How to Get Soolantra Online in Florence
Looking for Soolantra online in Florence? Learn how EU doctors assess rosacea symptoms, why compounded ivermectin is prescribed instead, and how digital prescriptions work.

DIRECT ANSWER
An online consultation lets an EU-licensed doctor review your case and, if appropriate, issue a prescription that is valid across the EU.
Less than 4 hours on average
Prescription issued in less than 4 hours on average if approved.
EU-licensed doctors
Every case is reviewed by a licensed clinician.
Valid across the EU
Approved prescriptions can be used at any EU pharmacy.
In this article
If you are searching for Soolantra online in Florence to treat persistent facial redness, bumps, or papulopustular rosacea, you can consult an EU-licensed doctor online without waiting weeks for an in-person appointment. While many patients look for Soolantra (standalone ivermectin 1% cream), Hi-Doctor's medical team does not prescribe brand-name Soolantra directly. Instead, doctors review your symptoms and clinical photographs to prescribe targeted topical alternatives, such as a multi-action compounded gel containing ivermectin 1%, metronidazole 0.75%, and niacinamide 2%, or azelaic acid 15% gel. Consultations cost a 40 € one-off fee, medical reviews take place in under 24 hours, and approved prescriptions can be presented at local pharmacies across Florence and the wider EU.
Over 50,000 patients have used Hi-Doctor for discrete, remote medical consultations, backed by a 4.8/5 rating on Trustpilot.
Key takeaways
- Brand availability: Hi-Doctor does not prescribe brand-name Soolantra monotherapy. Doctors evaluate patients for custom compounded alternatives (ivermectin 1% + metronidazole 0.75% + niacinamide 2%) or azelaic acid 15% gel.
- Transparent consultation fee: A flat 40 € one-off fee covers the entire review. The 40 EUR consultation fee is refunded in full if the doctor does not issue a prescription.
- Rapid asynchronous review: An EU doctor reviews your questionnaire and uploaded photos within 24 hours and issues a prescription when clinically appropriate.
- EU cross-border prescription: You receive a downloadable Spanish REMPE electronic prescription PDF compliant with Directive 2011/24/EU and Implementing Directive 2012/52/EU.
How it works — get your consultation in 4 steps
Accessing medical care for rosacea in Florence does not require taking time off work or sitting in a crowded waiting room. Everything is handled online through an asynchronous, secure platform.
- Complete the medical questionnaire: Answer questions about your skin symptoms, medical history, allergies, and previous treatments.
- Upload clear photographs: Take high-resolution photos of the affected facial areas in natural light. This enables the doctor to grade lesion severity and rule out contraindications.
- Clinical doctor review: A licensed EU doctor evaluates your case within 24 hours to determine if topical rosacea treatment is clinically appropriate.
- Receive your digital prescription: If approved, your official REMPE prescription PDF is delivered straight to your account and email.

Who qualifies
Online rosacea consultations are designed for adult patients dealing with mild-to-moderate facial inflammatory symptoms. Doctors assess your specific presentation to establish suitability for topical therapies.

- Eligible conditions: Adults (18+) with papulopustular rosacea (inflammatory papules and pustules), persistent central facial erythema, or mild flushing.
- Topical scope only: Hi-Doctor provides topical treatments exclusively. Oral antibiotics and oral isotretinoin are out of scope and require in-person dermatological supervision.
- Out-of-scope conditions: Patients presenting with severe nodular or cystic lesions, ocular rosacea (eye redness, pain, grit), rhinophyma (tissue hypertrophy of the nose), or visible telangiectasia requiring vascular laser therapy are referred to in-person clinics.
What Soolantra actually does
Soolantra contains ivermectin 1% as a standalone active ingredient. In rosacea management, ivermectin exerts a dual effect: it reduces inflammatory cytokines and decreases the density of microscopic Demodex folliculorum mites that inhabit facial pilosebaceous units.
Hi-Doctor's formulary does not include standalone Soolantra. Instead, doctors may prescribe a compounded papulopustular gel combining ivermectin 1% with metronidazole 0.75% and niacinamide 2%. This combination targets Demodex proliferation, provides broad antimicrobial and anti-inflammatory activity, and strengthens the epidermal barrier. For central redness, doctors may prescribe azelaic acid 15% gel or a compounded erythema cream (metronidazole 0.75% + niacinamide 4% + micronised azelaic acid 10% + allantoin 0.5%).
Clinical improvements with topical ivermectin combinations typically appear between weeks 4 and 8, with maximum inflammatory reduction observed around week 12. Rosacea is controlled rather than cured, meaning long-term management and trigger avoidance are essential.
Side effects and when to stop
Most patients tolerate topical rosacea treatments well, but localized skin reactions can occur during the initial weeks of therapy.
- Common, mild effects: Mild transient stinging, burning sensations, localized erythema, dryness, or peeling. These often subside as the skin barrier adapts.
- When to stop: Discontinue application immediately if you experience severe contact dermatitis, facial swelling, intense pruritus, or hives.
- Trigger management: Medications work best alongside lifestyle adjustments. Common triggers that aggravate symptoms include UV exposure, alcohol, spicy foods, thermal extremes, and psychological stress.
Why Hi-Doctor vs. walking into a clinic
Scheduling an appointment with a private dermatologist in Florence can involve significant delays and substantial consultation fees. Hi-Doctor offers a streamlined, fully compliant alternative for non-emergency skincare.

| Feature | In-Person Clinic in Florence | Hi-Doctor Online Consultation |
|---|---|---|
| Consultation Fee | 120 € – 200 € | 40 € flat one-off fee |
| Wait Time | 2 to 6 weeks | Doctor review within 24 hours |
| Assessment Method | In-person physical exam | Clinical questionnaire & photo evaluation |
| Prescription Format | Paper or regional digital script | Official REMPE PDF (cross-border EU) |
| Unapproved Assessment | Full clinic fee charged | Fee refunded in full if no script issued |
COMMON QUESTIONS
Frequently asked questions
No. Hi-Doctor does not prescribe brand-name Soolantra or standalone ivermectin. If topical treatment is appropriate, an EU-licensed doctor may prescribe a compounded formulation combining ivermectin 1%, metronidazole 0.75%, and niacinamide 2%, or azelaic acid 15% gel.





