I use a little bit at night. Mostly through the t-zone and under the eyes. I hit the ears, too. Then I wait a minute or two and put on extra virgin coconut oil as moisturizer. That's it. I did it every night for 1 month, but now I do every other night and am trying to space it out to every three days. Good luck.
Could be a die off, but could also be intolerance to Soolantra. Hows your situation now?
@mz66 if I understand it correctly, misfit108 isn't using the oral form of ivermectin, but the topical one (Soolantra).