Demodex Mites Treatment

Written by on August 24, 2007 in Demodex Mites, Ivermectin, What Causes Rosacea? with 274 Comments
demodex-mite

From: “Annette Anderson”
Date: Fri Nov 24, 2000 10:59 am
Subject: Effective treatment ?

Hi, I’m new to this group.

I sought you out to share a treatment approach with you that has worked for me very well, and since then has also helped a number of others.

I’m a family doctor in Canada; I was diagnosed with rosacea 2 years ago. My symptoms were deep-red flushing with any exercise,warm environment such as a hot shower, sunny day, also when crying ( PMS 🙂 ), alcohol etc. I looked awful, like Rudolf the red-nose raindeer. Of course I was prescribed Metrogel, took it faithfully, but wasn’t impressed. I didn’t yet have the papules or telangiectasias ( permanently dilated spidery arteries ), but I sure didn’t want to let it go that far. It was also getting worse rapidly. My doctor gave me the usual spiel, how rosacea is incurable, just avoid trigger factors, etc. Well, I was upset. I struck out on my own so to speak and hit the net. I found a lot of research articles on rosacea, including on medical mebsites for doctors only, such as “mdconsult.com” , where I found the most relevant ones. The first interesting article I came across was about several children with leukemia, who developed a rosacea-like rash ( as you know, rosacea is an “adult” disease ). Skin biopsies showed — you guessed it— huge loads of the skin mite Demodex Folliculorum. Alright, I just had to emphazise this. 🙂

They treated the kids with standard anti-mite treatment, permethrin, same we use to treat the mother of all mites, Scabies . The rash cleared. I thought, aha, gotta look at more articles like this. Turns out, there were quite a number of small, independent medical studies, where skin biopsies showed rosacea patients had a much higher than usual load of the generally benign mite demodex folliculorum ( I’ll attach some studies as examples ).

So, I tried the treatment on myself. I used Kwellada on my face ( not supposed to do this as per instructions on the bottle ” use neck down ” ). I worked out that a once – weekly application ( leave on 24 hours ) does the trick.

** Please note the complete treatment instructions following below .

After 2 months I noticed steady improvement, slow but very steady. First I thought, when it was all gone , I didn’t have to use the Kwellada anymore, but in the meantime I found out I still have to do it every 3 weeks or so for maintenance, usually as soon as my nose starts up again. I measured the intitial steps of improvement by how red my face would get after a hot shower. The intensity of the redness gradually diminished, and the total area involved contracted. First, it was the cheeks,forehead, chin and nose, lastly just the nose ( Rudolf ) , then that went , too. Basically, over a total of six months, all of the symptoms completely disappeared ! And stayed away, with the maintenance treatments, for the last eight months..

Boy, was I excited about this. I had proved my original theory. Well, not a new theory, according to those studies I mentioned, but I also haven’t heard of a regular patient with rosacea being treated for the mite problem, only for the secondary bacterial problem, with antibiotic ointments such as Metronidazole (Metrogel) etc. Then I started to try it out on my patients ( it seemed that all of a sudden nearly everyone had rosacea—–selective perception is an interesting phenomenon…). So far, it worked on all but one (total patients so far 21) . I have heard things like my patients’ hairdresser tried it too and had good results. Things like that. I always say, it might NOT work, but what have you got to lose ?

The treatment is simple, available over the counter (in Canada at least), cheap ( one bottle of Kwellada lotion, i.e. Permethrin 5% , lasted me exactly a year. ), and side effects are rare and minimal —permethrin for scabies can be used even on infants ! Getting it in the eyes is not fun, it burns like heck.

I have also found studies linking demodex to animals. One study was of a boy and his dog. The boy had a rosacea-like rash, and both he and his dog were heavily loaded with demodex. Treatment for both eliminated their problem. Since then I found out that most patients with rosacea get in close contact regularly either with their own cats/dogs or with those of friends and family. I don’t want to cause undue concern about pets, but I have to report my observations.
In any case it would probably not be too difficult to treat the pets as well, on and off.

I think it’s probably impossible to eliminate the demodex from one’s environment, just like it’s pretty hard to get rid of scabies forever, unless it was picked up on one’s travels .If it developed at home, it often recurs eventually.

Therefore I think that if the original treatment works, maintenance treatments are the way to prevent recurrences.

I would like to send my self-concocted treatment outline to you to review and possibly to try it out.

As I said there are no guarantees it will work at all, and side effects are always a certain possibility….but there’s not too much to lose. And I would be absolutely ecstatic if it worked for you, too.

I would like to ask you, that if you want to try the treatment, please fill out the questionnaire pre-treatment, as outlined in the following pages. I haven’t yet had time to think up the 6 months follow -up questionnaire, but PLEASE PLEASE PLEASE , if the treatment works for you, also fill out the 6-months follow-up questionnaire for me, I’ll send it some other time. I would like to gather these data and maybe eventually publish a summary of the results in a G.P. medical magazine. ( The big magazines like dermatology etc. only accept scientifically and statistically sound research studies, which I found out cost upwards of 50,000 $, which I can’t afford. Organizing a study through a research agency would take about 5 years to do !). Also, of course , I would really like to know about any side effects, or if it doesn’t work for someone, even when following the once-weekly treatment guideline. I am also interested in knowing if you have pets in your lives somewhere. That would be so very much appreciated.The icing on the cake would be “before” and “after six months ” close-ups of your face, with the eyes blocked out if you want. I would love some of those, if it worked, of course.

