Just How do you Kill Demodex Mites ?


Demodex mites and rosacea seem to be a popular, if not somewhat controversial pairing.Even though there is no proven link between rosacea symptoms and the presence of demodex mites, many rosacea sufferers are interested in eliminating demodex mites to see if their rosacea symptoms improve.

So just how can you kill them ? Demodex mites are tiny, and live naturally in everyone’s skin, but sometimes in abundance with rosacea papules and pustules. They are quite difficult to kill.

Read on if you’d like to know more about how to elminate demodex mites.

First of all, why would you want to eliminate them ?

There may be some new evidence that proteins from a bacteria that can be isolated from demodex mites cause an immune reaction in rosacea sufferers. I’m still not a believer in the involvement of these critters in the cause of rosacea.

Just in case more evidence is found in the future, though, demodex mites are worth further understanding. Indeed demodex mites might be proven to not be involved in the pathogenesis or rosacea.

Mites and Faeces

Some recent publicity related to demodex mites conjured some impressive images of what demodex mites look like and might be doing in your skin. These comments lead to lots of headlines and articles that might confuse you even more about the role of demodex in rosacea. Here are some quotes attributed to Dr. Kavanagh, one of the few researchers making actual progress in this direction.

Rosacea may be caused by mite faeces in your pores

15:57 30 August 2012 by Debora MacKenzie

Kevin Kavanagh of the National University of Ireland, in Maynooth, now thinks he has discovered the cause – and it isn’t for the faint-hearted.

Tiny mites – eight-legged arachnids related to spiders – live in the pores of our facial skin. They are particularly fond of the hair follicles of eyebrows and eyelashes, and the oily pores most common on the nose, forehead and cheeks. Called Demodex, the mites eat sebum, or facial oil, and colonise your face at puberty.

They crawl about your face in the dark to mate, then crawl back into pores to lay their eggs and die. Healthy adults have around one or two mites per square centimetre of facial skin. People with rosacea, however, can have 10 times as many, says Kavanagh. Research suggests that the stress that causes flare-ups of rosacea changes the chemicals in sebum, making it better food for mites.

Rosacea often improves with antibacterial drugs that don’t affect the mites, such as tetracyclines. Kavanagh thinks this is because rosacea is caused by a reaction to bacteria in the mite’s faeces.

Demodex does not have an anus and therefore cannot get rid of its faeces. “Their abdomen just gets bigger and bigger, and when they die and decompose they release their faeces all at once in the pore,” says Kavanagh. When the mites are numerous, he believes that the material is enough to trigger an immune reaction, inflammation and tissue damage.

Killing Demodex Invitro (in the test tube)

We know from the paper In vitro and in vivo killing of ocular Demodex by tea tree oil, that various oils and solutions can kill demodex mites quite quickly in the test tube.

Solution Demodex Kill Time
100% alcohol 4 minutes
50% tea tree oil15 minutes
100% tea tree oil4 minutes
100% carraway oil4 minutes
100% dill weed oil14 minutes

Note that carraway oil and dill weed oil are toxic to the eye.

Studies have also confirmed that ether, xylol, benzene, Danish (compound polysulfide ointment) ointment can kill demodex in a few minutes.

Note that demodex mites have a life cycle of 14-18 days.


Ivermectin is used in dermatology against some parasitic infestations in humans. The drug is used in the treatment of patients with different forms of scabies, human body lice, head lice, demodecicosis, et. al. Published literature includes a case study of one patient who was treated with topical permethrin and oral Ivermectin. In another case report of one patient, the papules and pustules of rosacea were difficult to treat until oral ivermectin was included in the treatment regime.

Several rosacea sufferers on the rosacea-support email group report success in treating their rosacea with Ivermectin, but the benefits were only short lived.

Ivermectin (Stromectol, Mectizan, Ivomec, Oramec, Cardomec) has been patented as a treatment for rosacea.

I would advise extreme caution should you consider a 0.5% Topical Ivermectin prescription like Sklice, which is only for the scalp and hair.

Galderma has recently started selling Soolantra, a 1% Ivermectin Cream for the treatment of the papules and pustules of rosacea. Soolantra is showing promising results as a mainstay treatment for rosacea.

Tea Tree Oil

Tea Tree Oil (TTO) is sourced from the Melaluca tree which is native to Eastern Australia. Tea Tree Oil has been shown to kill demodex mites in as little as 4 minutes. External application of undiluted tea tree oil and/or at inappropriate high doses has been associated with toxicity, including death, in cats and other animals.

There is so much interest in the properties of tea tree oil that a research group has been created within the School of Biomedical, Biomolecular and Chemical Sciences at The University of Western Australia.

In a recent study, TTO was used to eliminate demodex mites living in the eyelashes of ocular rosacea sufferers. Study participants were given weekly lid scrubs with 50% tea tree oil and a daily lid scrub with a tea tree shampoo. After six weeks all 6 participants showed improvement in conjuctival irritation and inflammation.

TTO is not soluble in water, but is soluble in alcohol, but sadly that would be unsuitable for use around the eye. Tea Tree Oil can be diluted 50% in Macadamia nut oil for use around the eyes. Lid scrubs with 50% Tea Tree Oil did produce irritation in the participants but the effect was found to be minimised if care was used to avoid spilling it into the eye.

Full strength tea tree oil should never be used anywhere on the face.

Kwellada/Elimite (Permethrin)

Back in 2000, Annette Anderson advocated using Permethrin 5% on the face to eliminate the mites. Permethrin was originally used to treat scabies. She warned that getting it in your eyes burns terribly and that the instructions mention that you should not use it on your face. A few members of rosacea-support had bad reactions to using permethrin on their face, so use Permethrin with extreme care. In the U.S., 5% Permethrin (Elimite Cream) is only available by prescription.

If you are considering Permethrin in any form it would be wise to consider Dr. Linda Sy’s advice to “solicit the cooperation and supervision of their respective dermatologists, get a KOH skin scraping to establish the presence of florid demodex population … Participants try the Permethrin on a small area of face first, to determine if any immediate severe problem exists”.

Seabuckthorn Oil

Despite claims on various internet sites, I have not been able to find any published evidence that Seabuckthorn oil kills demodex mites. If you know of some evidence, please post in the comments below. In the meantime, please disregard any claims that you find that Seabuckthorn Oil kills demodex mites.

A natural approach

For those interested in a more natural approach to treating rosacea including using Olive Leaf Extract and Tea Tree Oil see Rachelle’s Alternative Treatments for Demodex Mites.

Selenium Sufide

Note that despite some media coverage relating to Selenium Sufide (the active ingredient in Selsun shampoo);

Your Health:

The active ingredient in the shampoo, selenium sulfide, might help control the Demodex skin mite population that triggers the inflammation associated with rosacea. People use the shampoo to wash their faces gently.

(Joe Graedon is a pharmacologist, and Dr. Teresa Graedon is a medical anthropologist and nutrition expert.)

Selenium Sulfide has not been found to kill demodex mites.

Over to You

Have you tried any treatments to eliminate demodex mites ? Did you have a bad reaction them ? any suceess ? Feel free to leave a comment below.

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

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2,163 Reader Comments

  1. Della says:

    I did not have hair loss but my hair is so thick I would not notice. Ivermectin kills the mites but in doing that, maybe hair loss will stop and new hair grow. My husband uses Nioxin treatment shampoo and conditioner also scalp treatment and his hair does not fall out anymore. I buy it on Amazon.

