Anyone else dealing with Demodex Mites? What helps?

I would suggest the oldest and safest remedy I have used for the
past 50 years.
Most of us who have oily skin and seborrhea do have Demodex in our skin flora. Normally there are no symptoms. Overgrowth when we are immunosuppresed could cause your condition.
Years ago I was given an old fashioned compounded sulfur remedy by my dermatologist.
Most treatments for rosacea also help control demodicosis.
I suggest safest course for control is Prosacea gel ( 10% sulfur) daily
and zinc soap wash available in bar or liquid forms OTC as well.
Helps to use a shampoo like selenium sulfide or zinc phrithione
in your shower. I would only use permethrin a few day a month if that fails. Demodex lives with us.
Ivermectin is expensive.

Thank you so much, I’ll try Prosacea. Right now I’m using the retinol preparation Differin at derm’s recommendation because she seems to think it’s “just acne.” But it’s not doing much. I do already have a Vanicream Z-bar that I use for my numerous back lesions along with CLN wash (could THAT also be Demodex related?)…I am afraid of using a lot of the more drying stuff on my face as I actually have REALLY dry skin; not oily at all. Which is why I’m so confused by the seeming demodex infestation. I think it must be related to the Dupixent and its effect on my immune response seeing as I do not exactly have a feast of sebum for the critters. Hoping Prosacea can help. I’m not sure what else to try at this point :-/

Hello@medical question. I have had almost identical experience you described. I recently found a doctor who actually listened to me and I have just started with his treatment plan. He is Dr Rolando Toyos. He is located in Nashville,Tennessee but he does video conferences visits for people who are not within driving distance. Dr Toyos is an ophthalmologist. He specializes in Dry Eye and it’s various causes. He did a through history and diagnosed me as having Demodex mites from all the clinical evidence from my history and physical I have dry eye, rosacea, “eye and eyebrow dandruff “ I am on steroids s long term for Rheumatoid Arthritis. His recommendations for me was a prescription face cleanser, face wipes with hyaluronic acid, eye drops, eye gel and Ivermectin cream. He also gave me a IPL (intense pulsed light) a type of laser treatment to open my glands that were blocked in my upper and lower eyelids. My face was horrible and after just 5 days it was 70% clear! I had already had 2 rounds of Ivermectin oral tablets that I received from Posh Medical a telemedicine group of doctors. That had calmed the mites down enough that I wasn’t wild with the constant itching. Dr Toyos has several You Tube videos discussing the various treatments that he uses. So you can get a feel of what he is like before committing to an appointment. He also has written a book the Dry Eye Diet that is available from Amazon for the kindle or you can order the book from his office.. this treatment plan was not cheap. But I had been fighting these mites for a year and this was a priority for me. His contact information is on his website at teamtoyos After an agonizing year dealing with all the doctors who really had NO knowledge of Demodex mites, Dr Toyo’s was like a breath of fresh air! Sorry this is so long. I hope this information will be helpful.

Yes omg. Go-to Georgetown University Hospital ER tonight. Have lots of pics. Severe infestation. Can see imprints of them in apartment with no magnification. Back later.

It is spelled Natural Ginesis and their Kleen Green was very effective with skin mites.

Due to newer flea and tick control not killing mites per Dr. Alice Jeromin who sees more mites than fleas - animals and people are becoming diseased. Omega 3’s, cut sugar and eat greens. Father - Lewy body, son MCTD, self- lupus symptoms We are 100% certain mites caused our families illness. Dementiamites.com

I have been to 3 different doctors and what I am saying is falling on deaf ears., I have these little mites that seem to be mostly around the back of my neck, sides of my neck, my jaw line then tend to crawl up my face. Be attracted to my eyes, sometimes my nose.
And then sporadic here and there on the rest of my body quite a few down the middle of my spine where there's fine hair. It is itchy, they bite, My skin is rough dry. It hurts it Burns. I need help. I do not know what else to do. They're tiny White almost clear. I have attached photos, Can someone just leave me in the right direction? Please

Hi all…. So glad to have found this chat group! I have struggled with Demodex infestation for about 6 months. I started using tea tree oil which helped, then added John Paul Mitchel tea tree oil shampoo (daily shampoo and use it as body wash as well). I took two rounds of oral ivermectin and am now using topical ivermectin (once daily) and topical metronidazole (twice daily) on my face, ears, chest. I did an ivermectin scalp treatment recommended for scabies and I did see two some people recommend it for Demodex. It helped, but didn’t solve my scalp symptoms. My ophalmologist prescribed xdemvy the new eye drops specifically for Demodex blepharitis and Avenova (hypochlorite acid)for eyelid wash (both are twice daily. The xdemvy and avenova have helped significantly. The xdemvy is crazy expensive. I also pretty aggressively manage my environment ( wash sheets every other day and pillow case daily on the hot cycle). I wash my clothing frequently and vacuum frequently. Even w all of this, I still have Demodex…. but the good news is I have far fewer than I originally did. I see my Derm in two weeks and I have a feeling that I am going to learn that we have to live with this. Has anyone eliminated the demodex completely? The literature indicates that we all have them, but infestation occurs in people w autoimmune illness. I do not have autoimmune illness. I am very interested in trying the Metrin and Prosacea. And I will check out Dr. Toyos website. Hope this is helpful and I am very interested in learning more from you all!

You have my sympathy!! Hope by now you have found a dermatologist who understands Demodex. I found my opthalmologist to be most receptive. My dermatologist is now on board. I have had them for 8 months though I am happy to say that I am much better over the past two weeks. My sense is that I have them “under control” as they are not gone. I have been doing many things so unfortunately can’t point to one thing that alone can help. I first had two rounds of oral ivermectin. That seemed to eliminate the Demodex on my legs and torso. I know have topical Ivermectin ( applied it once to my scalp) and since then once daily facial application (ears neck shoulders included). I also apply metronidazole topical cream twice a day to face, ears, neck and shoulders. And my ophthalmologist prescribed eyelid washes twice a day w Avenova and the new eye drop medicine Xdemvy. In addition, I take daily showers and shampoo w tea tree oil shampoo ( and use the shampoo as body soap as well) and I change my sheets every day or every other day. It is exhausting…. But it is such a relief to have the Demodex under control. I take the Xdemvy for total six weeks (3 more weeks) and have talked w my dermatologist about continuing the topical ivermectin and metronidazole until symptoms resolve. I can now go a few hours w no symptoms…. I am concerned that this might be as good as it can get. And I am not autoimmune…… more research needs to be done on this! Wishing you good luck and resolution!

I'm writing this on February 26, 2024 and I have three more weeks of XDEMVY. I'm 74 and need cataract surgery but have delayed it until I get the Demodex under control. I've just started using 2% Salicylic Acid and it's already made a difference! Today I ordered shampoo, a facial mask, facial cream and eye scrubs from Amazon that are made by Ovante and hope they work. For the past few days I've been using We Love Eyes tea tree eye scrub and their tiny brush. I change my sheets every five days but change the pillows every day. I use 99% alcohol on my makeup brushes and use different brushes for both sides of my face. I have four mascaras and have them marked Left and Right and spray them with the alcohol a few minutes before putting them back into their tube. I spray my pressed powder blush and eye shadow with alcohol after finishing my makeup, and have two eyelash curlers, also marked L/R and spray them with the alcohol.
It may sound like I'm going overboard but I think this is what needs to be done to eradicate them.

They have caused me to have severe dry-eye, which impacts my vision and delayed my cataract surgery.

If anyone knows of anything else I should be doing, please let me know!!