Avermectin Glutamate-Gated Chloride Channel & Demodex Neurotoxin • Rx

Ivermectin 1% Topical Cream

Brand Reference: Soolantra

Medically Reviewed by Dr. Priya Nair, MD, FAAD (NPI #1295730425)
92.50%
Patient “Worth It”
21 verified logs
$42.80
Lowest Monthly Cash

Ivermectin 1% Topical Cream Clinical & Real-World Cost Fact Matrix

Metric Verified Benchmark Source
Ivermectin 1% Topical Cream RxNorm Concept ID 1599803 U.S. National Library of Medicine (RxNorm)
CMS NADAC Pharmacy Acquisition Unit Cost $2.1400 / unit CMS Medicaid NADAC Weekly Feed
Walk-In Chain Pharmacy Cash Average $348.00 / mo CMS NADAC + U.S. Retail Markup Index
Mark Cuban Cost Plus Wholesale Price $42.80 / mo Cost Plus Drugs Wholesale Feed
Community Mean Out-of-Pocket Paid $48.00 / mo 21 Zero-PHI Verified Patient Logs
INSTANT PRESCRIPTION & CASH ROUTING

Verified Online Prescribers & Wholesale Pharmacies for Ivermectin 1% Topical Cream

DotMD Club Members get $29 flat-rate script renewals →
Mark Cuban Cost Plus Drugs (Wholesale Pharmacy)
Requires an existing doctor prescription. Need a script? Pair with a $29 DotMD Club TeleMed consult.
$42.80/mo
Wholesale Cash Price
View Wholesale Rx →
Hims & Hers Direct Cash Pharmacy (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~2 days • Rx included in monthly tier
$ 49.00
All-In Monthly
Start Online Visit →
Sesame Direct Cash-Pay Prescriber Network (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~1 days
$ 29.00
Consult / Starting Tier
Start Online Visit →
Board-Certified Teledermatology Compounding (Online Doctor Consult + Delivery)
Asynchronous physician review included • Ships in ~3 days
$ 20.00
Consult / Starting Tier
Start Online Visit →

Ivermectin 1% Topical Cream Clinical Pharmacology & DailyMed Monograph

RxCUI 1599803 • NDC 00299-3823-45

Hyperpolarizes invertebrate glutamate-gated chloride channels to eradicate follicular Demodex folliculorum mite overgrowth while suppressing human keratinocyte NF-kappaB, LL-37 cathelicidin, and TNF-alpha inflammatory papules in rosacea.

Across 21 community cost disclosures for Ivermectin 1% Topical Cream (Soolantra), cash buyers routing around $348.00 retail markups capture a 88% discount ($42.80/mo benchmark vs $2.1400 NADAC acquisition).

Following administration (1% cream 5 pea-sized dots across face once nightly), Ivermectin 1% Topical Cream achieves ~2 ng/mL peak trace systemic concentration bioavailability and 2–4 weeks papulopustular clearance (after brief week-1 mite die-off) onset, governed by a 6.5 days topical steady-state half-life terminal half-life through trace hepatic cyp3a4.

Before initiating Ivermectin 1% Topical Cream at 1% cream 5 pea-sized dots across face once nightly, clinical safety checklists rule out known avermectin vehicle hypersensitivity. Logged tolerability patterns center on week-2 demodex die-off flare (19% of reports), mild skin dryness (7% of reports).

Half-Life
6.5 days topical steady-state half-life
Bioavailability
~2 ng/mL peak trace systemic concentration
Metabolism & Clearance
Trace hepatic CYP3A4
Clinical Onset
2–4 weeks papulopustular clearance (after brief week-1 mite die-off)

Standard Adult Titration & Dosages

1% cream 5 pea-sized dots across face once nightly

Absolute & Relative Contraindications

  • Known avermectin vehicle hypersensitivity

Logged Side-Effect Incidence (21 Reports)

Week-2 Demodex die-off flare 19%
Mild skin dryness 7%

Ivermectin 1% Topical Cream Patient Dosage Logs & Out-of-Pocket Cost Ledger

Across 21 verified cash-pay logs, Ivermectin 1% Topical Cream achieves a 92.50% Worth-It rating with out-of-pocket spend averaging $48.00/mo versus $348.00/mo walk-in retail.

15-Second Anonymous Micro-Log (Zero-PHI Architecture)

Share your real dosage and monthly out-of-pocket cost—no account, email, or IP stored.

Effectiveness: 5/5 • Worth It Dosage: 1% cream 5 pea-sized dots across face on • Paid: $37.66/mo via Cost Plus Drugs
Week-2 Demodex die-off flare

Switched to Cost Plus Drugs at 1% cream 5 pea-sized dots across face once nightly for Ivermectin 1% Topical Cream; monthly out-of-pocket dropped to $37.66 compared with $348.00 retail.

Effectiveness: 5/5 • Worth It Dosage: 1% cream 5 pea-sized dots across face on • Paid: $43.66/mo via Local Pharmacy

Completed 10 weeks on Ivermectin 1% Topical Cream (1% cream 5 pea-sized dots across face once nightly). Zero notable side effects on steady dosing.

Effectiveness: 4/5 • Worth It Dosage: 1% cream 5 pea-sized dots across face on • Paid: $49.65/mo via TeleMed
Week-2 Demodex die-off flare

Consistent biomarker response on 1% cream 5 pea-sized dots across face once nightly Ivermectin 1% Topical Cream sourced via TeleMed ($49.65/mo cash pay without insurance prior authorization).