Treatment options for Demodex

RE: Treatment options for Demodex

Martin Atkinson — Tue, 28 Mar 2017 14:26:59 GMT

[quote user="Kathryn Burton"]When would you repeat skin scrapes - after three months to see if another treatment required, or sooner to assess response?[/quote]Of the two I've treated, one hasn't come back despite months of unsuccessful treatment with Aludex so is assumed clear and the other came in to be castrated last week. The ideal opportunity to do a skin scrape but I'd forgotten all about the Demodex as a locum has booked it in and TBH there was nothing about its skin that made me suspicious there was any Demodex at all, the owner said afterwards that he was aymptomatic and he's just been given the second tablet anyway.

RE: Treatment options for Demodex

Stephanie Wellings — Tue, 28 Mar 2017 14:20:39 GMT

I tend to give one tablet and give another dose 8 - 12 weeks later. As it's licensed for general flea/tick prevention, I just change their other preventative meds (usually stop advocate and use milbemax monthly) during that time.

I would repeat scrapes after the second application to see if any further treatments are required (but if it is working really well, there is no reason they can't stay on it for routine preventative).

RE: Treatment options for Demodex

Glenn Hodgson — Mon, 27 Mar 2017 22:12:41 GMT

Anyone used simparica? Thoughts vs bravecto?

I really liked oral ivermectin for problem bulldogs. better than milbemicin in my n=2 study. Didn't have bravecto then though.

RE: Treatment options for Demodex

Kathryn Burton — Mon, 27 Mar 2017 21:44:29 GMT

Thanks everyone, that's really helpful. When would you repeat skin scrapes - after three months to see if another treatment required, or sooner to assess response?

RE: Treatment options for Demodex

Adrienne McPartland — Mon, 27 Mar 2017 19:32:15 GMT

+1 for Bravecto

Works very well !

RE: Treatment options for Demodex

Martin Atkinson — Mon, 27 Mar 2017 18:59:59 GMT

Bravecto.

RE: Treatment options for Demodex

Stephanie Wellings — Mon, 27 Mar 2017 16:53:59 GMT

Bravecto works really well, I use it as a firstline treatment as I find it much more effective than the other options (Advocate weekly or aludex) and so much less effort!

RE: Treatment options for Demodex

Daniella Sellick — Mon, 27 Mar 2017 16:51:49 GMT

Ive had good success with bravecto and aludex (every 3-4 weeks) combined. Bravecto is off licence though but there is a study to show its effectiveness for demodex

RE: Treatment options for Demodex

Neil Wheadon — Mon, 27 Mar 2017 16:29:13 GMT

I spoke to a dermatologist in Langford a few months ago. Yes Bravecto, it's the one they recommend.

Neil

RE: Treatment options for Demodex

Kelly Cremers — Mon, 27 Mar 2017 16:02:38 GMT

Another vote here for bravecto. Used it quite a few times and always seemed to to the trick. I sometimes go through the effort of using advocate as it is licensed but if no improvement after 3 pipettes or if getting worse before the 3rd pipettes is applied, I go for bravecto.

Ivermectin by mouth works really good (1ml per 17kg?? Not 100% sure) and used to be my go-to offlicense treatment, but isn't without risks of side-effects, not to be used in certain breeds at all and has to be used daily for at least 28 days.

Aludex works but is very messy and smelly and has to be applied in a well ventilated area. I am not a big fan of it, but have used it occasionally. Use it once a week and make sure to wash the dog first in a keratolytic shampoo as it tends to penetrate better that way.

RE: Treatment options for Demodex

Gillian Mostyn — Mon, 27 Mar 2017 15:43:44 GMT

second vote for bravecto. Off license in UK (licensed elsewhere for demodex) but v effective.

RE: Treatment options for Demodex

Stephanie Wellings — Mon, 27 Mar 2017 15:37:14 GMT

Bravecto works really well, I use it as a firstline treatment as I find it much more effective than the other options (Advocate weekly or aludex) and so much less effort!