    • JIMR says:

      I used the Ivermectin horse paste but you can get a script now for it. See the below link and a study using Ivermectin. My face looked about 25% as bad as the girl in this study picture but when I took the Ivermectin it looked like about 50% of how this girl looked but then cleared up in 3 weeks or so.


    • JIMR says:

      Ok I was having a few small pustules on my right check and one on my forehead, and a few of those dry skin flakey spots. So for a month and a half I tried the Chang Sheng Soap that poster Vladimir recommended. It did nothing for me and i was getting a few more pustules. Still my face is way better than when it was a year ago when I first took Ivermectin orally. So I ordered up two tubes of the Ivermectin horse paste. I mixed one tube with an equal amount of olive oil to make the 1.87% Ivermectin into a 1% topical cream.

      DAY 1
      Took a 250lb oral dose of the paste on an empty stomach I’m 225lbs. No cream on face.

      Day 2
      Just put cream on at night, my face gained a few more pustules on the other cheek and my neck and forehead. That means the mites are dying.

      Day 3
      Took another 250lb oral dose of Ivermectin. Face was still had more pustules than Day 1.

      Day 4
      Just the cream at night. Small multiple Pustules on back of neck and left side of my cheek by my mouth. Left check was clearing up a little. A few dry flakey spot but they are less now than Day 1.

      Day 5-6
      Just the cream at night face is getting better each day

      Day 7
      Took another oral dose of Ivermectin. Had one healing Pustule on left check, and the little ones by my mouth are gone. The ones on the back of y neck are gone. Right check is now clear.

      I will take one more oral dose in 4 days and use the cream in-between until it is gone. I was following dosing schedule that was in one of the studies I posted. I will post again next week after I have completed the last dose to let you know if it continues to clear my skin, which I expect it to do just like the last time I used it.

      • alej says:

        do you just get pustules or also have redness? and does you getting back the pustules mean using this paste last about 1 year until its needed again?
        and do you have pustules only or also papules?
        i have an occasional very small white looking bump but my biggest issue is the persistent redness and these red spots/bumps around my cheeks. they seem like they are under my skin and dont feel like bumps. i do have a few that feel bumpy.
        anyway i got my horse paste but im scared to take it lol
        im trying to figure out when to do it. did you take it orally without anything? is the taste awful? i was thinking of getting some gel capsules and putting it in there.
        i will also use the soolantra topically and hope this combo helps.

        did you just have pustules or do you also have redness? and if you did have redness any improve in that with the oral paste?

        again thanks for updates and replies JIMR

  2. Rachel says:

    I have found a topical combination benzyl benzoate, sulfur, hydrogen peroxide + borax, And Neem oil to do the trick in killing demodex outbreaks. I’ve had to real breakouts/flareups in my life and they were all after taking antibiotics for some other non related infection.

    The Neem oil factor is one I don’t often see published about for demodex – but it IS a Homeopathic “non toxic” pesticide made from Neem leaf that you will often find as the main ingredient for “natural” bed bug/might sprays and for home and gardening. It smells like pure gasoline but seems to work as a repellent rather than cure to kill – I apply the “killers” like sulfur, benzyl benzoate first and apply a Neem lotion on last to prevention reinfestation.

    I also use glycolic or salicic acid astringent once a day in the am after treatment to slough off the dead skin and mites before reapplying my regime.

    Also change my pillow case daily during treatment – I have not found the need to do treat all linens or “quarantine” any other fabric during an outbreak like they say to do with scabies (unless the fabrics have touched my face)….

  3. Joanna says:

    I use Castile soap, sulfur soap, tea tree oil soap – these are for cleaning. . I usually wash with Castile soap first and then follow with one of the other soaps. Then wipe face with 100% tea tree oil. I know, they say not to do that but for me it is working.

    If problems start to develop I follow cleaning with a benzoyl peroxide cream or Prosacea, a product containing sulfur.

    A lot of these products are drying, to say the least. and the best facial cream I have found which does not cause problems is Mother of All Creams by Puriya.

    I seldom use the same routine but so far having excellent results. Perfect – No, but I am very pleased with results. The improvement in my skin is truly great. At 73 I have finally stopped having breakouts that make my skin look like it belongs to a teenager with a bad case of acne. Good luck to everyone. All I can say is try your own system with these products and see if works for you.

  4. Margaret Waite says:

    Peg I have tried many things from Head & Shoulders and iodine scrub to bactine and Blephadex Wipes. When my face gets to feeling dry and uncomfortable I break a capsule of vitamin A and try to drown the little critters in it. Then my face feels much betters. I am trying to do a very strict regimen for three weeks.

  5. Dawn says:

    Please can. Somebody help me i suffer with rosacea and I’ve been seeing a dermatologist for 14 months i have a sevear case of dermodex mites all over my body I’ve been given scabie cream and shampoo 3 different antihistamines aqueous cream seems cream i need help so bad i would rather not be hear anymoe its that bad I’m coughing cause there coming out of my mouth hospital thinks its all in my head i wish it was please help me

    • JIMR says:

      Dawn, look at the older comments I and others posted on the use of ( Horse paste ) Ivermectin orally, and a few other things but for us the Ivermectin worked. I had the mites really bad and nothing worked until I tried the horse paste. You can get the Ivermectin by script now but it is very expensive and a tube of the horse paste is only $7 and gives you enough doses to kill of the mites and any new eggs hatching. My face is the best it has been in 8 years. I don’t think I will keep the mites from coming back but the Ivermectin and a few other things like TTO, Butt Paste, and a few other things mixed together ( in the other post ) keep my face clean from pustules. Look for JimR, and Della for our results. wish you well.

    • JIMR says:

      Dawn, look at the older comments ( the blue tab at the top left of these comments ) I and others posted on the use of ( Horse paste ) Ivermectin orally, and a few other things but for us the Ivermectin worked. I had the mites really bad and nothing worked until I tried the horse paste. You can get the Ivermectin by script now but it is very expensive and a tube of the horse paste is only $7 and gives you enough doses to kill of the mites and any new eggs hatching. My face is the best it has been in 8 years. I don’t think I will keep the mites from coming back but the Ivermectin and a few other things like TTO, Butt Paste, and a few other things mixed together ( in the other post ) keep my face clean from pustules. Look for JimR, and Della for our results. wish you well.

    • Douglas says:

      The horse paste they refer to called Nu-Stock and is available on Amazon for $13. You need to thin it with olive oil about 50% and cover your whole body with it before bed-time including the scalp and inside the ears. Careful around the eyes. Dilute a little more with olive oil around the eyes. They will burn in the morning so use a cold wet cloth compress to irrigate the eyes. Shower if needed or leave on. Re-apply next evening and do this for 5 days. take a day or two break and do the whole thing again.

      You have to kill the eggs that are off your body and linger in the clothes bedding etc. Read about the Demodex lifecycle and act accordingly…no need for me to reiterate. Use frequent dryer cycles on dry blankets instead of frequent washing for the same effect. Heat will kill the eggs. Cover regularly-used chairs with blankets or sheets and dry-cycle everyday for 35 minutes on high heat.

      Once you understand the life-cycle you can kill them with Nu-stock (which is a sulfur based cream) and Tea-Tree oil soaps and shampoo.. Use 91% rubbing alcohol to wipe face and around ears. Use peroxide in the ears twice a day (15 min in each ear). Then wipe ears with alcohol. For me they used the ears and nose for their sanctuary. Often accompanied by a Rhino fungus they can live in the nasal cavity. Change sheets/pillows 2-3 times a week as well as clothes.

