As you may have read in my previous posts, I used Quellada Lotion and Lyclear Cream but these are just two of the many Permethrin 5% preparations you can purchase over the counter and use off-label in your quest to eliminate the demodex mite.
Because these two products aren't available worldwide, I thought I'd dedicate this post to brands available outside of Australia.
Manufacturer Brand
GlaxoSmithKline Kwellada-P
Actavis Permethrin Cream
Perrigo Permethrin Cream
Galderma Permite
Sandoz Permethrin
Galenium Scabimite
Neoderm Lindell Lotion
Steifel Nedax-5
SkinVenture Casthrin Lotion
Prestium Pharma Elimite Cream
Renaissance Pharma Permethrin Cream
GlaxoWellcome Nix Dermal Cream
Amideep Pharmaceuticals Permarin
Tomar Medicines Skabi-Rid
Glenmark Glenper Cream
PSM Lyderm Cream
...and many more.
If none of the above are available in your particular country, internet search "permethrin 5% scabies" and your search engine will bring up a brand available to you locally.
Read the ingredients on the box or bottle to confirm that it contains 5% Permethrin. The other ingredients will consist of the carrier and preservative.
Best wishes
Kate
Showing posts with label scabies. Show all posts
Showing posts with label scabies. Show all posts
Saturday, 24 June 2017
Friday, 26 May 2017
One year on and still amazing results.
It's been a year since my last photographs and I thought it would be great to update you on my skin.
I have been less regimented with the scabies lotion (Quellada) over the last year - only using it for a couple of nights in a row when I get a breakout on my chin or in the nasal folds.
I haven't had any more laser treatment since I finished the course in early 2016.
My routine these days is very simple. I keep my skin clean with a gentle cleanser (Cetaphil) and because I'm now 50 years old, I've been using a basic hyaluronic acid to keep the wrinkles at bay topped with Cetaphil lotion (to trap the hyaluronic acid in).
I always wear a hat when I got outside and I am mostly pretty good at remembering to apply sunscreen.
This probably really is my last post regarding my battle with rosacea. ...maybe...
All the very best
Kate
Friday, 20 November 2015
My battle against Demodex Mites has been won!
It's really nice to know that people are reading about my journey! Here's an update...
It has been almost one year and my skin has improved significantly.
Since getting the demodex mites under control using Quellada scabies lotion on a daily basis, my dermatologist has said to use it once a week. Sometimes I forget and use it every couple of weeks when a small pimple reminds me to apply the lotion (paying particular attention to my sebum rich areas - the creases of nose and chin).
Morning routine at this time:
Cleanse with Cetaphil.
Zinc sunscreen with a tint OR I apply a mineral foundation if I am needing a made up look.
Evening routine at this time:
Cleanse with a micellar water to remove the sunscreen or makeup.
Apply Cetaphil lotion OR Quellada (once a week - I aim for Sunday evening)
The redness which remains is veins damages from the Demodex infestation. To minimise the flare ups, I have had 4 sessions of IPL. Initially the settings were low and bearable but each session is now dreaded as the operator has increased the pulse and focuses on my problem areas - on and around the nose and a couple of really stubborn veins on my chin. I take two paracetamol before I go to the appointment but I doubt they do much to counter the shock of each zap. I describe myself as pretty tough but I cried during my last session.
On average, it takes me around 3 days to recover from a session most of which consists of tender skin, one or two little bruises and swelling beneath the eyes.
I've got a routine I follow to minimise the discomfort. As soon as I get into the car, I apply alcohol free aloe vera gel and turn the air conditioner on for an icy blast. As soon as I arrive home, I very gently wash the sunscreen off my face (applied by the IPL operator as a matter of course) and apply Advantan cream followed by a layer of aloe vera. I spend the next couple of hours sitting up on the bed, fanning my face with a hand fan and gently applying cold compress to particularly hot areas.
I stopped using the Solosite burn gel but only because as soon as you touch it, it sort of flakes off in blobs and was a bit messy. I recommend that you don't go out in public with it on. Other than that, if you have some on hand, go for it!
Within a couple of hours, I have the redness under control. The skin feels very tender and remains that way for a few days.
I almost forgot! Here's some exciting news for Australian rosacea sufferers!... My dermatologist said that SooLantra will be here within the next month or so. She said that although the Quellada has been excellent for me, she would get me a sample of SooLantra to try. It will be interesting to see how much the SooLantra will cost here but it won't be anywhere near as affordable as the $25 a bottle I pay for Quellada.
It has been almost one year and my skin has improved significantly.
Since getting the demodex mites under control using Quellada scabies lotion on a daily basis, my dermatologist has said to use it once a week. Sometimes I forget and use it every couple of weeks when a small pimple reminds me to apply the lotion (paying particular attention to my sebum rich areas - the creases of nose and chin).
Morning routine at this time:
Cleanse with Cetaphil.
Zinc sunscreen with a tint OR I apply a mineral foundation if I am needing a made up look.
Evening routine at this time:
Cleanse with a micellar water to remove the sunscreen or makeup.