Good luck, I hope you’ll give it a shot. Remember, I’ll append some relevant articles at the end of this, to verify that I didn’t dream this up.

For the treatment outline I use in my practice, the “ingredients” are as follows ( I’m giving you the real names because you already know you have rosacea.

A = Kwellada shampoo
B = Kwellada lotion (5% Permethrin)
C = Sulfacet face cream or equivalent antibiotic cream

DR. ANNETTE ANDERSON, B.A., M.D.

FAMILY PHYSICIAN

(Address withheld for people outside my medical group)

RE: ROSACEA STUDY

I am looking for patients with a one year + history of chronic recurrent rosacea, for a small study (N=50) involving a new treatment method . The aim is to substantially reduce symptoms. There are no guarantees, but so far, positive results.

The premise of the study is that rosacea may be caused or aggravated by an over-abundance of a mite called DEMODEX FOLLICULORUM. This mite is a common organism found in skin follicles, but in some people it overgrows, attracting bacteria which cause inflammation and the symptoms of rosacea.

Typically, rosacea develops in several stages ( not all people with rosacea go through all stages) . These stages are:*

  • Flushing: periodic reddening of the face, aggravated by various trigger factors, such as hot showers ,emotional upset, alcohol, PMS, etc.
  • Inflammatory lesions: papules, pustules (pimples)
  • Edema may be present ( swelling over affected areas)
  • Telangiectasias may be added with time ( dilated blood vessels)
  • Ocular rosacea may occur (burning, stinging,tearing etc. of the eyes)
  • Rhinophyma may sometimes occur in the advanced stages in men ( red, swollen nose)

Rosacea is a clinical diagnosis, i.e. based on appearance and history alone.There are no blood tests to confirm or refute the diagnosis. It is important to see how the symptoms behave when the condition is treated appropriately.

So far, the assumption is, and experience seems to show, that rosacea cannot be cured, only controlled with creams or gels. These are typically antibiotic based, such as Metrogel (reg. TM). Sometimes,oral antibiotics are also used and can be quite effective for treating an acute flare-up. Of course, it is also important to avoid trigger factors.

However, this small study, (as other similar ones ), tries to illustrate that one should also attempt to treat for the mite DEMODEX FOLLICULORUM, in order to achieve better, and more lasting results. This concept is based on a review of some of the available literature/studies.**

Basically, it might seem that DEMODEX can overgrow, attracting bacteria in the process.It may be that certain substances such as lipases result in the release of irritant fatty acids, which in turn lead to the observed skin changes.

So far, the antibacterial-based treatments reduce the bacterial, but not the DEMODEX load. So, the underlying problem, the DEMODEX ,causes further flare-ups eventually, and the whole process repeats itself.

ABOUT THE STUDY:

  • Treatment is of a six months total duration.
  • Topical mite therapy is in the form of cream and shampoo, plus oral antibiotics if a heavy bacterial load seems to be present also.
  • Patients may continue own treatments during study.
  • Short questionnaires, time 0 and 6 months, in conjunction with office visits.
  • Patients are requested to supply a copy of the dermatology consult originally diagnosing rosacea.
  • Please, no patients with body-dysmorphic disorder, history of anti-social behavior, unstable psychiatric conditions, or severe self-image problems.
  • Please ask any interested rosacea patient to call my office to set up an appointment for the first visit/questionnaire.

Kind regards,
Annette Anderson, B.A., M.D.

* From: ROSACEA, a Guide For Physicians, Jonathan Wilkin,M.D.


ROSACEA TREATMENT TRIAL
Patient name: ______________________________
Patient’s GP: ______________________________
Date: ______________________________

QUESTIONNAIRE

* How long have you had rosacea? __________________________

* Did a dermatologist diagnose it, or confirm the diagnosis? Please provide a copy of the consultation letter from your GP’s
records.* Does anyone else in your family have rosacea?_____________________

* How much does your rosacea bother you, on a scale from 0 (not at
all) to 10 (unbearable)? ________________________

* Please list the factors that consistently seem to contribute to a
flare-up of your rosacea:______________________________

* Please tick off any factors you think might also act as triggers
for a flare-up ( if any) :
_____ hot rooms / hot showers / hot beverages
_____ caffeine
_____ alcohol
_____ sun/wind
_____ for women: PMS
_____ exercise
_____ dairy products
_____ emotional upset / crying
_____ chocolate
_____ spicy foods
_____ medications :(which ones)
_____ creams (which ones, eg. cortisone)
_____ natural herbs/supplements (which ones)
_____ cosmetics (eg. alcohol-based lotions, witch hazel, oil-based make-up… ,
which ones ______________________________

* Your rosacea usually consists of:

_____ generalized redness/flushing of the :
_____ cheeks
_____ chin
_____ nose
_____ forehead
_____ both cheeks and nose
_____ all of the above
_____ other
_____ redness/flushing plus pimples (papules, pustules)
_____ pimples only
_____ swelling over some areas of facial skin
_____ tiny, permanently dilated red blood vessels (telangectasias)
_____ eye irritation, such as intermittent burning, tearing etc.
_____ reddened, enlarged nose

* On average, how often do you get a major flare-up of rosacea?