      It’s beatable. Anyone can contact me if you need help at douglas415@hotmail.com

      • Donna says:

        Iy is amazing to me a hiv patient the government has just about cured it but this nasty agrivating mites they cant

      • JIMR says:

        The Horse paste I’m talking about is Ivermectin not Nu-Stock. But Nu-Stock does seem to help a little but not like taking Ivermectin or using it topically

    • Dawn, please try the Tea tree oil products, I have a shampoo, face wash and cream I use and it has the little buggers under control, for now.

    • Waywrfall says:

      I have demodex mites in my scalp, they have ruined my hairline , ate my hair out. I have them on my face , nose, cheeks, eyelashes , eyelids. I was treated with 4 weeks of ivermectin orally and selenium shampoo off and on ; the derm and Medicaid system would not renew shampoo in timely manner. The ivermectin seems like it has helped a lot to reduce the demodex. I have been washing my hair and body am and pm everyday for at least two months. I’ve tried tea tre oil on face , castor oil which ruined my skin, lots of stuff since dermatologists are not very helpful and have no time for questions. Anyway , I m getting a routine now . I use avante shampoo and face wash every nite . I use sulfur bar soap on my body with clean white wash cloth to help exfoliate. I use lukewarm water and rinse with cool or cold water. I put coconut oil on my body after each shower. I am feeling much better but it has been a battle of trial and error. I went to 3 dermatologists at different times … each one got worse and they were mean and told me they could not help me and insinuated I did not have demodex. I was diagnosed by derm #1 with demodex. So , I’m going back to him . At least he gave me the ivermectin tablets . You can get avante shampoo from amazon . I got shampoo, face wash and face cream . Follow all directions. In the morning , I use a good quality shampoo and add 3 drops of neem oil and gently rub it in my scalp and hair. I use organic pure neem oil or the neem rescue remedy from Whole Foods . The tea tree oil was too harsh for my skin. I can not afford all these products so I am trying to balance out what works the best that I can afford . I spent all my money for two months to get it under control. I use witch hazel with cotton ball for my eyelashes and eyelids . Keep eyes closed until dry. There are different types of witch hazel. I put it in my ears also , feels good and works. I ordered the avante products from amazon . Lots of plain white wash cloths , hand towels , paper towels so u r changing cloths every time you shower. Change pillow cases each nite. Wash all linens , towels in hot water , half cup borax and ten drops tea tree oil . Dry on hot . The neem oil works for me. The neem rescue is good combination of sulfur , tea tree , neem , lavender , patchouli .really wish you good lluck. I got all my info. From reading for hours on these sites . Different things work for different people. Be consistent and don’t give up . Read everything u can . Doctors can help if u get the right ones but I don’t have good insurance. Hope this has helped .

    • Stephanie Rogers says:

      DEAD SEA SALT in your bath water.

  6. Mike Marca says:

    The horse paste did not work for me, but it may work for you. What works for me is “Pro-Tech-Skin” (can get it on Ebay). Also if there is an outbreak that is hard to control with the Pro-Tech-Skin I will use alcohol (91%) soakings for 20 minutes and rife therapy (ultrasound). Mike

  7. Mike Marca says:

    There is something else you can do if you do not have a rife therapy machine. Just use a 9 volt battery instead by itself. First wet the area on your face that is giving you trouble, and then touch the area with the positive and negative posts of the 9 volt battery. Afterwards, use 91% alcohol for 20 minutes on the area. You probably will not like it much, but they (the demodex mites) will definitely not like it even a lot more. I am sure that it kills them. If not it will probably destroy their eggs, and make them wanting to move. I do this every now and them. Just electrocute the suckers!!!

  8. Carolyn says:

    I just discovered – on my own, I might add – beyond any shadow of a doubt that I have an infestation of these Mites in my hair, eyebrows, eye lashes and on my body. I am trying not to freak out as I gather info on-line trying to come up with the best plan to rid myself, my pets (they don’t show any signs of having) and my bedding and clothes – probably my husband too. There are so many recommendations and protocols that I am overwhelmed. I have lost a significant amount of hair over the past year which started me on this horrendous discovery. To anyone who has lost hair, does it regrow??

    • Waywrfall says:

      Omg, you sound like me … I’ve probly had these for at least a year … they have ruined my hairline, I have half the hair I used to , lucky it was thick to begin with . I think I have some hair regrowth but hard to tell which areas are regrowth and which areas are broken off hair at different stages . Trying to find a derm . That can answer these questions. I looked up a lot on the internet about stages of growth for hair . Just keep googling. While aggressively treating the mites I also read up on how to regrow hair … lots of info. On that , biotin , niacin, flaxseed oil or flaxseed, msm, cod liver oil , vitamin c, etc. I’m sad about my hair but slowly adjusting and grateful it’s not worse , I had such beautiful thick hair on top and now u can see my scalp. The long part of my hair is okay although dried out on right side. I am nurturing my hair with gods quality products while also getting mites under control . Don’t give up. I’ve been very depressed but look at all the other humans suffering with all kinds of tragedies and try to console myself . Good luck and I hope I’ve helped you .

  9. Mike Marca says:

    Hello Carolyn. Welcome to the club. Don’t worry about giving your husband the mites. He already has them, almost everyone does. The only difference between you and your husband is that your immune system does not subdue the demodex mites as does your husband. Don’t worry about bedding. They do not live long after they fall off of you. Also, you cannot get rid of them, but you can live with them like everyone else does. Maintenance is the key of making these mites behave, since you will not be able to destroy all of them. Right now my face looks perfectly normal even with the rosacea and mites, and I rarely feel them. That is because I do what I explained above on this site. Your immune system has changed somehow and that is the reason why you are experiencing what you are experiencing now. Most people who have this condition also have rosacea but not always. 95% of the human population has these mites on their bodies right now, even though they do not know it. Your immune system is not fighting them or subduing them like they are. I really have no real problems now doing what I am doing and living with them. Sorry, that you are like us, but it is something that you can control. Mike

    • Great responses and advice as ever Mike! Really appreciate your feedback and wisdome

    • Hi Mike,
      Thank you so much for your response! Sorry I did get back sooner – I feel somewhat frozen. I am trying to read everything about the Mites and what works and doesn’t work and there just isn’t enough time in the day. I wish there was a one protocol fits all but that doesn’t appear to be the case. I’ll be happy to just get these guys under control and out of my scalp. Like I said earlier, my hair loss is devastating and I am so afraid it won’t grow back. I do appreciate your wisdom and look forward to more if your helpful posts.

  10. Mike Marca says:

    My advice to you is to take Ivermectin or the horse medicine to get the mites under control first. The first time I took Ivermectin (“Stromectol” Rx for humans in the US) it almost completely killed all of the demodex mites, but later times of taking it proved lacking at best. After knocking down the mites start a maintenance program that will work for you. You see what I do above on this site. If you wait too long doing a maintenance program that works, after knocking them down, you may end up with an outbreak that is hard to put down. Good luck. You have a lot of good people on this site to help you. Mike

  11. Vladimir says:

    Chang Sheng Herbal Rejuvenating Beauty Soap

  12. Vladimir says:

    Guys, this soap cured my rosecea and outbreaks from mites. You need to use it 2 month to see resoult. I still have mites, but my face clear. You can check it on Amazon. Chang Sheng Herbal Rejuvenating Beauty Soap

  13. Mike Marca says:

    Vladimir, I am glad that it worked for you, but I know it will not work for me. Mike

