Changes

==Treatment==

==Treatment==

Localised demodicosis in young dogs will often resolve spontaneously.

Localised demodicosis in young dogs will often resolve spontaneously.

Amitraz (Aludex) should be used as a dip weekly until there is a resolution of clinical signs and skin scrapes are negative for the mite.  It is advised to treat with benzoyl peroxide shampoo prior to amitraz treatment to increase exposure of the mites to the amitraz.

In cases of generalised demodicosis: Amitraz (Aludex) should be used as a dip weekly until there is a resolution of clinical signs and skin scrapes are negative for the mite.  It is advised to treat with benzoyl peroxide shampoo prior to amitraz treatment to increase exposure of the mites to the amitraz.

A spot on treatment containing imidacloprid and moxidectin (advocate) is also licenced to treat demodicosis.  

A spot on treatment containing imidacloprid and moxidectin (advocate) is also licenced to treat demodicosis.  

Any pyoderma present on the animal must also be treated.

Any secondary pyoderma present on the animal must also be treated.

If the amitraz and imidacloprid-moxidecin combinations are ineffective ivermectin or milbemycin csan be given daily. this treatment is off-licence and requires informed owner consent as well as monitoring for signs of neurological side effects.

If the amitraz and imidacloprid-moxidecin combinations are ineffective ivermectin or milbemycin csan be given daily. this treatment is off-licence and requires informed owner consent as well as monitoring for signs of neurological side effects.

==Prognosis==

==Prognosis==

Prognosis is good for localised cases however owners

Prognosis is good for localised cases. Generalised demodicosis is often managed medically however many cases are controlled rather than cured. Owners must be educated about the disease and be advised not to breed from animals with the generalised form.

Adult-onset dogs are often refractory to treatment.

Adult-onset dogs are often refractory to treatment.

==References==

==References==

==Diagnosis==

==Diagnosis==