Rosacea update – Soolantra and Lymecycline (6 weeks later)

In February this year I finally managed to get my hands on a Dermatology appointment and started a new treatment regime. I wrote about the initial stages in this post, including what’s involved in my new treatment – Soolantra cream and Lymecycline antibiotics.

I officially started taking both new medications on 28 February 2018, which at the time of writing this post, makes me about 6 weeks into treatment. The reason I’ve waited 6 weeks is that the long term antibiotic I’m taking (Lymecycline) reportedly takes around 5-6 weeks to have any real effect. Although I had some initial suspicions about how it would go, I wanted to wait to write this to make sure I allowed enough time.

The best way to describe the treatment so far is to let the pictures do the talking… I took two pictures every week on the same day (except week 5 when I was on holiday) to show my progress:

Soolantra treatment - Because NicoleSoolantra treatment - Because Nicole

Soolantra treatment - Because Nicole

Soolantra treatment - Because Nicole

Soolantra treatment - Because Nicole

As you can see, the results are pretty amazing. When the first pictures were taken I was actually in the process of recovering from a pretty awful breakout which happened after I did a charity sleep-out in a local Cathedral (covered by the news, here!) The result of ‘sleeping’ (lying down thinking about sleeping) in low temperatures had a really bad impact on my skin.

But, as you can see – that’s all gone now. Things are so different. The biggest change is absolutely due to the Soolantra topical cream I have been using – There’s more about the medication itself in my previous post. It’s applied once daily at night and soaks in like a moisturiser. It has a moisturising base so there’s no stinging and although itching is listed in the side effects, I only had a bit of jaw itchiness for about 2 days. Not only has Soolantra made a massive difference to the colour tone of my skin and removed a large amount of the redness, the texture of my skin is I n c r e d i b l e. Like, I keep asking people to stroke my face because I honestly cant believe how soft and smooth my skin feels.

Writing this I probably sound like I’m being a bit OTT and enthusiastic about it, but honestly, for the past 5 years my skin has been so bad that this feels ground breaking. I had entirely forgotten what it was like to put makeup on and have it glide over a soft, smooth texture – something most people think nothing of, but something I have been missing out on for so long. I am over the moon and have decided that Soolantra is the best thing on the planet.

I have to say that, so far, I am less impressed with the impact that the Lymecycline has made. I am only 6 weeks in and as a long term antibiotic, it isn’t supposed to give overnight results. But when I look closely at my skin I can still see the tell tale red bumps under the surface of my skin. I’m hoping it just needs more time for my skin to work it out, so I’m going to persevere and wait to see my Dermatologist again in July.

In the back of my mind is still the option of a low dose Roaccutane as there is a chance that could get rid of my rosacea long term – whereas if I stop Soolantra or Lymecycline now, everything will go back to how it was before.

I’m honestly hoping that by writing these posts there is someone out there who with rosacea (or something similar) that might consider trying some active treatment, because so far, it is making a huge difference for me!



  1. Hannah
    April 6, 2018 / 8:48 pm

    Beautiful lady! I think it’s only when you have issues with your skin that you realise how blessed it is when they resolve etc. Someone who is struggling will see this and it could completely change their lives. You’re a wonderful woman! Xxx

    • becausenicole
      April 6, 2018 / 8:54 pm

      Thank you Hannah, that’s so kind ❤️ xx

  2. Mary
    June 2, 2018 / 8:00 pm

    Did you continually improve or did you have a few breakouts along the way? I’ve been on soolantra for 20 days. It seemed to immediately clear my bumps, but today, on day 20, I broke out. I’m feeling discouraged. I read a flare during week 3 and 6 is expected in some people, but I was hoping that wouldn’t happen. May i ask, do you still get bumps from time to time?

    • becausenicole
      June 2, 2018 / 9:03 pm

      I have heard a few people mention that there can be breakouts along the way – I honestly didn’t have any. There were some weeks where t seemed like there was no progress but no actual flare ups; that could have been related to the mixture of the cream and antibiotics! I don’t any more! I haven’t had any flare ups or bumps or new redness since I started this course! Try to stick with it if you can, fingers crossed if you ride it out it’ll balance out long term!

