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Fish Medication & Medicated Food - Usage Guideline

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  • Fish Medication & Medicated Food - Usage Guideline

    Posted the following on my Facebook business page and thought I'd also share it on our forum. It covers all the medicated products that I carry in the online store. And, will expand it over time.
    As disease rears its head it is critical to assess what is going on in your tank in order to be able to select the most appropriate treatment. When using the wrong treatment, the desired results will not occur. For example, when treating any parasitic ailment, it is never appropriate to use an antibiotic. And, it is never appropriate to use an anti-parasitic medication when treating a bacterial or fungal disease.

    As with any medication, once started continue treatment for the minimum number of days and dose properly. Otherwise, the parasites, bacteria and other disease causing agents will continue to become immune to the treatment forcing us to have to reach for stronger medications.

    The following lists the fish medications as well as the medicated foods in the Everything Aquatic Store, and includes usage indicators.


    Chloroquine Phosphate
    A replacement for both copper sulfate and quinine with superior effectiveness. Chloroquine is used as a bacteriacide, an algaecide and as an antimalarial making it a good general treatment as well as a preventative. It is superior in the fight against resistant ICH, slimness of the skin and flukes.

    Commonly referred to as Maracyn 1. Each packet contains 200 mg Erythromycin, a common antibiotic used to treat a variety of bacterial ailments. Non-toxic to invertebrates. May be used concurrently with Coppersafe, Maracyn or Maracyn Oxy. Used in freshwater or saltwater.

    Indications: Clamped fins, swollen eyes, gills held open, pumping gills and gulping through mouth, patchy coloration, change in swimming behavior, becoming shy or hiding, etc.
    Targets: Septicemia, Dropsy, bacterial Fin and Tail Rot, Popeye, Gill Disease, Columnaris or Cotton Wool Disease caused by Aeromonas punctata, Aeromonas hydrophila and Flavobacterium columnare bacteria as well as secondary and internal infections.

    Maracyn Two
    Sold in packets that contain 10 mg Minocycline, a broad spectrum antibiotic. And is easily absorbed from the aquarium water. Also good as a systemic to combat bacterial ailments from the inside out. Safe to use with invertebrates. May be used concurrently with Coppersafe, Maracyn or Maracyn Oxy. Can be used in freshwater or saltwater.

    Indications: Clamped fins, swollen eyes, gills held open, pumping gills and gulping through mouth, patchy coloration, change in swimming behavior, suddenly becoming shy or hiding, etc.
    Targets: Columnaris, Fin and Tail Rot, Popeye and other diseased caused by Flavobacterium columnare, Haemophilus piscium, Aeromonas punctata, Aeromonas hydrophila, and Cytophaga aquatilis bacteria.

    Methylene Blue
    A chemical dye with antibacterial, antifungal and antiparasitic properties. It is most often used to avoid fungus killing eggs from a spawn; however, can be used on older fish with caution as noted below. Can be used with freshwater or saltwater. Toxic to live plants, but can be used with invertebrates.

    Can burn the gills and cause fish to lose the ability to respirate and receive oxygen. Use with extreme caution when dosing fish.

    Egg Treatment: When pulling the eggs from the parents place the breeding slate or cone in a hatching container. Add Methylene Blue one drop at a time. The water should be a medium blue and the eggs should remain visible. Can also dose heavier, however, eggs will need to be moved to fresh water prior to hatching to avoid destroying the developing gills.

    Dip Treatment: Kills external parasites such as flukes, ich, oodinium and some protozoa. In a quarantine tank place fish to be treated. 1/2 tablespoon per gallon of water. Color will be a very dark blue. Leave fish in this dip for no more than 10-15 seconds to avoid permanent gill damage.

    Nitrite or Cyanide Poisoning: When fish have been exposed to cyanide or high levels of nitrite their ability to take in enough oxygen is greatly depleted. Treating these fish with Methylene Blue can help to raise the oxygen levels as it increases the oxygen carrying hemoglobin in the blood.

    Preventative or Low Dose Treatment: 1 teaspoon per 2 gallons water should produce a light to medium blue color. Add fish to this solution for a maximum of 1 hour with saltwater species or 10 minutes for freshwater species.

    Metronidazole Powder
    Pure powder is the best option with this medication as it can be used both as an antibiotic (for anaerobic bacteria) and anti-protozoa medication used to treat a wide range of conditions internally and externally in fish.
    Targets: Highly effective against internal and external flagellates. It is also effective against protozoan parasites such as Cryptocaryon in marine aquaria or against Hexamita and Ichthyophthirius.

