Onchocerca volvulus and strongyloidiasis, a roundworm infection. Additionally, ivermectin is used in veterinary medicine to treat a range of parasitic infections in animals. Its broad-spectrum activity makes it a versatile antiparasitic agent.

Can you use ivermectin cream for lice?

Dr. Shende says you can also use topical ivermectin 0.5% (often in the form of a lotion) to treat lice. The topical form is preferred because it can be directly applied to the affected areas, effectively targeting the lice on the scalp and hair. Oral ivermectin is typically reserved for cases where topical treatments have failed, in severe infestations, or in situations where topical application is not practical. It is also used in cases where the lice have developed resistance to standard topical treatments.

Can you use ivermectin cream for scabies?

Dr. Shende says that some studies show that oral and topical ivermectin are also used in the treatment of scabies, a highly contagious skin rash caused by the Sarcoptes scabiei mite. In most cases, oral ivermectin is preferred for the treatment of scabies.

What else can you use ivermectin cream for?

Dr. Shende says that new clinical studies show that topical ivermectin is a well-tolerated and effective treatment for mild and moderate perioral dermatitis, seborrheic dermatitis, and acne vulgaris. All patients experienced a significant reduction in inflammatory skin lesions, with most achieving near or complete clearance. The majority of patients reported a very good response to treatment, with only mild side effects. 

Patients should consult healthcare providers for off-label use as effectiveness and safety profile may differ.

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Article References:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4665052/
https://www.aafp.org/pubs/afp/issues/2016/0915/p512.html
https://www.aafp.org/pubs/afp/issues/2016/0915/p512.html
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9069911/
https://www.nejm.org/doi/full/10.1056/NEJMoa1200107

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