How to Treat Mange
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If the disease is temperate usually it heals spontaneously. Statistics show that 90% of demodectic mange cases are localized and can be treated locally. As a local treatment can be diluted Amitraz (3ml to 30 ml of mineral oil), or 1% rotenone ointment (Goodwinol ointment) and applied on the skin daily. In some cases these wounds will heal on their own but they may get worse before they improve. The numbers of mites should be reduced after only four weeks of treatment. If the number of mites hasn’t reduced, the disease probably should be treated as a generalized form. If a dog develops generalized demodicosis, more aggressive treatment is usually needed. Although treatment is recommended, studies show that 30% to 50 % of generalized cases of mange heal will recover on their own without any treatment. As a first step in treating the generalized form of mange you should start the treatment with a prescription product called Amitraz (Mitaban-Upjohn). Amitraz dips must be applied every two weeks. Before starting the treatment it is recommended that medium-length and longhaired dogs breeds to be clipped short, so that the solution can get into contact with the skin. First you have to wash the dog entirely with an antibacterial shampoo, like benzoyl peroxide shampoos, and carefully towel dry the dog. Before washing you dog with benzoyl peroxide shampoo you should apply a protective ophthalmic ointment to the eyes of the pet. After drying the dog, apply the Amitraz. Don’t forget to wear protective gloves when applying the Amitraz. Let your pet air-dry after the Amitraz dips. You might also want to administer an antibiotic to control secondary skin infections. This treatment require between 4 and 14 dips given at 2 week intervals. Skin scrapings should be tested for mites after every 4 dips. The treatment should continue until no mites will be found after two consecutive treatments. Dogs with generalized mange can be considered cured only after one year from the last treatment, if no mites we’re found during this period. As side effects to the Amitraz dips, some dogs may feel sedation or nausea. Some dogs may not respond to this treatment. Although Ivemectin is not licensed for the treatment of demodectic mange, this is used by some veterinarians as treatment for this disease. In some cases, this drug offered good results. Large daily doses of liquid ivermectin must be administered so that the active ingredient should be effective against the Demodex mite. This should only be administered under close veterinary supervision. A second option if Amitraz dips did not work for your dog is Interceptor or Moxidectin. This is may be more effective than Ivemectin. No matter the treatment you choose to treat your dog for mange, you should first speak with a veterinarian.
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