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Localised demodicosis in young dogs will often resolve spontaneously.
 
Localised demodicosis in young dogs will often resolve spontaneously.
 
In cases of generalised demodicosis: Amitraz (Aludex, Intervet/Schering-Plough Animal Health) should be used as a dip weekly until there is a resolution of clinical signs and skin scrapes are negative for the mite. The mites are not easily accessible to acaricides due to their deep location in the skin and to aid amitraz penetration, clipping a dog's coat and washing with benzoyl peroxide shampoo prior to application is recommended.  Side effects of this treatment include lethargy, anorexia, depression, vomiting and diarrhoea.  
 
In cases of generalised demodicosis: Amitraz (Aludex, Intervet/Schering-Plough Animal Health) should be used as a dip weekly until there is a resolution of clinical signs and skin scrapes are negative for the mite. The mites are not easily accessible to acaricides due to their deep location in the skin and to aid amitraz penetration, clipping a dog's coat and washing with benzoyl peroxide shampoo prior to application is recommended.  Side effects of this treatment include lethargy, anorexia, depression, vomiting and diarrhoea.  
A spot on treatment containing imidacloprid and moxidectin (Advocate, Bayer) is also licenced to treat demodicosis. An alternative licensed product is an amitraz and metaflumizone spot on (Promeris Duo, Fort Dodge).
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A spot on treatment containing imidacloprid and moxidectin (Advocate, Bayer) is also licenced to treat demodicosis. An alternative licensed product is an amitraz and metaflumizone spot on (Promeris Duo, Pfizer AH).
 
Any secondary pyoderma present on the animal must also be treated with appropriate antibiotics.
 
Any secondary pyoderma present on the animal must also be treated with appropriate antibiotics.
 
If the amitraz and imidacloprid-moxidecin combinations are ineffective or not tolerated ivermectin or milbemycin can be given daily. This treatment is off-licence and requires informed owner consent as well as monitoring of the animal for signs of neurological side effects.
 
If the amitraz and imidacloprid-moxidecin combinations are ineffective or not tolerated ivermectin or milbemycin can be given daily. This treatment is off-licence and requires informed owner consent as well as monitoring of the animal for signs of neurological side effects.