  14. Mike Marca says:

    Vladimir, the reason why I said that it will not work with me is because after many years I have a good idea about what does work for me. Topical or surface ointments may help just a little for me. A TTO mixture of 50% does work for areas other than my face. Soap mixtures never worked for me. Remember that there are two types of demodex mites. You may have one and I on the other hand may have the other, and there may be many other variables between us. This is one area science is not good at. There is one topical ointment that works for me on my face and that is Pro-Tech-Skin. I believe that makes the mites unable to move around freely, and it may even suffocate them somewhat. Right now all that I am using is Pro-Tech-Skin and the 9 volt battery. If I feel some activity I use the 9 volt battery after wetting the area first. It seems to be killing them or at least to the degree of keeping them subdued. If perhaps someday I happen to have a new breakout again I will use alcohol soakings for 20 minutes and rife therapy. That will knock them out for awhile. Even if I do kill them off completely it won’t be long before I hug someone and receive them again, especially with my wife. Her immune system fights them off to where she does not even know that she has them, but I know that she does, almost everyone does. I though do not have the luxury of have a good immune system to keep them way down. Oh, I am also experimenting with a Chinese tonic that is really rejuvenating and affects the blood. Maybe this is why I can get along with only the Pro-Tech-Skin and the 9 volt battery right now? It is a very good medicine that I take daily, and it has nine different roots and herbs. Mike

  15. Vladimir says:

    Della, JIMR, any news?

  16. Vladimir says:

    Della, JIMR, do you have news?

    • JIMR says:

      Vladimir, Still fairly clear skin, I get a few small pustles now and then but the Sulfer paste mix works well, and I did buy some of that soap you posted abut to try. I will take another 4-5 rounds of Ivermectin ( Horse paste ) in March. I’m going to do it every 6 months if I’m still having a few pustles. Like I posted earyer in the year after taking the Ivermectin and using the sulfer paste mix my pores on my nose are no longer full of blackheads, I mean I have always had them before and not a big deal or really noticable but they are gone now….never had pustels on my nose, but did have them on checks under my eyes. Anyway all is really good my face is really so much better than it had been fo the past 8 years.

  17. JFlk says:

    Corona Ointment from Amazon or a livestock feedstore has worked in two days of applying it to face all day. Have tried every single suggestion for the last year and a half. Some help for a time but then seems get worse at times. A spray bottle with 70% rubbing alcohol next to me in bed and all day to spray directly on scalp, ears, arms, back or face, go to bed with Corona Ointment on face and neck and chest or wherever. Took all the redness out of big open patches and healed within two days. These mites are layers deep in skin so anything you treat with has to be done consistently all day for months and months possibly forever to keep the population down. Humid environment, sweat,etc can help increase mite population. Also put horse ivermectin paste on skin and roll with microneedle roller you can get on ebay for $4.00 helps to get deeper into hair follicles and also helps skin heal and regenerate. Also everyday several times I spray and rub in HypoChlor Spray from Ocusoft or Briotech Spray on eyelashes and eye area and brows and face Its what the eye doctors prescribe for eyelash mites which is Demodex folliculorum that live in hair follicles, the demodex brevis are the tinier mites that live deep in your sebaceous glands. The reason these spots on your face that look like rosacea or acne hurt at times is because of the actual mites under the skin. Once you remove them you have immediate relief of that area, Alive or dead under there they keep the area irritated and red and sore. When you treat an area you can feel a pinching, moving when the mites try to get away from ointment under the skin. The doctors do not understand this or how many mites per hair follicle or sebaceous gland are there. They say there can be 5-25 mites per hair follicle all over you. You cannot kill the eggs or tiny nymph stage so have to wait until they have grown and surface mostly at night but treat ALL DAY and change pillow case every night. Nustock is great as well but Corona is surprisingly working even better and I keep applying it all day. Hypochlorous acid which is in the eye spray is said to kill the nymph stage (Vetricyn spray is another good spray for body and face and has hypochlorous acid which was discovered in WWI for treating wounds) Very harmless to us can spray in eyes or mouth. Our dog had demodex when he got cancer we didnt know about and we got soon after and it has been a nightmare. Spray Martin’s permethrin on carpets, couches, mattresses, shoes, dog beds and keep spray the dogs with Vetricyn, use Nustock, or Corona, and I spray pillow case and sheets with alcohol spray also and hair brushes and make up brushes. Use the HypoChlor or Briotech or Vetricyn and Corona all day, and alcohol spray on scalp. Your hair will grow back, eyebrows will grow back with constant treatment of the areas. When you pull an eyebrow hair out you will see a whitish/clear thing on end of hair that is the mite. On face you will see white longer mites that are full grown that are stretchy or rubbery if you can pull them off or tiny white specks of what look like salt which are also the mite. Most mites you cannot see though.The broken out areas and patches that wont heal on your face have mites all in the white ridges around the area and many layers down. You cannot see all the stages and some just look like dead skin but once you start treating your face you will consistently see these white specks appear and surface sometimes. They come out mostly in the dark and will feel a tiny tickle on skin feels like a hair so spray face or wherever every time you feel this. Hopefully this helps someone. They say everyone has Demodex mites on their skin but they get out of control and overpopulate due to low immunity or aging. The doctors seem to have no clue how many people are affected by this and veterinarians also misdiagnose this thinking its a food allergy or skin allergy when it is actually mites and prescribe all of these antibiotics and medications that do not help this and only make people and animals systems weaker and cause more problems.

    • Vladimir says:

      Could, you tell more aboute eyebrows? Did you grow them back?

      • JFlk says:

        Yes they got extremely thin and when I started treating everyday with HypoChlor a few times a day and keep Corona Ointment or even Ivermectin paste or Safeguard Paste for horses on them they grew back in. I also swipe rubbing alcohol a few times a day and make sure to sleep with a thick layer of Corona Ointment on lids and brows and all over face. This keeps them from coming out and mating to lay more eggs. There are a few spots where they seem to be concentrated that stayed thinner but definitely most of them grew back in as well as my hairline at my forehead, a patch had thinned out getting bald looking and that has grown back in also. You have to treat all day and especially at night. And treat your whole face and neck even when it seems cleared. Even when I thought it had cleared I still could pull out an eyebrow hair and see a mite so just don’t stop treating. Its the upkeep that keeps their numbers down as I;don’t think you can be completely rid of them.

        • Linzi says:

          How can you see a mite ? They are microscopic

          • JIMR says:

            I think the hair mites may be larger than the Demodex ones. I have Demodex and i can’t see them and I have not lost any hair, I just had pustles and dry flaky spots that were really bad unti I took Ivermectin (horse paste) $7 for 4-5 doses, and used the Sulfer paste mix at the same time. My face blew up worst it had ever been x10, but then cleared up, but had out breaks on my lower neck then chest but by the end of a week it all healed up and my face has been clear ever since. I still get a few minor pustles but treat with TTO or sulfer mix and they are gone.

  18. JFlk says:

    Another thing you will notice once you start using all of these things, ivermectin paste, Corona ointment, rubbing alcohol, HypoChlor or Vetricyn, Nustock constantly thoughout the day everyday and at night to kill these mites (and everyone else’s good advice on here) is that small brown spots on skin that look like freckles or sunspots will go away, some deep lines around mouth skin will go away, a skin eruption area that has been there for months and always seems to come back in same spot will clear, some bald spots or what looks like receding hairline or bald spots in brows will grow back in. The advice in this comment section is the best that I have seen on the internet. Everyone on here has a good solution and understands how these mites take over. Sometimes it will seem that you have finally gotten rid of them only to have a huge outbreak a few months later. This is because they live so deep in our sebaceous glands and hair follicles that you cannot completely stop them. Don’t share towels, pillows, brushes (spray alcohol on brush everyday to kill any on there) etc.