Apply Cetaphil lotion OR Quellada (once a week - I aim for Sunday evening)
The redness which remains is veins damages from the Demodex infestation. To minimise the flare ups, I have had 4 sessions of IPL. Initially the settings were low and bearable but each session is now dreaded as the operator has increased the pulse and focuses on my problem areas - on and around the nose and a couple of really stubborn veins on my chin. I take two paracetamol before I go to the appointment but I doubt they do much to counter the shock of each zap. I describe myself as pretty tough but I cried during my last session.
On average, it takes me around 3 days to recover from a session most of which consists of tender skin, one or two little bruises and swelling beneath the eyes.
I've got a routine I follow to minimise the discomfort. As soon as I get into the car, I apply alcohol free aloe vera gel and turn the air conditioner on for an icy blast. As soon as I arrive home, I very gently wash the sunscreen off my face (applied by the IPL operator as a matter of course) and apply Advantan cream followed by a layer of aloe vera. I spend the next couple of hours sitting up on the bed, fanning my face with a hand fan and gently applying cold compress to particularly hot areas.
I stopped using the Solosite burn gel but only because as soon as you touch it, it sort of flakes off in blobs and was a bit messy. I recommend that you don't go out in public with it on. Other than that, if you have some on hand, go for it!
Within a couple of hours, I have the redness under control. The skin feels very tender and remains that way for a few days.
I almost forgot! Here's some exciting news for Australian rosacea sufferers!... My dermatologist said that SooLantra will be here within the next month or so. She said that although the Quellada has been excellent for me, she would get me a sample of SooLantra to try. It will be interesting to see how much the SooLantra will cost here but it won't be anywhere near as affordable as the $25 a bottle I pay for Quellada.
Sunday, 12 April 2015
It's been a while between updates.
I met with my dermatologist in February and while she was up to date with information regarding the approval of SooLantra in the US, she was not supportive of me using Ivomec.
"Too strong, too strong!" she said.
I am inclined to disagree based on how my skin was responding and improving but I'm not a dermatologist. In hindsight, I think that the tea tree oil products were too strong but used less often and for particular reasons will continue to have their place in my routine.
My dermatologist started me on a Permethrin 5% scabies cream called Lyclear Dermal Cream.
From the patient information leaflet: "Lyclear Dermal Cream contains butylated hydroxytoluene (E321) and formaldehyde which may cause local skin reactions (e.g. contact dermatitis), or irritation to the eyes and mucous membranes (lining of the nose, mouth and genital areas)."
I commenced twice daily usage (February 10th) and mostly my skin has responded very well with only two significant skin eruptions. The skin generally appears smooth. Flushing episodes are less common and abate sooner than in the past.
My rosy complexion remains but that is due to the many broken capillaries across my cheeks and around my nose and will have to be addressed by future laser treatment. I am able to disguise this by applying a mineral foundation (or a tinted sunblock) but am careful to wash it off as soon as I can.
The demodex mites continue to inhabit my pores but in fewer numbers these days. I can feel the tingly, itchy feeling here and there on my face and in my hairline after the sun has set. It serves to remind me to apply the Lyclear cream before I go to bed. There have been a few occasions, that when the itching feels more aggressive than usual, I apply the Ivomec fluid and after that has dried, I apply a layer of Lyclear over the top.
My current routine is as follows (and is dependent on how my skin is feeling at the time):
Morning (if showering).
- Wash with TTO foaming cleanser OR with Cetaphil cleanser.
- Apply Lyclear Dermal Cream.
Morning (if not showering).
- Dampen cleansing pads with micellar water (currently using Suisse Micellar Water because it was on special!). Discard and use a fresh pad to finish.
- Apply Lyclear Dermal Cream.
I wear a hat when I go outside but if a sunblock is needed, I use a tinted 30+ by Invisible Zinc. I don't like the shininess but the colour helps to disguise my broken capillaries.
Evening (if not showering).
- Dampen cleansing pads with micellar water. Discard and use a fresh pad to finish.
- Apply Lyclear Dermal Cream OR if there is obvious mite activity (bumps/itching) apply Ivomec (allow to dry) and then apply Lyclear Dermal Cream on top.
Evening (if showering).
Wash with TTO foaming cleanser OR with Cetaphil cleanser.
- Apply Lyclear Dermal Cream OR if there is obvious mite activity (bumps/itching) apply Ivomec (allow to dry) and then apply Lyclear Dermal Cream on top.
My application of Ivomec fluid topped with the Lyclear has so far not exceeded more than once weekly. I have used it as "booster" when I can see that there are bumps forming. I apply it at nighttime because that is when the demodex mites are active.
In additions, I recently started taking vitamin D3 and vitamin B but not specifically for this issue.
The two pics below are a vast improvement on what I was dealing with late November 2014. My right cheek (bottom image) has always been the worst effected. It's the side I sleep on.
My next appointment with the dermatologist is in June.
"Too strong, too strong!" she said.
I am inclined to disagree based on how my skin was responding and improving but I'm not a dermatologist. In hindsight, I think that the tea tree oil products were too strong but used less often and for particular reasons will continue to have their place in my routine.