* Which treatments ( creams or pills ) have you tried so far, and briefly mention the results:

TREATMENT RESULT

* Have you had any side-effects to these treatments?

* How effective have these treatments been in the reduction or elimination of your rosacea symptoms?

(a) not at all (b) somewhat effective (c) moderately effective (d) very effective

* Do you have any allergies?

* Are you willing to try another treatment for rosacea?

* This treatment is in a trial phase, i.e., has not yet been proven to be effective. There is no guarentee that it will work, although a number of people in my practice have tried it, and have had good results with it.

* The core ingredients used in the treatment are available over the counter. If you have allergies precluding you from using these ingredients, we might be able to find alternatives .

B) THE TREATMENT

OUTLINE

You will be asked to use three creams. ( Called for now “A, B, and C”. You will be advised of the names of these products upon receipt of the consultation report which diagnosed you as actually having rosacea, versus another skin condition. It is important for treatment success to establish the correct diagnosis.)

In order to improve the chances of success, I will suggest several additional measures, as outlined below. These are optional, but recommended.

TREATMENT PLAN

Choose a day when you are free from work or other obligations. You will need treatments A, B,and C . If you choose to follow the steps described as optional, you will also need laundry detergent, anti-mite spray, a plastic mattress cover, and a good vacuum cleaner.

1) In the morning, have a thorough whole-body cleanse.

2) Use A as a shampoo, as directed on the bottle.

3) Then, use B. Apply thoroughly to your face, neck, ears, and downwards to cover each inch of skin including feet and toes. Avoid mucus membranes, lips and eyes. Let dry for ten minutes, then put on clothes. Leave on for twenty-four hours.

Note: After several hours, you may note tingling or burning on your face in the distribution of your rosacea. This would feel worse when exposed to cold air. If needed, take two Tylenol tablets to decrease the discomfort. Try to persist with the treatment, unless the discomfort is severe (which has not happened to anyone yet).

4) Optional:

Wash all your clothes and bedding in as hot water as allowed by their labels.

Spray your furniture with an anti-mite/anti-scabies spray (available at any pharmacy)

Put a plastic mattress- cover on your mattress.

Vacuum your carpets thoroughly.

5) After twenty-four hours, wash off treatment B thoroughly, using a mild cleansing lotion (e.g. Cetaphil) , a mild soap ( e.g. Dove), or equivalent , not based on alcohol or witch hazel.

Towel off.

Apply treatment C to your face, covering every inch of skin including ears. On the rest of your body, you may use any lotion of your choice.

If your face feels quite dry and uncomfortable, after one hour you may apply a small amount of a high- quality moisturizer on top of C.

6) From now on, twice a day, wash your face thoroughly with warm water and a gentle soap (eg. Dove etc.), and then apply C. Leave C on during the day. Dab off any excess oilyness with a Kleenex. For women: you may apply a small amount of oil-free make-up on top of C, although it may compromise the treatment to some degree. (Unknown)

7) Once a week, repeat steps 3 ( this time, on the FACE only) and 5 for the rest of the six months ,or as long as needed , closely monitoring for side effects .

You may have noted some improvements in your rosacea after two months or so. Mostly, this would be noticeable through less frequent episodes of flushing, which might also be less severe. The dilated blood vessels in your face (which cause the redness) should slowly shrink further. This takes time!

The triggers you listed above may still cause flare-ups, but these should become less often and less noticeable as the blood vessels in your face keep going back to normal. It is still important to try and avoid these triggers, to let the blood vessels shrink. You might notice that the diameter of the total area involved is contracting.

In addition to the above, you might be prescribed an oral antibiotic to take, depending on the severity of your condition. This would be useful especially in the presence of a lot of pimples, which is the same concept applied in the treatment of acne. Acne also involves an overgrowth of bacteria, as in rosacea.


The significance of Demodex folliculorum density in rosacea. Erbagci Z – Int J Dermatol – 1998 Jun; 37(6): 421-5, Department of Dermatology, Faculty of Medicine, Gaziantep University, Turkey.Authors: Erbagci Z; Ozgoztasi O

BACKGROUND: Demodex folliculorum has been reported in rosacea in a number of clinical studies. As the Demodex mite is also present in many healthy individuals, it has been suggested that the mite may have a pathogenic role only when it is present in high densities. Moreover, some authors have proposed that a mite density above 5/cm2 may be a criterion for the diagnosis of inflammatory rosacea. In this study, the possible role of D. folliculorum and the importance of mite density in rosacea were investigated using a skin surface biopsy technique.

