Question: Is permethren really a good substitute for Soolantra 1% cream which I have been using on my face for three weeks with wonderful results? I have had very slight rosacea ( only the redness flushing on cheeks) on and off for several years, but about two months ago I started having the red bumps and pustular lesions which are very unsightly and did not respond or heal. I have used Aveeno Oatmeal soap and lotion since age 27 and I am now 66. Have had a nice complexion and never deviated from Aveeno because my shin is extremely sensitive. The reason I tried Soolantra is because my sister also has rosacea and was experiencing the pustular red breakouts and was prescribed Soolantra which has also worked very well for her. She gave me a partial tube to try and it has banished the breakouts, healed my skin and has been mild and gentle to my face and did not cause any irritation. My own Dr. has now written me a Rx for Soolantra, but it required a preauthorization. The cost would have been $519.00 dollars, but today the pharmacy called to say they were authorized to give me a substitute Permethrin cream at a cost of $43.00( the top XXXXXXX cost of meds under my Part D insurance plan.) My main question is- Is Permethren comparable to Ivermectin( Soolantra) or is it harsher and less safe? Any info or advice given would be very much appreciated and thank you for giving me your time and attention.