  3. Mary
    June 2, 2018 / 9:13 pm

    Thank you for responding. It’s been 11 months since I developed rosacea. I’ve tried a lot of medications without success. My life has halted in many ways. I am on such a restrictive diet since most foods cause me to flare. I don’t go out and I can’t wear makeup. I keep hoping soolantra will be my solution. Thanks again.

  4. Simon
    June 3, 2018 / 7:20 am

    Hey Nicole, wow.. Great results!
    I have suffered with bad outbreaks for four years, age 39-43. This results in redness and small spots and broken blood vessels on the forehead, cheeks and nose.. Not good 🙁
    Anyway now my doctor has me on lymecycline and it has helped alot. After three days!
    But now after three weeks i will also try soolantra i think for a double chance of success. I do go in the sun, drink and eat chocolate which may not help!
    Great blog:) let us know if you get total cure! Thanks.

    • becausenicole
      June 3, 2018 / 9:39 am

      Thank you Simon! Good luck with the Soolantra, I really hope it also works for you!

  5. Annie
    July 6, 2018 / 8:33 am

    I have been on Soolantra since October last year. My skin has improved not sure because the weather is warmer now or because of Soolantra but I go from good to worse and again to good. I have noticed anything does or doesn’t trigger my rosacea. I try to change my pillow case every 3-4 nights, avoid excess sugar, dairy and even avoiding gluten and that helps also. But if the weather changes from warm to chilly again, my skin will react pretty much straight away. I have gotten great tips from the rosacea support group and will continue using Soolantra until my prescription runs out.

    I thought I knew what was causing my skin to react but I actually I am still little ignorant about it as in warm weather it reacts less to chocolate, dairy, alcohol but in the chilly weather it reacts quicker….I don’t know maybe I just have crazy skin. 😀 I do suffer from eczema also. Anwyays I do recommend Soolatra as after starting Soolantra my skin has improved tremendously and although I still get a few bumps and pimples, it is much better than before in the autumn when I was prescribed the cream. 🙂

    P.S. I was also prescribed tetracycline but as I didn’t want to go on antibiotics, I never started them, so all changes are thanks to change in diet and Soolantra.

  6. Rebecca
    July 15, 2018 / 4:50 am

    Soolantra made my skin FREAK OUT! I tried it for 12 weeks and it literally gave me like, cystic acne all over my chin and made my rosacea all around my nose worse. 🙁 Rosacea is so weird and frustrating, and everyone’s is different. I think the best mine has ever been was on topical clindamycin and zinc pyrithione (sp?)

    • becausenicole
      July 15, 2018 / 8:48 am

      Oh god that’s awful, sorry you had a bad time with it. I have heard it works best on Type 2, but you’ve hit the nail on the head – rosacea is so different in everyone and SO frustrating! Well done for sticking it out for 12 weeks and not giving up though – hopefully you find a good alternative at some point! x

  7. Lisa
    November 13, 2018 / 12:44 am

    I too am dealing with rosacea without anything clearing this up so far. I am wondering the cost associated with Soolantra, this looks very expensive. I would be willing to pay a pretty good amount if this would really work, but do you have to continue this long term once you are cleared up. I have followed my drs instructions diligently without much success. I am going to call back for a recheck, but figure I need to have a plan in place also. Making notes on what has worked for others so I can discuss. Thank you for the feedback!

    • becausenicole
      November 13, 2018 / 6:33 am

      Hi Lisa, sorry to hear you’re having to deal with it! I can’t tell from your comment where you’re from – but I got my Soolantra on an NHS prescription so only paid around £8 and the tube lasted ages. I don’t think it would be overly expensive to outright buy it. I now only use it once a month as a top up, but you don’t have to, and you use very little each time – hope that helps! Nicole

  8. Lisa
    November 13, 2018 / 2:06 pm

    Hi Nicole, I am in the US and with a prescription here it looks like it ranges in price from $300 to $500 a tube. I may look to see if I can purchase outside of the US since our prices are so high. Is it by prescription only in your country. I’ll investigate further. Thank you all for any advice. I have been using Differin gel and Metro gel for several months, sensitive skin cleansers and non-acne makeups with no help. I am 60, but have combo skin type.

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