Ivermectin for Dermatitis, Demodex mites and Rosacea

Had a family member who encouraged me to try using Ivermectin for my skin “troubles”, ie, rash, eczema, and psoriasis.

I am happy to share that the results are incredible.

Anyone else? Reading on Reddit, doctors there are all horrified about the right-wing people using Ivermectin for various illness prevention. One wished them “depopulate” from that usage. So much “do no harm” for the medical profession.

Ivermectin OTC status

Ivermectin Mechanism and Pathway Map

the status of preclinical and clinical studies investigating ivermectin’s antitumor effects as of 2025:

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What opinion will The Atlantic assign to me regarding the use of Ivermectin today? (I’m almost on the level of RapAdmin, who enjoys diversity of sources to the mix, like NPR and The Guardian, for a well-balanced view :wink:).

Conclusion: Not good.

But my own opinion is that I would need an evaluation with MR or RCT and preferably on hard endpoints, if there isn’t, maybe it takes up brain real estate for those that exist for the same condition(s).

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A few expensive medications work on similar pathways to Ivermectin.

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What does it mean to “work similar pathways”, how much, for instance?

for inflammatory skin conditions it seems the evidence is not too bad - but its not aspirin :smile:

6. Rosacea & Other Inflammatory Skin Conditions

:white_check_mark: Benefits:

  • Topical ivermectin (e.g., Soolantra) is approved for rosacea.
  • Anti-inflammatory and anti-parasitic effects (e.g., on Demodex mites).

:bar_chart: Evidence Quality:

  • High, based on RCTs and regulatory approval.

See details here from your friendly neighborhood ChatGPT instance:

in what therapeutic areas is ivermectin showing preliminary health benefits and what is the quality of the evidence in these areas?

ChatGPT response:

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This Lunatic has found a few interesting papers and has beautiful skin with rosacea:

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All preclinical studies that have little generalizability for human in-vivo use.
Drug development is difficult, takes a long time, costs a lot, and is very unlikely to succeed.

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My story with Ivermectin 2% cream. Had it prescribed for rosacea. Cost quoted at local pharmacies was $400 to $800 per 30gm tube. I ordered it from India (from a pharmacist that I use there) and it cost $2 for a 40gm tube. So I ordered 5 tubes! And yes, it does work well if your rosacea is caused by the demodex mite, but I was not interested in getting expensive testing for the demodex mite, so I just used the Ivermectin. Happy with it,

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Ivermectin Off Label usages by OpenEvidence:

Do you have some before and after pictures?

I used Ivermectin 2% cream for about 8 weeks. Two pics (1st day applied on 1-21-25 and today, 7-22-25) with both photos in the same bathroom with same lighting on. The most remarkable part of this experiment is that for many years, I would break out in small lesions that would sting (like a baby bee sting), then leak clear fluid, then crust over in the course of a day, but persist for weeks thereafter as a non-healing scab. I have had zero such lesions since I used Ivermectin x 8 weeks. Now I use it occasionally (maybe once weekly) as maintenance. Not sure my face looks much different, but I am happy not to have these recurring lesions that were usually toward my central face.
01-21-25-1st day of Ivermectin Cream

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Don’t generalize. I am actually very OK with it going to OTC. Doctors were very reluctant to prescribe Ivermectin for COVID for a very simple reason.

  1. Ivermectin actually failed in RCTs to meet endpoints for COVID treatment - so basically had no evidence that it would work in COVID. So if doctor did it prescribe off label for COVID and patient had an adverse reaction - the doctor would have hard time explaining their reasoning to the state board if complaint (or lawsuit) was filed.

Same here. Worked wonders for my rosacea.

Also works on scabies and demodex mites faster than most others.

Ivermectin for COVID is not a reason that I bought the topic. It’s about using it for skin conditions.

Any evidence for psoriasis?

Outline: Compact Summary of “New indications for topical ivermectin 1% cream” (Postepy Dermatol Alergol, 2019)

  1. Study Overview
  • Title: New indications for topical ivermectin 1% cream
  • Published: 2019, Postepy Dermatol Alergol
  • Focus: Efficacy and safety of topical ivermectin 1% cream
  1. Conditions Treated
  • Mild to moderate perioral dermatitis (PD)
  • Seborrheic dermatitis (SD)
  • Acne vulgaris (AV)
  1. Key Findings
  • Well tolerated by patients
  • Significant reduction in inflammatory lesions and clearance mostly within weeks
  • All patients achieved complete or almost complete lesion clearance (IGA 0-1)
  • Mild and transient side effects reported in a few patients
  1. Relevance to Eczema
  • Ivermectin has anti-inflammatory effects shown in experimental eczema models
  • Not FDA-approved or standard treatment for eczema
  • Established eczema treatments remain preferred
  • Use in eczema is investigational and requires medical supervision
  1. Conclusion
  • Topical ivermectin 1% cream is effective and safe for PD, SD, and AV
  • Potential anti-inflammatory benefits for eczema exist but are not clinically established

Compact Summary: Topical ivermectin improves allergic skin inflammation (Allergy, 2017)

  • Ivermectin has known antiparasitic use and emerging anti-inflammatory properties.
  • Study: Topical ivermectin applied in a mouse model of atopic dermatitis.
  • Findings:
    • Reduced allergic skin inflammation.
    • Decreased T-cell activation and inflammatory cytokines.
    • No major effect on dendritic cells.
  • Conclusion: Ivermectin has topical anti-inflammatory effects by modulating T-cell responses and shows potential for treating T-cell-mediated skin diseases like atopic dermatitis.

Here are the compact paper citations, along with their PubMed or PMC links, for easy access: One paper on psoriasis.