My dermatologist started me on a Permethrin 5% scabies cream called Lyclear Dermal Cream.
From the patient information leaflet: "Lyclear Dermal Cream contains butylated hydroxytoluene (E321) and formaldehyde which may cause local skin reactions (e.g. contact dermatitis), or irritation to the eyes and mucous membranes (lining of the nose, mouth and genital areas)."
I commenced twice daily usage (February 10th) and mostly my skin has responded very well with only two significant skin eruptions. The skin generally appears smooth. Flushing episodes are less common and abate sooner than in the past.
My rosy complexion remains but that is due to the many broken capillaries across my cheeks and around my nose and will have to be addressed by future laser treatment. I am able to disguise this by applying a mineral foundation (or a tinted sunblock) but am careful to wash it off as soon as I can.
The demodex mites continue to inhabit my pores but in fewer numbers these days. I can feel the tingly, itchy feeling here and there on my face and in my hairline after the sun has set. It serves to remind me to apply the Lyclear cream before I go to bed. There have been a few occasions, that when the itching feels more aggressive than usual, I apply the Ivomec fluid and after that has dried, I apply a layer of Lyclear over the top.
My current routine is as follows (and is dependent on how my skin is feeling at the time):
Morning (if showering).
- Wash with TTO foaming cleanser OR with Cetaphil cleanser.
- Apply Lyclear Dermal Cream.
Morning (if not showering).
- Dampen cleansing pads with micellar water (currently using Suisse Micellar Water because it was on special!). Discard and use a fresh pad to finish.
- Apply Lyclear Dermal Cream.
I wear a hat when I go outside but if a sunblock is needed, I use a tinted 30+ by Invisible Zinc. I don't like the shininess but the colour helps to disguise my broken capillaries.
Evening (if not showering).
- Dampen cleansing pads with micellar water. Discard and use a fresh pad to finish.
- Apply Lyclear Dermal Cream OR if there is obvious mite activity (bumps/itching) apply Ivomec (allow to dry) and then apply Lyclear Dermal Cream on top.
Evening (if showering).
Wash with TTO foaming cleanser OR with Cetaphil cleanser.
- Apply Lyclear Dermal Cream OR if there is obvious mite activity (bumps/itching) apply Ivomec (allow to dry) and then apply Lyclear Dermal Cream on top.
My application of Ivomec fluid topped with the Lyclear has so far not exceeded more than once weekly. I have used it as "booster" when I can see that there are bumps forming. I apply it at nighttime because that is when the demodex mites are active.
In additions, I recently started taking vitamin D3 and vitamin B but not specifically for this issue.
The two pics below are a vast improvement on what I was dealing with late November 2014. My right cheek (bottom image) has always been the worst effected. It's the side I sleep on.
My next appointment with the dermatologist is in June.
Saturday, 20 December 2014
I'm lucky to have an open-minded GP.
My research of late has made me want to try oral Ivermectin (Stomectol) as a way of eradicating the demodex mites, or at least to rule it out. Ivermectin is usually prescribed as a one-off treatment to cure scabies however demodex mites have a difficult life cycle to crack with eggs hatching within three days of being laid. My thoughts are that more than one dose of it will be required.
I made the appointment with my GP solely to discuss this issue. It was interesting to note that she hadn't heard of demodex mites until now but was open-minded regarding what I was hoping to achieve and asked me how many courses did I think I would need to break the cycle. I was unsure and hesitant to name a figure but she asked me if I thought 4 doses would be enough? At this point in time, I'll take whatever I can get! Since this is entirely experimental, I have no idea how often I should take doses for maximum effect. I'm suspecting I should do it weekly and if I am getting good results, ask for another prescription.
I took my first dose yesterday but the pharmacist got the dosage wrong and only gave me 4 tables instead of the 5 tablets my GP worked out based on my body weight. Eager to start, I took the dose during a meal and waited for any side effects but didn't experience anything - no nausea, no dizzyness etc. I'll make sure I get the proper dosage next time. It's not going to be a cheap exercise at $28 for 4 tablets.
I slept incredibly well last night and quite possibly it was the best sleep I've had in a long time. It makes me wonder if my sleep disturbances are due to the nocturnal wanderings of the mite. Perhaps I am having some success in diminishing their numbers?
Looking at the images, on my right cheek there is a large welt as a result of a deep and very painful infection. It took 4 days to surface and looking at it, I think it will take several more to heal. I'm not feeling defeated because this is the first pustular sore I have had since I started my routine in early December. There have been other tiny infections which are closer to the surface resembling a whitehead but they heal quickly. I'm assuming that over the next few days, if the Ivermectin is a success, I will end up with quite a lumpy sore face as a result of mass die-off - the infection will be due to the bacterium the mites leave in each pore as they decompose.
My left cheek, aside from having three tiny surface infections, is looking very good. It gives me hope that by persisting with my TTO routine and in addition to regular washings alternating pyrethrin, permethin and benzyl benzoate should being results.
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