Demodex mites are one of the most challenging problems that ophthalmologists and optometrists face in the routine care of their patients. These mites are microscopic parasites! It uses a sevenclawed organ (a “palpus”) to grab hold of cells. Then it feasts on the cells at the follicle, sucking out their innards with a retractable needle in the middle of a round mouth. How gross is that? What can you do about this parasite feasting on your follicles? Let’s get into it now . . .

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⏱ Timecodes:
00:00 Intro "Feasting on Your Follicles!"
00:57 What are demodex mites?
03:28 Do you have demodex mites? How to know . . .
04:31 Can demodex mites infest the whole body?
04:54 What are multiple eyelid signs of demodex mites?
05:20 How to know if you have a demodex infestation . . .
08:14 Does ivermectin cream kill demodex mites?
08:42 How often to use ivermectin cream
11:10 Summary

Does ivermectin cream kill Demodex mites? Ivermectin shows broadspectrum antiparasitic activity. It kills the Demodex mites that reside in the pilosebaceous units of patients with papulopustular rosacea. Ivermectin also has antiinflammatory effects, it decreases cellular and humoral immune responses. So, yes!

How often can you use ivermectin cream? How many times a day should I use ivermectin cream? How long can you use ivermectin cream? Ivermectin cream should be applied once daily for up to 4 months. If there is no improvement after 3 months, the treatment should be discontinued.

How do I use ivermectin cream? The treatment course may be repeated. A pea‑size amount of ivermectin cream can be applied to each of the 5 areas of the face: forehead, chin, nose, and each cheek. The cream should be spread as a thin layer across the entire face, avoiding the eyes, lips and mucosa. Ivermectin cream should only be applied to the face and hands should be washed after application.

Should ivermectin cream be applied in the morning or night? You should use ivermectin cream once a day at about the same time each day for the most consistent results. Some people choose to make ivermectin cream a part of their nighttime skin care routine, but it's not necessary to use it at bedtime.

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We are Salisbury Eyecare and Eyewear – a cold start optometry practice and optical shop that is owned and operated by Dr. Melanie Denton Dombrowski in downtown Salisbury, NC. Our office operates out of a darling Victorian home where we provide medical and routine eye care and Dr. Denton specializes in dry eye treatment and management of various ocular diseases. Dr. Denton is a member of the Bausch and Lomb Speakers Bureau, a former member of the Alcon Contact Lens Speakers Bureau, a current Alcon consultant, a member of the Allergan Advisory Board, a member of the Valeant Advisory Board, a TearCare consultant, a Lumenis consultant, and a member of the North Carolina Board of Examiners for the North Carolina Optometric Board. We started this channel to provide patient education and eyerelated product reviews, as well as to share our experiences in the office and at community events. None of our videos are directly sponsored. We hope you enjoy our videos! Make sure to leave comments and suggestions about what you’d like to see next!
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