METHODS: Thirty-eight patients with rosacea and 38 age-and-sex-matched healthy subjects entered the study. With the skin surface biopsy technique, we obtained samples from three facial sites. We then determined the mite positivities, the mean mite counts in both study groups, the mean mite densities at each facial site and in the rosacea subgroups, and the mite densities above 5/cm2.RESULTS: The mean mite count in the rosacea group (6,684) was significantly higher than that in controls (2,868; p < 0.05). The cheek was the most frequently and heavily infested facial region. Ten rosacea patients and five normal subjects had mite densities over 5/cm2; the difference was not statistically significant (p > 0.05).

CONCLUSIONS: Rosacea is a disease of multifactorial origin, and individual properties may modify the severity of the inflammatory response to Demodex. We suggest that a certain mite density is not an appropriate criterion in the diagnosis of the disease; nevertheless, large numbers of D. folliculorum may have an important role in the pathogenesis of rosacea, together with other triggering factors.

Major Subjects:
.. Acne Rosacea / * Diagnosis / Pathology / * Parasitology
.. Facial Dermatoses / * Diagnosis / Pathology / * Parasitology
.. Mite Infestations / * Diagnosis / Pathology / * Parasitology


A study on Demodex folliculorum in rosacea. Abd-El-Al AM – J Egypt Soc Parasitol – 1997 Apr; 27(1): 183-95, Journal of the Egyptian Society of Parasitology, Author Affiliation: Department of Dermatology, Faculty of Medicine, Al-Azhar University, Nasr City, Cairo.Authors: Abd-El-Al AM; Bayoumy AM; Abou Salem EA

A random sample of 16 female patients suffering from papulopustular rosacea (PPR) as well as (16) normal female healthy subjects as control group were adopted in this study to assess of Demodex folliculorum pathogenesis. It was done through determination of mite density using a standard skin surface biopsy 10.5 cm2 from different designated 6 areas on the face, and scanning electron microscopic study (SEM) as well as total IgE estimation. A trial of treatment using Crotamiton 10% cream with special program was also attempted. All subjects ranged between 35-55 years old. All patients with rosacea and 15 of the control group i.e. 75.93% were found to harbour mites. The mean mite counts by site distribution were 28.6 & 6.9 on the cheeks, followed by 14.5 & 3.0 on the forehead and lastly 6.8 & 0.8 on the chin in PPR and control groups respectively. The total mean mite count in patients was 49.9 initially and 7.9 after treatment. In the control group it was 10.7 & 10.6 respectively. The mean total IgE was 169.4 & 168.4 and 96.3 & 98.4 in PPR and control groups respectively Light and scanning electron microscopy revealed that all mites were pointing in one direction. Some of them were containing bacteria inside their gut and on their skin. After treatment 3 cases (18.75%) were completely cured, 10 cases (62.5%) gave moderate response while 3 cases (18.75) have no response. In conclusion, this study supports the pathogenic role of D. folliculorum in rosacea.

Major Subjects:
.. Acne Rosacea / Drug Therapy / * Parasitology
.. Mite Infestations / * Complications / Drug Therapy
.. Mites / * Growth & Development / Ultrastructure

Additional Subjects:
.. Adult, Animal, Antipruritics / Therapeutic Use, Female
.. Hair Follicle / Parasitology / Ultrastructure, Human, .. IgE / Analysis
.. Insecticides / Therapeutic Use, Microscopy, Electron, Scanning
.. Middle Age, Toluidines / Therapeutic Use

Chemical Compound Name:
(Antipruritics); (Insecticides); (Toluidines); 37341-29-0 (IgE); 483-63-6 (crotamiton)


 

Demodicidosis in childhood acute lymphoblastic leukemia; an opportunistic infection occurring with immunosuppression. Ivy SP – J Pediatr – 1995 Nov; 127(5): 751-4, Author Affiliation: Department of Pediatrics, Children’s National Medical Center, Washington, DC 20010, USA.Authors: Ivy SP; Mackall CL; Gore L; Gress RE; Hartley AH

We report demodicidosis in 11 children with acute lymphoblastic leukemia and a mildly pruritic, erythematous papular dermatitis that developed in areas rich in sebaceous glands. Dermodex eruptions were safely and effectively treated with 5% permethrin. Proliferation of commensal parasites of the skin, Dermodex folliculorum and Dermodex brevis may be an opportunistic infection of the skin in the immunocompromised host; the expected abrogation of cell-mediated immunity secondary to lymphocyte depletion predisposes some children given chemotherapy for leukemia to mite proliferation.


1. Bonnar E, Ophth MC, Eustace P, et al. The Demodex mite population in rosacea. J Am Acad Dermatol 1993;28:443-8.
2. Hoekzema R, Hulsebosch HJ, Bos JD. Demodicidosis or rosacea: What did we treat? Br J Dermatol 1995;133:294-9.
3. Shelley WB, Shelley ED, Burmeister V. Unilateral demodectic rosacea. J Am Acad Dermatol 1989;20:915-7.
4. Forton F, Seys B. Density of Demodex folliculorum in rosacea: a case-control study using standardized skin-surface biopsy. Br J Dermatol 1993;128:650-9.
5. Mateo JR, Guzman OS, Rubio EF, et al. Demodex- attributed rosacea-like lesions in AIDS. Acta Derm Venereol 1993;73:437.
6. Ashack RJ, Frost ML, Norins AL. Papular pruritic eruption of Demodex folliculitis in patients with acquired immunodeficiency syndrome. J Am AcadDermatol 1989;21:306-7.
7. Dominey A, Rosen T, Tschen J. Papulonodular demodicidosis associated with acquired immunodeficiency syndrome. J Am Acad Dermatol 1989;20:197-201.
8. Banuls J, Ramon D, Aniz E, et al. Papular pruritic eruption with human immunodeficiency virus infection. Int J Dermatol 1991;30:801-3.
9. Sahn EE, Sheridan DM. Demodicidosis in a child with leukemia. J Am Acad Dermatol 1992;27:799-801.
10. Dominey A, Rschen J, Rosen T, et al. Pityriasis folliculorum revisited. J Am Acad Dermatol 1989;21:81-4.
11. Jimenez-Acosta F, Planas L, Penneys N. Demodex mites contain immunoreactivelipase. Arch Dermatol 1989;125:1436-7.


