Starting Soolantra - journey

Hey guys,
I have been dealing with this condition for around five years and I can really say that I have tried everything. From topical creams for fungal acne, seb derm, steroids, to even drinking doxycycline and roaccutane and much much more. But of course nothing helped, except accutane but only periodically. Nothing addressed the oozing crusts directly so I decided to give Soolantra a try.

Every topical cream that I put on my face results in numbers of crusts all over my face that ooz yellow/gold liquid. I am 100% sure that it is going to be this way with Soolantra also but as most of you were mentioning the famous die off phase, Im mentally preparing for the worst scenario and Im willing to give Soolantra time to work.

I took two weeks off at work starting from Friday, and Im planning from that day onwards to use Soolantra daily and also document the progress here.

Wish me luck!

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Soolantra was the only creme that helps me. And i use cln face wash.

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All the best with it. it’s important to keep going. You only need a very small amount of Soolantra in the 5 spots on your face.

Update after two applications of Soolantra only in my beard area:

I used Soolantra only in my beard as I was afraid of a breakout because Im having a very important project going on at work. But the worst happened. The right side of my face, exactly the place where I applied Soolantra broke out with over 20 crusts, and theyre also spreading on other parts of my face and even neck. Im not sure that this is a regular die off reaction as i really have some big crusts breaking out currently and now I really dont know if I should even continue with Soolantra. The only other option is to go back to using accutane :frowning:

I wash my face first with cln face wash and after i use nivea creme. After that i use soolantra.
The cln wash kills bacteria

Luckily my vacation days started today so I am able to start my Soolantra journey.

Few moments ago I applied Soolantra on my entire face and I applied only pea-size amount for my whole face. Please if someone could help me and tell me is it really neccessary that I apply a pea-size amount per every part of my face (cheeks, forehead, beard area)?

My current situation is that I have a few minor crusts in the middle of my forehead, three crusts on the left side of my face in the beard area, and the worst break out can be seen on the right side of my face where I have crusts all over the place. So all in all the situation is very bad.

I will keep updating my journey here, as hopefully it will help someone in the future.

Praying that Soolantra helps me because life really loses its meaning when fighting with this disease.

Update after DAY 3 of applying Soolantra

I’ve practically not left the house in the past three days, but I still haven’t had a strong reaction or die-off from the cream like I did last week, when my whole face broke out just from applying Soolantra to my beard.

If I can draw a conclusion after only three days of using Soolantra, it’s that I’m still getting new crusts—but they’re significantly smaller than the ones I’ve been getting over the past 4–5 years. My beard area has become extremely dry from the Soolantra, but I won’t apply any moisturizing cream unless I absolutely have to leave the house.

The left side of my face is, let’s say, pretty clear. I only have one minor, newly formed crust and an older one that’s still healing from last week.

My forehead has always been the main problem, and it still is. I have minor crusts alongside both eyebrows and in the center of my forehead. There are also a bunch of smaller blemishes, and I wonder if that might be part of the die-off reaction.

The right side of my face is still recovering from last week’s reaction, with the occasional minor crust.

Update - DAY 5
Reaction on my forehead after 5 days of applying Soolantra. Could this be a possible die off?

I have never had such rash on my forehead as Im always getting those well known crusts filled with yellow/gold puss. These are, judging by the looks, just classic whiteheads.

Im not 100% sure should I continue to apply Soolantra also in this area where I have the rash, but I guess i will just go through it and hope for the best.