  19. Mike Marca says:

    Ahh, the 9 volt battery is working very well, along with the Pro-Tech Skin at night. During the day I “no longer” use anything, just the 9 volt battery if I feel something, and this is rarely. I just wet the area where I feel something and touch it with the 9 volt battery. I think it kills the eggs, and knocks the heck out of the offending mite or mites. Maybe it kills them. Just once I had to use the rife therapy, and I haven’t yet had to soak the area with the 91% alcohol. Very simple, and it seems to be working fine. My face is clean with no signs of rosacea. Mike

  20. Mike Marca says:

    Every morning when I get up I use a piece of abrasive plumber’s cloth to remove the scaly skin on my eyebrows that the mites graciously leave behind for me. I also use the 9 volt battery after wetting the area there as well. I am much better now that I have every been before. If I ever do have an outbreak I will use rife therapy and alcohol soakings. Of course I use Pro-Tech- Skin at night, but nothing now during the day. Mike

  21. Mike Marca says:

    I use Neosporin after the abrasive plumber’s cloth if too much skin is damaged. Mike

  22. Mike Marca says:

    That is only sometimes. I am doing quite well right now. Mike

  23. Donna says:

    Jesus i am scared to death after reading all this. I had scabies caught from a babysitter once i got a lotiin used it twice it was gone . Now reading this i am ready to jump off a bridge . Just the thought of bugs crawling all in my laying egges makes my ptsd very bad. My god

  24. Mike Marca says:

    These mites (demodex) are different than scabies, and doctors really do not know what to do with people who have problems with them. Most people have them even from birth, but then again some people like us do not have an adequate immune system to subdue them properly. Mike

  25. carol says:

    I have demodex folliculorum on my scalp and have tried any number of things over the last year to try to get rid of them. I have used many of the alternative solutions offered online, and yes I went to the dermatologist who promptly told me I was imagining things and under stress. It seems that is a common response. I will tell you what works for me. First, I removed my hair using a balding clipper from the beauty supply. l ordered a 2 pound bag of powdered sulphur, flowered, 99.9 percent pure grade from ebay. Next, there is a website online if you google Demodex that sells Demodex shampoo and body wash. Both are excellent. Buy some Dawn dishwashing detergent. I am able to have a prescription from my dermatologist for Ivermectin that is useful for my face at night, since Demodex are attracted to any oil (or cream) – and I have oily skin. Demodex does not like Ivermectin.
    Procedure (after you have removed your hair):
    In the morning, in a small bowl, mix a heaping teaspoon of sulphur powder with about an equal amount of Dawn dish detergent. Spread this on your scalp and leave it on. No you will not look attractive. At night, take a shower and remove it. Use Demodex shampoo and body wash. Apply Ivermectin to your face. The next day, repeat.
    When I first started this I was shocked to realize that if you are feeling them move around, then they are mating. So if you feel them moving on your scalp, then you need to act. In the beginning, and before I used the sulphur compound, I was washing my scalp and face every 4 hours. Not any more.
    Sulphur is a non-toxic fungicide and miticide. Organic gardeners use the garden grade sulphur on their plants to ride themselves of mites or fungus. Sulphur is also an ingredient in those expensive dandruff shampoos as well.
    It takes 3 months for the full cycle of these critters to die.
    Good luck to you.

  26. carol says:

    Oh I almost forgot to add. There are people who claim that demodex does not like the light, and that they come out at night, in the dark. It is true that they do not like the light – so try to get out in the sunlight during the day. At night, what Demodex does not like, however, is cold and wind. I keep my bedroom as close to 59 degrees or lower as I can at night. I have an air conditioner for summer and open the windows in winter. I also have a fan blowing. If you follow my other advice you will find that they do not come out at night. Also, you will need to change your pillow slip cover every single night. I change my entire bedding once a week, but pretty much you need to keep your pillow slip changed daily. There are fanatics who say change everything, etc. Frankly, that is going a bit far.
    If you like to swim – head for an indoor pool. Demodex is not to keen on bleach either. So swim – I guess you have the nerve to do this without hair, go for it. Otherwise use a cap – they don’t keep your hair dry in any event, but they will keep the water out of your ears.

  27. Mike Marca says:

    The 9 volt battery works fine for me. Mike

  28. whalene says:

    I have been seeing relief from my demodex symptoms by applying aloe vera gel to the affected areas. This is what I have been doing:

    I use Lily of the Desert 99% Aloe Vera Gelly. (Not making a sales pitch here, just giving information.) It is a fairly thick gel, and I squeeze some of it into a condiment squeeze bottle that has a pointed spout and dilute it by adding an equal amount of distilled water. I shake this to get a smooth consistency and apply it directly to my scalp and rub it in. I prefer to do this when my hair is dry, and the condiment bottle directs the application to the scalp and hair roots without wasting it on the hair. This has virtually eliminated the hair loss and itching that I had been experiencing.

    For the demodex on my face, I wash and dry my face and immediately apply the diluted gel and let it dry. I apply three or four coats which I only apply after the previous coat has dried. I use a Q-tip to apply it to my eye lashes (one or two coats). If I get a little bit in my eyes it only causes blurred vision until tearing action clears it up. The very small amount that gets in my eyes doesn’t hurt at all. I wash my face in the morning, at midday and at night before bed and immediately apply the aloe vera gel afterward so that my face always has the aloe vera gel on it. I’ve been doing this on my face for about six weeks now and have seen a lot of improvement. I don’t have outbreaks or acne, not sure how this would work for that condition, but this has greatly reduced the inflammation and enlarged pores and sensations I had been experiencing.

    Aloe vera doesn’t seem to me like a harsh insecticidal chemical that would kill the demodex outright so the only reason I can think that it might work would be if it acts to immobilize the mites, much like hairspray supposedly does to spiders – don’t know. Just guessing.

    The aloe gel leaves a very shiny surface on my face but if I wet my hands and towel them dry – and then gently brush my slightly-moist hands over the shiny spots on my face, it helps to dull down the glare.

  29. Mike Marca says:

    Just like the Pro-Tech-Skin that I use at night. It immobilizes the mites. Right now I use this along with the 9 Volt battery. I use the Pro-Tech- Skin (made for skin) during the night to help stop the activity and the 9 volt battery (after putting water on an area where one or more may be bitting) during the day. The 9 Volt battery with water stops the mite activity dead in its tracks while the Pro-Tech-Skin immobilizes them. Mike

  30. Mike Marca says:

    Whalene, your product Aloe Vera Gel may be good for the hair while my product Pro-Tech-Skin wouldn’t be used there. I personally do not have any more problems for my hair or my eyes. Mike

  31. alej says:

    JIMR would the oral ivermectin paste be also help demodex that may be on the scalp?
    and my insurance covers soolantra fully would using both help or the paste should be enough?

    • JIMR says:

      Here is an article I came across. I orignailly posted it last year and you can find it and my other post and a lady named Donna and her post that used it and got imediate results. Those are found if you hit the [ oder post ] button at top of these comments.