Demodex and Eye Disease

Blepharitis. Demodex folliculorum, associated pathogen spectrum and specific therapy, Demmler M – Ophthalmologe – 1997 Mar; 94(3): 191-6, Augenklinik, Universitat Munchen., Demmler M; de Kaspar HM; Mohring C; Klauss V

Original Title: Blepharitis. Demodex folliculorum, assoziiertes Erregerspektrum und spezifische Therapie.

Demodex folliculorum has been demonstrated with an elevated frequency in patients with blepharitis, and is thought to cause therapy-resistant blepharitis. This paper presents the germ spectrum of patients with blepharitis and demodex and discusses the efficiency of a specific therapy.

METHODS: In all, 3152 cilia from 139 patients with blepharitis (38% blepharitis, 44% blepharoconjunctivitis, others) and 108 persons with quiet eyes were examined for demodex. Smears n = 125, from the conjunctive of symptomatic patients were investigated for bacteria, 3 weeks of therapy with mercury ointment, 2%: Lindan, cortisone (prednisolone, dexamethasone, hydrocortisone, fluorometholone) or antibiotics after antibiogram (gentamicin, kanamicin, neomicin, erythromicin, ofloxacin, polymyxin-B, colistin) followed in all Demodex-positive blepharitis patients (n = 41).

RESULTS: Demodex was found in 52% (62/139) of patients with chronic blepharitis, as against 20% (3/15) of those with acute blepharitis (statistically significant difference, chi 2-test, alpha = 2.5%) and in 29% of quiet eyes (statistically significantly less, alpha = 2.5%, chi 2-test). Gram-positive cocci were isolated from 79% of 57 Demodex-positive patients with blepharitis and 72% of 68 Demodex-negative patients anaerobes in 39% and 37%, gram-negative rods in 11% and 3% (statistically significant difference for gram-negative rods, alpha = 5%, chi 2-test). Of the patients with Demodex, 25% apparently had no more parasites after mercury ointment, 2% (n = 8 ) and lindan (n = 5) and 15% after cortisone and antibiotics (n = 13). (The best and statistically very significant results (alpha = 1%) were those obtained with mercury ointment, 2%, and lindan: t-test for connected spot checks).

CONCLUSIONS: Gram-positive and gram-negative bacteria grew more often in patients with Demodex. Demodex seems to be a mediator of chronic blepharitis; we recommend that mites be sought in cilia of chronic blepharitis patients. Mercury ointment, 2% and lindan proved efficient for specific therapy, the main problem being the laborious application and toxicity.

Major Subjects:
.. Blepharitis / * Diagnosis / Drug Therapy / Etiology
.. Mite Infestations / Complications / * Diagnosis / Drug Therapy

Additional Subjects:
.. Administration, Topical,
.. Anti-Inflammatory Agents, Steroidal / Administration & Dosage
.. English Abstract, Female, Human, Lindane / Administration & Dosage
.. Male, Mercury Compounds / Administration & Dosage, Middle Age
.. Prospective Studies

Chemical Compound Name:
(Anti-Inflammatory Agents, Steroidal); (Mercury Compounds); 58-89-9 (Lindane)


Okay, that’s enough for today. Please let me know what you think about this.
Annie

Followup Email

From: “Annette Anderson” <andersona@telus.net>
To: “Rosacea-Support” <rosacea-support@egroups.com>
Subject: Unsubscribe please/Bye
Date: Fri, 1 Dec 2000 11:53:17 -0800

Hi,
I’ve enjoyed my stay here.

I was very sorry, though, that Rachelle had a very bad reaction to the
treatment I proposed, although she did say she’s very sensitive to start with.
Something good may have come out of this as she found a wonderful protocol of
natural ingredients to attack the mite. If one has a choice, of course, natural
treatments are always preferable.

Unfortunately I can’t keep up with reading all my messages from you and others,
so I’ve done “my hit and run “. As I am free of any and all rosacea symptoms
now, I’m concentrating on my other area of interest, insulin resistance.
If any of you would like to write to me about my area of special interest,
Demodex folliculorum and rosacea, please write to
andersona@telus.net

Good luck to all of you and thanks for the great ideas.
Annie

More Information

For more information see how to kill demodex mites and also ocular demodex, tea tree oil as a treatment.

