My dog's demodex keeps returning. What are my treatment options?

Very good information. Yes you are correct that topical shampoo with Benzoyl peroxide is a great addition to therapy to rid the mites. The next step would be to get her an oral treatment, which in my opinion the best and easiest way to treat Demodexx is to give her Bravecto or Nexgard. These are flea/tick preventatives, however they are also labeled for Demodexx treatment and can be given once very 1-2 months to treat Demodexx. The other way to treat Demodexx, which in my opinion is a lot more time consuming and costly, is daily Ivermectin 1%. Both these treatments will require a veterinary prescription first, so it is best to get Nu'u seen by a veterinarian if she hasn't already. It is also important to get repeat skin scrapes every 2-3 weeks during treatment to monitor her progression and also this helps you determine when she can go off her medication.

Poor thing! It sounds like his immune system is really compromised. I would recommend an antibiotic for the pyoderma as well as a probiotic. Often skin health is linked to gut health and when you use antibiotics for certain infections you kill some good bacteria as well which makes taking a probiotic important. I would also recommend oral Nexguard or Bravecto for the demodex. Although Amitraz has long been used, I think your dogs reaction is secondary to the effects of Amitraz on the natural flora of his skin. It is important with disorders of the immune system to ensure he is on a good, high quality diet, and resides in a low stress environment. I hope this helps!

It probably is demodectic mange. I suggest you talk to your vet about putting him on Nexgard or Bravecto. Both are oral flea tablets that coincidentally also treat demodex. Easy to do and relatively inexpensive. They are prescription drugs though so you need to get them from your vet. So much easier than all the things you are doing and it works better. Hope this helps. Best wishes.

The only way to definitively diagnose mange (Demodex) is by skin scrapings which should be repeated every 2-3 weeks during treatment until 2 negative skin scrapings are found. Make sure that the flea and tick medication prescribed will also treat mites (milbemycin or moxidectin) and keep in mind that the dosage frequency is different for mite treatment than it is for flea preventative. Treatment needs to continue for 1-2 months after there is a negative skin scraping. Steroids are usually contraindicated in treatment of Demodex. Demodex mites are not contagious to other animals so your other dogs may not be affected.

Hi, thanks for using Petco Pet Education Center, formerly Petcoach! Poor Bruno! The good news is that Demodex isn't contagious to other dogs or people. Also it is super easy to treat now thanks to the new oral flea and tick medications. The once a month Nexgard or Simparica and the every 3 month Bravecto also kill demodex when prescribed at the normal frequency. Personally I wouldn't use any other medication as these are much safer. I would say it will likely take up to 3 months for Bruno to be cured but you will likely see improvement before then. I wish you and Bruno the best!

I believe you have a typo here and you meant to say to that your pet Vito has a demodexx note problem. I am assuming this because of your pets age and breed. The easiest way to cure demodexx these days is to give your pet either Bravecto or Nexgard for 1-3 months. These are actually labeled flea/tick preventatives but they also treat for Demodexx successfully and a lot of my clients have been very happy with the results. They also like The fact that they can give one dose every 1 to 2 months and I have to give daily medication. This makes it very easy to give and the effects are just the same if not better than the old conventional way of treating demodexx which was to give a medication called Ivermectin daily. it is unfortunate that you have not build that trust with your veterinarians, but these medications do require a prescription so please ask them so you can get Vito started on medication right away to treat his skin condition successfully.

I recommend to confirm it is demodex mange with your veterinarian. Off label treatments with some of the oral flea preventatives can help. Also, if she is not spayed, it will be very hard to get rid of the mites. I recommend to have Blonca spayed if this is not already done as there are many health and behavioral benefits. It will also help prevent puppies which will help with the extreme problem of over population. https://www.petcoach.co/article/spaying-ovariohysterectomy-the-benefits-in-dogs/ I hope this helps.