      DETAILED DESCRIPTION USING IVERMECTIN ( taken from another site )

      In the preferred embodiment of this invention, ivermectin is administered orally to a patient with active rosacea in a dose of about 200 micrograms per kilogram of body weight per dose. Because the target organism, Demodex folliculorum, is an ectoparasite in the mite family, an effective treatment must be capable of eradicating the entire life cycle of such a microscopic insect, including egg, larval, and adult stages. For this reason, this embodiment treats such rosacea patients with at least two doses timed so that between three and seven days separate the doses. Such spacing allows time for Demodex eggs to hatch into immature mites that are killed before they can mature into egg-producing adults. While two doses has been demonstrated to be quite effective, in unusual cases where absorption is impaired, as many as four doses at three- to seven-day intervals could be employed. After ivermectin carries out its miticidal activity on skin Demodex folliculorum organisms, inflammatory responses to them begin to diminish but remnants of the dead mites still elicit some flushing and lesion formation until the cleanup processes of the body remove them, a process requiring six to eight weeks. During this initial phase of ivermectin administration, conventional anti-rosacea medications such as oral tetracycline and topical metronidazole can be employed to suppress early flareups and to give early clinical response. No such medications are needed to treat manifestations of rosacea after six to eight weeks have elapsed. After prolonged intevals of freedom from rosacea symptoms, should classic signs begin to reappear, treatment can be repeated. Such retreatments should not be necessary more than one or two times per year.

      In an alternative embodiment, ivermectin is formulated into a cosmetically-acceptible topical lotion, cream, or gel and applied to skin affected by rosacea. Because of the well-known barrier effect the skin presents to the penetration of topical medications, such a route of treatment with ivermectin would be anticipated to require once- or twice-daily applications for as long as four weeks to achieve sufficient follicle penetration and effective miticidal activity. A topical formulation that could achieve this effect would contain about 1-5% ivermectin and could be enhanced in penetration if the active agent were encapsulated inside microliposomes. Such a topical treatment would likely need to be repeated more frequently than the preferred oral embodiment, but a disease-free interval should be achieved by each course of therapy.


      Three adult rosacea patients with varied clinical presentations and with varied disease durations are selected to illustrate the disclosed invention. These patients’ cases illustrate the effectiveness of ivermectin treatment on the different clinical manifestations of the disease.

      Patient 1

      This 44-year old Caucasian female had exhibited clinical evidence of rosacea for 1-2 years and had been treated with limited success with oral tetracycline, topical and oral metronidazole, and cortisone creams. Her facial skin exhibited mid-facial erythema and flushing with papule and pustule formation. In addition, her eyelids exhibited chronic blepharitis and repeated loss of eyelashes, which is quite typical of rosacea. She was treated with ivermectin, 200 micrograms per kilogram of body weight in each of two oral doses with an interval of four days between doses. Oral tetracycline was continued at a dose of 500 milligrams per day for the first 30 days after ivermectin was given and then was discontinued. After a mild initial flareup of mid-facial papules, the condition improved rapidly to the point that by 60 days no papules were present, all eyelashes were growing back, and she had no more flushing with heat or spicy foods. Symptoms had not returned after three months.

      Patient 2

      This 33-year old Caucasian female had the acute onset of papular and pustular rosacea involving nearly all of her cheeks and chin two months prior to her evaluation. Marked itching and redness were present, but no eye symptoms were noted. Ivermectin in two 200 microgram per kilogram oral doses given three days apart was administered along with a four-week course of oral tetracycline. The clinical signs abated quickly, with itching being gone after one week and papular lesions clearing by three weeks. At two months from the onset of treatment and one month after cessation of tetracycline, no clinical signs or symptoms of rosacea remained.

      Patient 3

      This 65-year old African-American female had suffered from severe papular and pustular rosacea of the mid-face and nose for 15 years. Tetracycline, in doses of 500-1000 mg per day had proven to be the only partially-effective medication for her. Oral ivermectin was administered in two 200 microgram per kilogram doses given four days apart and tetracycline was continued for one month in a dose of 500 mg per day. Followup at three months from the start of ivermectin therapy revealed only mild hyper-pigmentation at the sites of previous inflamed papules and pustules. The patient reported that no new lesions had been noted for six weeks prior to that 3-month evaluation.

      While these examples illustrate the preferred embodiment of this invention, the treatment of rosacea using oral ivermectin, exposure of Demodex mites to ivermectin from any route of administration will result in the elimination of the organisms and secondary amelioration of the signs of inflammation that are typical of rosacea. Therefore, the topical use of ivermectin in any vehicle that allows it to adequately penetrate into skin follicles to reach the level occupied by Demodex folliculorum will be an effective treatment for rosacea and is considered to be entirely within the scope of this invention. Changes of dosages, dosing schedules, concentrations, vehicles, and frequency of repetition of ivermectin regimens are also not considered to be outside the scope of this invention.

      • alej says:

        JIMR, sorry if my understanding is bad but im rather new to rosacea treatments. so from what this says is that oral ivermectin is more effective and works faster than soolantra? so should i just try the dosage of the Duratec ivermectin paste 1.87% and forget the soolantra?
        ive tried a lot of treatments the dermatologist gave me and i feel im at my wits end. im so desperate to have something help. sorry for my rant im just trying to make sure i get this right in hopes it helps me. thank you JIMR for all this replies and information.

        • Vladimir says:

          Oral ivermectin more effective, but it is not alwayse safe. You can check it on Amazon. And you can try Chang Sheng soup, if you have just rosacea it should help.

          • alej says:

            what is unsafe? the dosage or ingredients?

          • Vladimir says:

            Ivermectin Paste Dewormer – 6.08g dose @ 1.87% Apple Flavor read about it on Amazon, check comments

          • alej says:

            i did read the comments. i just found 1 thats says could contain aluminum. what else is unsafe?

          • Vladimir says:

            1.0 out of 5 starsNightmare Nervous System Side Effects
            ByAdamon June 11, 2017
            Size: 6-Pack|Verified Purchase
            Took this for my demodex mites and after 2 doses, spread 3.5 days apart, i experienced incredible nerve pain/strange sensations in my left hand that has since spread to various areas of my body – wrist, forearm, ankle, eyes, elbow. This stuff absolutely affects the human nervous system and is unbelievable dangerous to consume. Please don’t make the same mistake i did. It’s been 3 weeks and I’m still experiencing worsening nerve pain/burning/tingling/numbess and some vision problems in my right eye. AVOID USING THIS if your intentiom is to rid yourself of mites or scabies.

          • Vladimir says:

            That is comment from amazon. I dont know what is safe. You should check it, but anyway it’s only temporary solution

          • alej says:

            why do you say this is only a temporary solution?

        • JIMR says:

          soolantra is 1% Ivermectin cream to be applied on you face, the study had people applying it and taking it Ivermectin orally. It was not available to me last year and after I did a lot of reading I just bought Ivermectin horse paste (Horse Health Ivermectin Paste 1.87% Dewormer ) from amazon. I did not use it topically but took it orally by using the weight scale on the applicator that contains the Ivermectin. Like with any medication some people may have a reaction to it. But since it has now been approved by the FDA and you can get it prescribed the may be a better route for most. Fore me the horse Ivermectin is cheaper $7 enough for 4-5 doses and it worked for me. It is up to each person what they decide to do.

          If you look in the older post I posted how it worked for me last year and another lady Donna used it after reading my experience and it cleared her face up too, there was also another guy that didi it too and had good results. I also used, and still do use the Nu-stock Butt paste mix to keep them in submission. While the Ivermectin killed off what was a major infestation on my body they are still around, but my face is so so much better still with just a few minor pustules now and then. I will be doing another dosing with Ivermectin around March, I will just use it every 6 months to help kill off as many as I can. Hope this helped

          • alej says:

            thank you for the reply. im a little confused why vladimir said this paste is only a temporary solution. do you think the oral ivermectin in pill for (stromectol) is something i might ask my doctor if i my insurance covers it?