For those interested in eliminating Demodex, do check out Soolantra – a recently approved topical treatment for rosacea that contains 1% ivermectin.

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About the Author: David Pascoe started the Rosacea Support Group in October 1998. .

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274 Reader Comments

  1. Frances says:

    @Jake thanks, it’s pityrosporum ovale, sorry, wrongly written, but the truth is I have to find a better practitioner 😉 the treatment with boric acid doesn’t help me too much

  2. M. says:

    This Rosacea mite cleared up with Lyclear applied to the cheeks very, very thinly within 2 weeks. The nose still gets red in sunshine, but it too, is much better. I keep the face covered more. Prior to this, my face sweated so much. Also, most interestingly, I’ve hardly experienced hot flushes since this cleared up. They were quite frequent. So, I wonder, does Rosacea ( the mite ) contribute to hot flushes? Interesting theory. The suggestion to use a Scabies treatment worked.

  3. Gayle Stevenson says:

    Update on the cherry milk of magnesia:
    I’ve been using it daily on my skin for about a week now. I feel so much better. I went visiting and to church. I’ve been house-bound for 4 months, because I was so physically miserable.
    I did also find that if I also use witch hazel on top of the cherry mom, it works even better. I have put the cherry mom then the witch hazel all over my skin one section at a time. For my hair, I wet it, rub in the cherry mom like conditioner, leave in for 10 minutes and rinse.
    My son had acne all over his body, especially, his face. We did try doctors. I have been putting the cherry mom on his back and he does the rest of his body 1x per day at night. He leaves it on for about about 10 minutes and then he showers. His skin is so beautiful now, I get tears of relief for him.
    I want the world to know about this cherry mom for the skin. I got the idea from the Earth clinic site, so it’s not mine. Tell one, tell all. Demodex mites are cosmopolitan, meaning they are all over the world.
    The most wonderful side effect of the cherry mom is beautiful and soft skin. My legs looked 14 again when I was dressing this morning. My dog no longer has dandruff after three treatments and the kids will have pimple-free faces.
    Thank you, God.

  4. Gayle Stevenson says:

    Hello Everyone,

    I have GREAT news for you today. I have found the cure for me.
    I ordered Dead Sea Mud from Puritybeauty.com and used it first on my face. Oh, it burned like acid. I wanted to wash it off quickly, but realized that it is just mud, so I left it on my face until it dried. When I did wash it off. My face was WHITE again.
    Later, I put mud on my whole body. I even put it in my hair, which is very long. I pulled it back and put the mud right on top and added some water to cause the mud to get to my scalp.

    It burned again on my face as well as my forearms, hand and thighs. I left it on and suffered for as long as it took for the mud to dry. It was not thick so it took what seemed like forever, maybe 15 to 30 min. I then got in the tub and soaked for some time because I was tired. Then I rinsed very well in the shower.

    When I dried off, I felt like a new woman. I did need lotion afterwards and my hair needed conditioner. The dead sea mud is not an overnight cure. The mites causing the rosacea are deep in the hair follicle roots under the skin. Also, my whole family has the demodex mite as well as people all over the world causing many skin problems which the doctors have not been able to cure.

    If you try the dead sea mud, please let me know. I’d love to hear your good news.

  5. Gayle Stevenson says:

    P.S. from Gayle Thanks be to God for the cure. All we need is in the earth. George Washington Carver.

  6. Olga Jackson says:

    Hi, i wanted to participate in the rosacea study. I have had rosacea for over 10 yrs & to top it off i developed melasma approx 4-5 yrs ago. Ever since i turned 40 both problems have worsened. Its a constant battle. I recently turned 45 & i never thought i would have such “bad” skin problems at this age.
    Im allergic to almost every topical treatment there is for rosacea. About 6 wks ago I had a severe body rash, & for the first time in my life i was dx with scabies. I almost lost my mind thinking “why me? how & why did i end up with such horrible skin issues?!” I had such “nice” skin & never had to worry about all these issues until my mid 30’s.
    Well, when i was treated for i applied the prescribed medication ALL OVER (including my face even though the rx states not to). I did notice my skin clear up for a few days. I was actually pleased with my appearance for once in a very long time. BUT, in about a week and a half my face was back to the rash, pimples, itching, burning, redness, etc. I felt like a burn victim. So i did a 2nd treatment & used up all the medication i had left, but this time it didnt seem to work as well as the 1st.
    Needless to say the medication is by prescription only with insurance and i lost my insurance soon there-after. My symptoms lately have been so bad that I have been trying to do some research via websites. That is how i stumbled across this website.
    Therefore, i would be very interested in joining the study/research, if it is still available. I would very much appreciate a response & perhaps exchange contact info (privately of course) & discuss further. Hope to hear from you Dr. Anderson.

  7. Shirley says:

    I like to thank pages like this one. In a desperate moment, the information helped me to keep searchin for a cure and I found it. it is the most simple and everyone has a home. I used the inside of the banana skin to rub my face every day. The first day, when I applyed the banana skin, my face felt very warm. a week later, the readiness was gone mostly. additionally to the banana skin, I used at night only, Indoxyl gel. I have to say that my face is complete clear. Now, every time I eat a banana, I rum my face it. Try it, is simple and you have Nottingham to loose. Good luck!