    Treatment: Remove active carbon, Purigen, ChemiPure or other similar media that would remove medication from the tank and turn off UV Sterilizers as well.

    Antibacterial Treatment: Metronidazole has proven to be effective against anaerobic bacteria, hence its recommendation as an antibiotic. However, it is recommended to use in combination with Neomycin or Nitrofurazone. Metro alone does not affect bacteria in an oxygenated environment which is why it isn't commonly used as an antibacterial remedy.

    Nematode or Trematode Treatment: Metronidazole is effective when used in combination with Praziquantel for internal parasites. I have also had a high success rate by dosing Metronidazole every 12 hours with daily water changes and heat elevated to 86F - 90F (30C - 32C). This medication has been used for many years, however, due to the misuse and abuse of this drug, it is losing its effectiveness on its own.

    Fish Bath Treatment: Treat dechlorinated water or tank water in a small container at 1/8 teaspoon per 5 gallons. Leave fish in this bath for as long as tolerated. If concerned with cooling can add a heater.

    I am hearing rumors that Furan 2 will soon be removed from the market to treat fish. Nitrofurazone is a great alternative as it is the active ingredient, and is the full strength medication and not cut with fillers. It is an antibiotic drug that may have anti-protozoan properties. Can be used as a preventative as well as to treat disease. Do not use on invertebrates.

    Targets: Columnaris, Flexibacter, Black Molly Disease (Flavobacterium columnaris), Bacterial Gill Disease, Aeromonas, Excess Body Slime, Cloudy Eye, Streptococcus, Furunculosis, Fin and Tail Rot, Marine external ulcer disease and some protozoan infestations. Useful in treating minor topical skin infections of freshwater and marine species.

    Remove activated carbon, purigen or any other product in the filter that helps to remove compounds or chemically polish the water to avoid interference with treatment.

    Most effective on its own in a low pH environment; however, it should be combined with Metronidazole or similar drug for most effective treatment in high pH environment. Nitrofurazone is not absorbed through the skin and should not be used to treat systemic infections alone.

    Combine with Kanamycin or Metronidazole as these drugs work well together.

    Disinfectant: Excellent disinfectant for a Quarantine Tank with new fish arrivals.

    Praziquantel Powder
    A highly effective medication when treating flukes and flatworms in both freshwater and saltwater environments. Can safely be used on sharks. Praziquantel is safer than most other anti-parasitic medications as it is tolerated by most fish. 10 grams will treat 950 gallons. Non-toxic to live plants. Does not affect nitrifying bacteria. Safe to use with fish fry.

    Praziquantel is the active ingredient in several products, including Hikari PraziPro, API General Cure and Parasite Guard, however is often cut with fillers to improve its absorption into the tank water.
    Targets: Gill flukes, liver flukes, skin flukes, schistosoma (parasites of the blood), flatworm, tapeworm, turbellarian worms. Does not treat pinworm or roundworm.

    Remove active carbon, Purigen, ChemiPure or other similar media that would remove medication from the tank. Turn off UV Sterilizers as well. Not easily water soluble and should be mixed with a small amount of alcohol, such as ethyl alcohol or vodka. May be repeated if necessary.

    Quick Cure
    A popular fish medication that treats a variety of external parasitic and protozoan infections. Fast relief even in the early stages of scratching against rocks flashing). Works in both freshwater and saltwater in as little as 2 days. Safe to use in planted tanks. 16 ounce bottle treats 8,000 gallons.

    Targets: Effectively treats ick, mild fluke outbreaks, gasping for air, flashing, costia, chilodonella, trichodina and other protozoan parazitic infections

    Active Ingredients: Formalin, Malachite Green

    Use with caution on Tetras and scaleless fish, such as loaches and catfish. Do not use with Baby Whales, Elephant Nose, Shrimps, Snails, Living Rock, or Invertebrates.

    - Dena

    All our dreams can come true if we have the courage to pursue them.
    Walt Disney

    The only true wisdom is in knowing you know nothing.

  • #2

    Anti-Parasitic Duo Flake
    Active medication: Full strength Metronidazole and Praziquantel. This drug combination has shown to be more effective than using each drug on its own. This combination will treat a variety of parasites in the gut.