          • JIMR says:

            ales, for some reason I could not reply under your post so I did it here. For some, Ivermectin does not work, not sure why, but it should kill the mites. Not sure why Vladmir calls it temporary, it can be used more then once. I still have pustules outbreaks but very minor after I killed off what must have been 99%, but I was guessing at the intervals of dosing and did not use topical Ivermectin. Next time I will do it like they did in the articles, but right now my face is still really good. Like others have posted if you don’t kill everyone of them they will start to repopulate. But from the above article I posted it seems that if you combine oral and the topical Ivermectin you have a better chance of totally getting rid of them for good, well unless you pick them up again which is very likely. For me the Ivermectin Horse Paste is a cheap and very affective routine to kill them and give me clear skin.

          • JIMR says:

            Also, my dermatologist never said I had mites, she had me using the two basic creams they always prescribe and they never worked. So after reading what others did I just decided to give it a try and see what happened. Well I had yep I had a mite infestation. I had a huge outbreak of pustules all over my face and back and chest after the first dose of Ivermectin and after I finished my four doses one every 4 days I think is what I did my face was really good after a week completely clear after two weeks.

        • alej says:

          wow that is amazing. i just got my delivery of the ivermectin paste. im hoping it helps and will start taking it and also applying the soolantra. just to be sure. the paste should be taken every 5th day? so if i take it on a sunday then take it friday? and should i just take with food? no food?

          • JIMR says:

            The medical studies that I read say 3-4 days apart. Just make sure if you decide to use the horse paste Ivermectin that it does not have other medications in the paste some do. Also if you feel sick or anything after the first dose I would not do the second dose. When I and other have used it there were no side effects but we are all different and it is just like taking any other medicine. What may happen like it did to me is that my face blew up with pustules after the first dose, that is a good sign that the mites are dying inside your pores and the toxin they release when they die causes this. My face was really bad for the first week, so if you start just know you may not want to go out for a few days. I took 2 doses 4 days apart for the first two doses and two more doses 6 or 7 days apart. What I read after that was to take each dose 3-4 days apart. Some have even up the dosage a little. I’m 220 but was taking a 250 dose. Hope this helps and I’m just telling you what worked for me and add my disclaimer that you know that this is horse paste and it states on the box not for human use.

  32. JFlk says:

    Everyone do what Mike recommends! He has the best advice on here with the 9 volt battery (or a Hulda Clark type zapper) or aRife machine even better. You have to kill these mites at a different level which is the electro microcurrent (the same technology they use in cosmetic physician offices, the NuFace device on ebay, etc) but the 9 volt works direct, parasites cannot live when this current is applied. This is the only way to get to the lower layers and sebaceous glands where they reside. We have done every single topical for two years and this is the only thing along with keeping his cream he recommends or a combination of zinc diaper rash cream/corona ointment/ and NuStock ointment on skin at night and throughout day as well, and spraying or applying rubbing alcohol, changing pillow case every night, spray surfaces and sheets, couches, chairs, carpet with rubbing alcohol and also with Martins permethrin any dog areas and around house, floors, carpets,etc. You have to treat continuously though as the egg stage cannot be killed so new mites are emerging all the time and you are constantly being reinfected by anyone you touch. Your immune system is the problem for some reason it is not keeping the numbers down. Antibiotics only make your system worse, gets your gut out of balance and lets yeast overgrow as candida in your body and that in turn seems related to the mite population overgrowth as well. I also use ivermectin paste topically sometimes too. You probably will never get rid of these, just plan on doing this whether you see a problem or not from now on. If you let up you will soon see another outbreak worse than the last. My face always cleared perfectly for a day or two before another bad outbreak that takes a month to heal. And yes anything with hypochlorous acid (Briotech is good then) You have to treat your eyebrows/lashes/forehead/hairline/lips/nose /cheeks everyday and keep ointment on thick for when they come out at night. The 9 volt has completely cleared one side of my face and between my brows and slowly layer by layer my other side is drying up. But still can see when a spot is starting to I know there is a mite population under there still with eggs, etc, And you definitely can see the mites at some of their stages of life. To most people it looks like dead skin flakes, grain of salt, stretchy white plugs under skin, etc. You cannot see a few of the stages like nymph I believe but you will soon recognize the pattern of your breakouts when you look at them long enough and watch the cycle. As Hulda Clark says we are constantly being infected by bacteria, virus, and parasites in our environment, our food, pets, etc. You can get these mites from airplane seats, hotel rooms, other people, etc. A lot of people think its bed bugs and have no idea about demodex because they are almost impossible (clearish to white specks or a longer grain of rice but very tiny look up images on google) to see unless you know what you are watching for. And the actual breakouts on your face are the actual mites under there. These spots will not clear up until the mite bodies are gone. Your skin gets more bacterial infection as well in these areas but the actual pain and stinging are the mites in the hair follicles and sebaceous glands deep in the skin and there are many of them. If you see a small bump on your face and open it up trust me its the tip of the iceberg. That spot has many mite eggs/nymphs/adults concentrated in the area When you do the 9 volt battery (which also is good for skin tightening appearance as it drains lymph) you will feel stinging and movement under the skin, the mites are moving, hopefully dying, but you need to treat constantly. Keep one with you for spot treating. You will feel little light stinging zaps in the areas that are the most affected with mites

    • Vladimir says:

      jFlk, so HOCL and corona ointment no so good? What about your hair? Coz, i started to treat with your advice (corona and HOCL) But after your comment it looks like it doesnt work for you

    • Vladimir says:

      JFlk, you should try Chang Sheng soup from Amazon. I will take care of your outobreakes. And do you use any antidemodex shampoo?

  33. Hi all, this has been a great resource for me over the last 7 years, thanks to all who contribute. I’m a veterinarian and I’ve used ivermectin in thousands of animals, predominantly dogs to treat demodex. I am currently (after a number of years pregnant or Breastfeeding hence not willing to use it) taking ivermectin at the doses prev recommended on this site. Initially I took 10 doses at weekly intervals, now I have increased it to twice weekly and have taken another 10. I have predominantly chin and cheek papulopustular type roseacea with quite red cheeks and nose. my skin has become more lumpy and inflamed around the chin particularly since using the ivermectin. Tonight I did another mite check under the microscope. Normally it’s quite hard to find mites and I might get 1-2 per “deep squeeze”, and usually only the follicularum species (though I know I also have the brevis species)… OMG tonight I got 10+ On pretty poor samples! I also saw at least 4-5 brevis species. Annoyingly, most were still alive, tho seemed less active than normal and there were definitely dead ones present. Some had abnormal legs and I wonder if they are nymphs as they were also longer and thinner than usual. My “hopeful” guess is that they are struggling with the ivermectin and close to the surface hence getting so many on my sample. The less hopeful verdict is that mine are resistant to this dose rate or the drug itself which will be very disappointing. It’s worth noting a few things on the animal front; in dogs, we use the ivermectin DAILY for 3-6 MONTHS. We give an increasing dose over 10 days to the 200micrograms per kg dosing to check for side effects; neurological symptoms, salivation, blindness (have seen once in a dog that was overdosed dramatically by the owner. It’s not able to be used at all in collie dogs as they have a thin blood brain barrier and it causes neuro symptoms before clinical efficacy. We keep treating until negative scrapes (ie not a single mite found) are achieved 2 weeks apart… Clearly I’m nowhere near that, so I’m debating what to do with my own treatment. I’m considering every other day treatment as I’ve had no side effects thus far.

    In the longer term, the scientist in me is livid that there is curative treatment available for animals and yet here I am with clinical symptoms. My goal is to create a product (cream or similar…) that will rid people of these mites.