  8. Merry says:

    I wonder if Dr.Anderson is reading our comments. It will be nice if she updates her researches with us.

  9. L Gelatt says:

    I read your article with great interest as the flushing/rosacea has gotten worse with age and menopause (hot flashes!). I believe I will try this to see how it works. i have experienced the same issues with the current

    Please note however, since you mentioned proximity to pets, that the ointment you reccomend (promethin) is poisonous to cats, and causes nerve damage IF they manage to survive. We found this out the hard way when our daughter contracted scabies from school, and in case our animals were at fault, asked the human doctor if the animals should be treated too. He agreed. The dogs weathered it fine, but the cat nearly died, going into severe and frequent twitching and convulsions. Treatment for her included washing the stuff off the cat (no easy feat), and injecting her with large doses of antihistamine every three hours around the clock. And, as the vet said after we got him out of bed, “if she lives through the night, she ought to be OK.” She was 6 months old, and never grew any bigger after that, is infertile and has a markedly different personality.

    Food for thought.

    LHG

  10. t blevins says:

    How do we get in on the research, I don’t see anywhere to send her our info, thanks in advance for the help, I am so ready to try anything and get off of these antibiotices!!

  11. Bb says:

    Hi,

    I was directed onto this page when I googled for any link between food grade Diamotaceous Earth and Demodex, as I have Rosacea. I would love to try the treatment recommended by Dr. Anderson, but would also like to know if there is anyone who has tried Diamotaceous earth.

    Taken internally, it kills any parasite by mechanical means. However, I’m thinking I would need to put it in a cream on my face or something, and then for 3 months or so.

    Any ideas?

    Thanks

  12. Unimpressed says:

    Hi Everyone,

    After looking at this posting again, it would appear that this is an email David Pascoe received from Dr.Anderson, on November 24th 2000, which he then copied & pasted here, on August 24th 2007.

    If anyone is interested in how the trials went, then David Pascoe would possibly be the person to ask. Dr.Anderson may not even know her email was posted here.

    Goodluck.

  13. The trial never really happened. A few people tried it, had bad results and we never heard from Dr. Anderson again.

  14. Rebecca Trumble says:

    I have roceasa an have used metrogel an just went through a course of antibotics an the swollen redness has come back so i am will to try kwellada

  15. connie shade says:

    Please thank Dr. Anderson for sharing her treatment plan. My skin was getting worse after taking an antibiotic for several months. I then began itching, etc. so I started my own research. I went back to the Dermatologist asking if the demodex mite could be my problem. The Dr. basically ignored my questions and gave me a card to see an allergist. By this time I wanted to admit myself to the hospital because I felt something was very wrong with me and I could not get any answers. I did go to the allergist spent hundreds of dollars and no results. Again ,I ask about demodix mites but ended up with a blank look from the allergist who said she was not familar with this. I am now trying the Kwellada-P treatment program that Dr. Annette Anderson prescribed and having noticeable success after a month. I now feel better and have hope. The hope that I can have control over the demodex mite and not let them destroy my skin.

  16. tblevins says:

    Connie Shade, I can’t find the Kwellada anywhere, they are all out in Canada. Where did you purchase yours? Thanks!

  17. c. shade says:

    I ordered the Kwellada P Lotion 5% on line from Universal Drug Store in Canada and the Kwellada P cream rinse from Canada Drugs. I could not find the Kwellada shampoo. I think the cream rinse is working well. I didn’t need a prescription. I wasn’t sure about the sulfacet face cream or equivalent antibiotic cream which Dr. Annette Anderson suggested. I am using Prosacea which has sulphur. You can purchase this at CVS or Walgreens. For the thorough body wash I use a half cup baking soda and a half cup epsom salt in the bath tub and soak for twenty minutes. I found it on line. I hope this works for you.

  18. Al says:

    I haven’t checked here in some time. I used to participate in the blogs, but have nearly given up on all the ideas people use.
    I have had demodex mites in my face and along the base of my scalp for years. when I forced my dermatologist to take a closer look he took a scraping—went to check it under the microscope—he came back and confirmed –“Oh yes you have mites in those postules on your neck. He had said he didn’t believe there was such a thing as demodex Mites—He must have thought I was an anomaly—-
    He prescribed Permethin Cream 5% which I use at least 3-4 times a month.
    I am concerned about using it for prolonged periods.
    Does anyone have a history with it.
    I can’t stand the feel of mites crawling on my ears–up my nose—on my forehead and on my neck. everyone has mites in their hair follicles—why is it that they don’t all feel them crawling???

  19. tblevins says:

    Thanks Connie!!

  20. tblevins says:

    Connie, It’s ordered and I am keeping my fingers crossed!!

  21. c.shade says:

    tbltevins, I found an antibiotic cream (DG health) today at the Dollar Store not sure if this might be what Dr. Anderson wrote in her article. I will try this next and see if it works better than the Prosacea. When you have time please write about your symptoms. I plan on following the treatment plan for six months. By the way, I also started sleeping with the light on at night until I kill the mites. Remember they reproduce at night in the dark thus the light should stop the reproduction. These are the kind of things I cannot tell people who have never had this experience. I have not been diagnoised by a physician since I cannot find one who beleives in this theory. I really believe that these mites are the cause of skin problems.

