How to Get Soolantra Online in Madrid

If you are looking to manage rosacea flares and want to understand how to get Soolantra online in Madrid, you can complete a clinical evaluation entirely from home. Residents of Madrid no longer need to wait weeks for an in-person dermatology visit to address papulopustular rosacea. Through Hi-Doctor, an EU-licensed doctor evaluates your medical history and clinical photographs online. A doctor reviews within 24 hours and issues a prescription when clinically appropriate for a 40 € one-off consultation fee, providing an official REMPE electronic prescription that can be presented at any EU pharmacy.

Over 50,000 patients have accessed asynchronous medical consultations with a 4.8/5 Trustpilot rating across the EU.

How it works — get your consultation in 4 steps

The consultation process is entirely asynchronous. There are no video calls or waiting rooms required.

1. Complete the medical questionnaire: Answer clinical questions about your skin symptoms, past treatments, and known triggers. You will upload clear photographs of your affected facial skin during this step.
2. Submit your 40 € consultation fee: Pay securely online. The 40 EUR consultation fee is refunded in full if the doctor does not issue a prescription.
3. Doctor review: An EU-licensed doctor evaluates your questionnaire and clinical photos to determine the most appropriate topical therapy for your rosacea subtype.
4. Receive your REMPE prescription: When clinically appropriate, an official Spanish REMPE digital prescription PDF is uploaded to your account and emailed to you in under 24 hours.

Who qualifies

Online consultations are designed for adults presenting with mild to moderate facial rosacea. A licensed physician evaluates every case to verify that topical therapy is clinically safe and indicated for your skin.

• Eligible cases: Adults aged 18 and older experiencing persistent central facial redness, inflammatory papules, and pustules characteristic of papulopustular rosacea.
• Required information: You must provide detailed symptom history and clear, well-lit photographs of your cheeks, nose, forehead, and chin.
• Out of scope: Ocular rosacea, rhinophyma (tissue hypertrophy), and severe nodular or cystic lesions cannot be managed online and require direct, in-person specialist assessment.
• Treatment scope: Hi-Doctor provides topical dermatology options only. Oral antibiotics and oral isotretinoin are not prescribed online.

What Soolantra actually does

Branded Soolantra contains ivermectin 1% as an active ingredient. Ivermectin works by reducing Demodex mite density on the skin while downregulating inflammatory pathways. This dual action helps diminish inflammatory bumps and background erythema.

For papulopustular rosacea, clinical options assessed by prescribing doctors include topical azelaic acid 15% gel and a compounded papulopustular gel containing ivermectin 1% + metronidazole 0.75% + niacinamide 2%. Combining ivermectin with metronidazole provides targeted antimicrobial and anti-inflammatory coverage, while niacinamide supports skin barrier function and helps soothe persistent redness.

Rosacea is a chronic condition that is controlled rather than cured. Noticeable improvement in papules and pustules typically requires 4 to 8 weeks of consistent daily application, with peak benefits observed around 12 weeks. Relapse is expected if treatment is stopped, and managing environmental triggers (UV exposure, heat, alcohol, spicy foods, and emotional stress) remains essential.

Side effects and when to stop

Topical antiparasitic and anti-inflammatory therapies are generally well-tolerated, but localized skin reactions can occur during the initial weeks of use.

• Common mild reactions: Transient burning sensation, mild skin irritation, localized erythema, dryness, or peeling.
• Initial flare: A brief increase in inflammatory bumps may occur during the first 1 to 2 weeks due to the die-off of Demodex mites.
• When to stop: Discontinue application immediately and seek medical advice if you experience severe contact dermatitis, facial swelling, hives, or signs of an allergic reaction.

Why Hi-Doctor vs. walking into a clinic

Securing a dermatology appointment in Madrid through public channels or private clinics often involves substantial scheduling delays and higher consultation expenses.