My dog has mange, on vet meds. What else can I do for his recovery?

It depends on which type of mange you are actually treating. You are supplementing his skin well. The only other thing you can add is a weekly bath to help the skin and clean the coat. For demodex mange it is best to use a benzyl peroxide shampoo while scabies mange can be treated with any shampoo as it does not have to treat the deep hair follicles

The absolute best way to know is if you see resolution of skin lesions and also when there are no mites detected on a skin scrape/cytology. Mites can still be present on the skin, even when the skin looks great on the outside. This will cause people to stop treating presumptively, and this results in treatment failure as the mites will come back quickly. You must have 2 negative skin scrapes done 2 weeks apart, plus resolution of skin lesions, to determine if a pet can come off medication. I hope this helps!

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.

It isn't uncommon for dogs going through mange therapy to initially get itchier as the mites die and cause inflammation. However secondary infections are also very common with mange. It is common for a dog to be on antibiotics and perhaps an anti-itch medication in addition while being treated for the mange. You could call the veterinarian that prescribed the mange treatment to discuss antibiotics and/or medication to help with his itching. Sometimes a topical shampoo helps but often oral medications are needed.

You need to have him examined again and treated for any concurrent skin infections which may be fungal or bacterial. Follow up with your veterinarian to discuss skin cytology and testing for ringworm.

Use an oatmeal type bath. This will help to moisturize the skin. You may also ask your veterinarian about using a special prescription shampoo which can help to clear out the pores and may be somewhat effective against the mites (though you need to continue your current treatment). I hope this helps and please feel free to post any additional questions.

You'll want to be sure finish all medications and treatment prescribed by your doctor. You'll notice that Alaska will have let discomfort, redness, itchiness, and may be feeling more relaxed. Over time, the fur will grow back in and might not even be able to see signs of a preexisting condition. However, mange can be recurrent, so you'll want to be sure to keep a close relationship with your doctor until you have diagnostic tests to confirm that treatment is no longer needed.