  22. tblevins says:

    Connie, I have rosacea on my eyelid, it’s red and droopy and little lumps that seem to float around on my eyelid. Not Pretty. Sometimes it itches sometimes not. No other systems.

  23. c.shade says:

    tblevins, the information I have read on line to kill the demodex mite on the eyelid recommends using baby shampoo to clean the eyelids.

  24. tblevins says:

    Really? Well that’s easy enough, just so happens I have that since I do have grand children–LOL

  25. Dee Dee says:

    I think I may have these mites on my scalp and it’s causing a sandy grainy dander that I’ve had most of my adult life. I was wondering how i could use your treatment for this area?

  26. connie says:

    Try using the Kwellada-P 1% cream rinse. You can purchase it on line at Canada Drug.com. I have been using it once a week and plan on cutting down to once or twice a month in Dec. It has only 1% P so I beleive it will be ok to use this often. I have noticed my scalp is less itchy and my hair is not falling out as much. I just orderd my second bottle. Let me know if it helps your problem. It could take a couple of months or more. If the mites are causing the problem it could take several months because of the way they reproduce.

  27. Dee Dee says:

    Excellent and thank you! I will definitely come back and post my results!

  28. connie says:

    Update: It is now 2 months since I started Dr. Anderson’s program and I see improvement. The itching is going away and my chin is starting to clear up. I also started taking probiotic capsules daily along with Fish Oil omega 3 gel capsules (molecularly distilled for purity). I have cut out 99% of what I believe have been some of the trigger foods which continued to cause my chin to break out almost daily. I also switched my facial cleansing products to cetaphil facial cleanser and neutrogena oil free moisture for sensitive skin. I plan to try the neutrogena extra gentle cleaner to compare it with the cetaphil facial cleanser. I will continue to update my progress. I feel so much better now that I maybe understand what happened to my skin.

  29. Maria Isabel says:

    I’ve had rosacea for about 10 years now and my doctor prescribed Metrogel. I have been using it and, although I found some relief at the beginning, now it doesn’t help at all and the price keeps going up and up. I read with interest Dr. Anderson’s treatment and I would like to participate in the program but I can’t find where to send the info.
    Does anyone know?

  30. Tblevins says:

    Maria, if you look at earlier post it will tell you that the study was never done. Connie I was just taken off my solodyn ER but am on Nic Azel twice daily along with metrogel and sodium sulfacetmide. So far everything is good. I will be off the the other drug in 10 days and hope that the topicals take care of it on their own. I bought Canada drug but didn’t use it because it said NOT to use near the eye region. After all is said and done i will get eye lifts because after all of the swelling the top lid is droopy. Good luck to all!

  31. Jeanne says:

    I can’t even list all the things I tried to get rid of the demodex infestation. I have commented before and listed a few of them. However, the only thing that reduced the population to the point that I wasn’t feeling them was Avon’s Skin So Soft (SSS). I just bathed in it including submerging my head. Be sure to keep your eyes closed. If you don’t want greasy feeling hair you will have to wash it. The first time I used it, it was like a miracle. However I didn’t wash it out of my hair. I didn’t want to bother with it because I was going to go to bed. At first I used the SSS weekly for about a month. Now I just bath with it once a month. I had used SSS as bug repellent when I went camping. Then one day as I was scratching my head while in the bathroom, I saw the SSS, and thought I wonder….. What a relief. It has been 6 months with no recurrence. Good luck!

  32. mary says:

    demodex is rare…not the problem. You have bad sebaceous glands and infection from bacteria and this causes acne … the spider veins can be treated with laser and you most likely have a vellum hair problem and sweat gland problem as well. Antibiotics like minocin and a mud mask to soak up the grease might help. Jeane you are just nuts. You can see demodex under a microsope and has a dermatologist done that? Well then, you probably have worms. 🙂 psychos. You may have been traveling at the speed of light and gotten some fibers caught in your dermis.

  33. mary says:

    you don’t have demondex mites Connie…the dermatologists know you just got off the Starship Enterprise.

  34. Jeanne says:

    Mary,
    You don’t have to be rude. I am not psycho. I had the demodex confirmed by a dermatologist by microscopy and biopsy. I had the demodex mostly on my scalp, but also on my face, neck and around my ears. I went through all the customary treatments over a period of 3 years. Nothing worked. I used many different regimens with no relief. The SSS worked after everything else had failed. I thought this was a forum to write about our own experiences with demodex. I am not a psycho.

  35. mary says:

    ew…get a second opinion.

  36. Jeanne says:

    Mary,
    I had more than one second opinion.

  37. mary says:

    excuse me Jeane, do you live in the USA?

  38. mary says:

    there is a poison for parasites…get some.

  39. mary says:

    omg, see dr. McDaniel, in Nashville TN. good luck.

  40. mary says:

    give me a history, USA? Have you traveled outside of the USA? Pets? Have they been treated Jeanne…if you really do have demodex It is impossible for SSS to offer anything but palliative care. Can you answer my questions?

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