    I’d like to ask for your help with this; whatever information you find about the mites breeding habits, snippets about things that might work for treating them, please post them on this page.

    I wish you all well and will keep you informed of my progress.



    • JIMR says:

      Anne, I posted a few medical studies and most were dose 3-4 days apart, in one case of the 12 y/o girl they just gave single 12-mg dose of ivermectin (250 µg/kg).


      I know for mike the Ivermectin did not work, but not sure why that is.

      When I used it I did it 4 days apart for the first two doses and then spread the next two dose 7 days apart and it worked, but I must not have killed them all as I still get small pustule outbreaks but nothing like before. It has been close to a year so I will be doing the Ivermectin next week to see if I can get rid of all of them. I’m will now do 4 doses, 3 days apart and also mix up a 1% Ivermectin cream to use topically. I’m assuming if I take the horse paste a 1.87%, .21 oz and mix it with .21 oz of coconut oil it would give me around a 1% strength, …yes?

      sorry for all the repost of this it was suppose to be under your post but I kept getting them mixed up

      • Anne Rainbow says:

        Thanks JImr, your info has been great and much appreciated. I’ve been reviewing literature and there is evidence that ivermectin is ineffective in Demodex of primates and the drug only works for 14 hrs with no residual effect on larvae – this explains why I saw so many nymphs (long thin 6 legged). I also think I may have been ad hoc with taking it with food etc. I’m reviewing bravecto (fluralaner) and nexgard (afoxolaner) currently as one to two doses has 100% cure for dogs and is now the drug of choice for dogs… I’m very sorry but I don’t work in imperial measurements so I can’t confirm your dilution for you! I’m also looking at moxidectin (longer acting drug in same class as ivermectin). I’m trying todo a “proof of concept” experiment; if all Demodex are gone, do my redness, papules and pustules disappear. If yes, then it confirms Demodex as the cause…

        • JIMR says:

          Basically I did the “proof of concept” too. I never had a Derm tell me I had dermodex, so I tried the Ivermectin and had a huge break out of pustules then my skin cleared up the best it had ever been in 8 years. So I had my proof that my Rosacea was cause by the mites.

          On the larvae note, I think that is why in the one study I posted that they did 3 to 4 doses 3-4 days a part and I think at times 7 days apart and it was to kill any newly hatched mites before they could reach mating age.

    • JIMR says:

      Anne I have a dosing question. In the studies I posted they are using, 200 micrograms of Ivermectin per kilogram of body weight. If I’m using the horse paste Ivermectin which is 1.87%, in a 6.08g tube. Is there a way to convert that to know a 250 lb dose on the tube is equal to the dose of 200 micrograms of Ivermectin per kilogram of body weight?

      I’m 130lbs or 105 kilograms

      • JIMR says:

        I found this on another site
        The math isn’t that hard. 1.87% means that there is 1.87 mg of compound in 100 mg of paste. That converts to 18.7 mg of compound in 1000 mg (one gram) of paste. The tube contains 6.08 grams of paste, therefore one full tube contains 113.7 mg of ivermectin.

        If that is correct then 200 micro grams is only .2mg, of the paste?

        • Anne Rainbow says:

          Ok the one I’m using says 18.7g/kg in a 6.42g tube. (equimec) this treats a 600kg horse at 200micrograms/kg. I weigh 60kg, so I take about 0.6mL (ie 10 doses per tube). I worked it all out at the beginning, moved the paste to a syringe for more accurate dosing. If continuing ivermectin, I’m going to switch to the injectible ones for more accuracy and ability to tweak dosing. Hope that helps.

  34. Sunshine says:

    I’m still struggling on. I’m in the UK – England and every winter the papules and pustules on my nose get to their worse about now. Maybe this is the time of year that my immune system is the most depressed as its the darkest time of year. In summer I have so many better days. Advice is to keep face out of the sun but I’m sure it makes mine better. Maybe the vit D boosts immunity. I use the protec skin as Mike suggested. This helps to keep scaly skin off my nose. I can then apply a thin layer of foundation. The best I found was Clinique anti blemish. I apply with a little sponge after blotting excess off on my hand and it does a good natural cover not at all heavy but hides everything. I don’t know what I’d do without it. Thought I’d post this for those like me whose skin is so sensitive that I’m scared to try any too aggressive treatments after having an awful allergic reaction to something that was supposed to help and ended up with mini scarred pores all over my face. I guess I’m just living with them in hope that something will turn up soon that will sort them out for good or I find something that boosts my immune system enough that I start to fight them. I’m interested in the battery idea but sounds a bit scary. Is there a product on the market that does similar? Thanx.

    • JIMR says:

      Sunshine, if you did not see this link (a JAMA medical review) read it and looking at the pictures of the girl before and after should give you hope. After I used Ivermectin my pores got smaller even the blackheds on my nose went away.


    • JIMR says:

      I posted a few medical studies and most were dose 3-4 days apart, in one case of the 12 y/o girl they just gave single 12-mg dose of ivermectin (250 µg/kg).


      I know for mike the Ivermectin did not work, but not sure why that is.

      When I used it I did it 4 days apart for the first two doses and then spread the next two dose 7 days apart and it worked, but I must not have killed them all as I still get small pustule outbreaks but nothing like before. It has been close to a year so I will be doing the Ivermectin next week to see if I can get rid of all of them. I’m will now do 4 doses, 3 days apart and also mix up a 1% Ivermectin cream to use topically. I’m assuming if I take the horse paste a 1.87%, .21 oz and mix it with .21 oz of coconut oil it would give me around a 1% strength, …yes?

  35. Sunshine says:

    Also meant to ask if anyone had tried having light on their face day and night with any success? Maybe a light up face or nose shield could work if they don’t like to come out in the dark which would stop them from breeding!

  36. Mike Marca says:

    Hello Sunshine. I no longer have any more problems with either the mites or Rosacea. I use the 9 volt battery during the day and the Pro-Tech-Skin at night. If I feel a mite I just zap them the the 9 volt battey for 12 seconds after first wetting the area with water. After that there is no more movement! I believe that Rosacea brings more blood to the face and that this is more food for the mites to feed on (their favorite food). This in turn creates a mite infection. The more dominate mites take over the face, while the less dominate mites go elsewhere. The longer the condition develops the greater the infection. Mike

  37. Mike Marca says:

    No. They are the same as they were six months ago. I still have about one half of my eyebrows on both sides. I have to use an eyebrow black liquid to darken them. Daily I use plumber’s abrasive cloth to remove the scale that the mites or Rosacea makes. This does remove some of my eyebrows, but helps in keeping the mites down in that area. Mike

  38. JIMR says:

    I posted a few medical studies and most were dose 3-4 days apart, in one case of the 12 y/o girl they just gave single 12-mg dose of ivermectin (250 µg/kg).


    I know for mike the Ivermectin did not work, but not sure why that is.

    When I used it I did it 4 days apart for the first two doses and then spread the next two dose 7 days apart and it worked, but I must not have killed them all as I still get small pustule outbreaks but nothing like before. It has been close to a year so I will be doing the Ivermectin next week to see if I can get rid of all of them. I’m will now do 4 doses, 3 days apart and also mix up a 1% Ivermectin cream to use topically. I’m assuming if I take the horse paste a 1.87%, .21 oz and mix it with .21 oz of coconut oil it would give me around a 1% strength, …yes?

  39. Mike Marca says:

    Probably because I used Ivermectin two times before with a prescription. Either the mites adapted or I did. The first time it worked great, but the second time it was mediocre. Now it seems that it does not work at all for me. Mike

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