    Targets: Hexamita, Malawi bloat, body slime, chilodonella, freshwater ich, epistylis, schistosoma, liver flukes, gill flukes, flat worms, tape worms and turbellarians.

    Can also use concurrently with Epsom Salt and elevated heat (86F/30C or higher) to clear out the gut more efficiently.

    Antibiotic Duo Flake
    Active medication: Erythormycin and Doxycycline. This drug combination provides a broad spectrum treatment against both gram positive and gram negative infections.

    Targets: Fin and tail Rot, Septicemia, Mouth Rot, corynebacterium (a bacteria that causes columnaris), kidney disease and pop eye.

    Closely monitor water parameters and do water changes as necessary. Can have a negative impact on nitrifying bacteria aka throw the tank into a mini-cycle.

    Antibiotic Flakes with Doxycycline
    A must have for the fish medicine cabinet. These antibiotic flakes are used as a broad spectrum antibiotic to treat both gram positive and gram negative bacterial disorders.

    Targets: Fin and Tail Rot, Septicemia and Mouth Rot.

    It is commonly known that in pH at or above 8.0 that Tetracycline loses its effectiveness; however, this derivative is unaffected by pH. Can affect nitrifying bacteria. Closely monitor water parameters during treatment.

    Chloroquine Flake
    Used as both a treatment option and a preventative. It is a bacteriacide, algaecide and antiparasitic medication. An excellent general cure as well as a focused treatment against ICH, excess slim coat and flukes.

    Chloroquine phosphate has been gradually replacing copper sulfate and quinine as the drug of choice due to its superiority.

    Erythromycin Antibiotic Flake
    A popular antibiotic that works on a variety of bacterial diseases, including Fin and tail Rot, corynebacterium (a bacteria that causes columnaris), kidney disease and pop eye.

    Kanamycin Flake
    An excellent choice for medicating both freshwater and saltwater species.

    Targets: Septicemia, Popeye, Fin and Tail rot, Dropsy, kidney disease as well as resistant tuberculosis.

    Medicated Cichlid Flake with Metronidazole
    See above for all the uses of metronidazole.

    May be used concurrently with Epsom Salt and elevated heat to help clear out the gut more efficiently.

    Medicine Cabinet
    As they say prepare for the worst but hope for the best. No one ever plans on having to deal with disease in their aquarium, but there will come that day when something goes wrong. It is inevitable. Our Medicine Cabinet includes equal amounts of 6 types of medicated flake at a discounted price.

    Antibiotic Flake with Doxycycline
    Chloroquine Flake
    Erythromycin Flake
    Medicated Cichlid Flake with Metronidazole
    Paracide Flake
    Praziquantel Flake

    Medicine Cabinet Duo
    Medications found in this cabinet include: Metronidazole Powder, Praziquantel Powder, Erythromycin and Doxycycline.

    Antibiotic Duo Flake
    Anti-Parasitic Duo Flake
    Metro Double Flake

    Metro Double Flake
    See above for uses of metronidazole. Double strength for to help treat resistant diseases. Can be used concurrently with Epsom Salt and elevated heat to help rid the gut of parasites.

    Paracide Flake
    Active medication: Paracide-X, one of the best deworming medications on the market. It will eradicate all types of intestinal worms, including tapeworm, camallanus worm, as well as nematodes and intestinal flagellates. Also acts as a laxative to help expel parasites.

    If treating camallanus worm, repeat in 3 weeks to ensure no undetected eggs exist to bring back another round of the worms. The commonly recommended treatment is Levamisole. However, this drug does not actually kill camallanus worms as the dosage to kill the parasites would also kill the fish. Instead it only paralyzes them and helps the fish to expel them. Due to its inability to actually kill the parasite, these worms are known as being impossible to treat.

    Paracide-X is toxic to fry and very young fish. Use with caution around them.

    Praziquantel Medicated Flake
    Broad spectrum deworming medication can help remove worm infestations in the gut as well as the bloodstream.

    Treats: Schistosoma, an infection in the bloodstream; Liver flukes; Gill flukes; flat worms, tape worms and turbellarians.

    - Dena

    All our dreams can come true if we have the courage to pursue them.
    Walt Disney

    The only true wisdom is in knowing you know nothing.


    • #3
      This is a great list and specifics thank you!

      Sent from my XT1585 using Tapatalk

      55g, 10g, 5g
      55g and another 10g being planned.