Dog faced puffer with ich for over 4 weeks

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Dr Jen

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Hi all, I am new do this site, but have been keeping a reef tank for about 7 years now. I have a 100gal tank with the eshopps R200 sump and a reef octopus skimmer. I typically do a 20-30% water change every 3 weeks.
Recently I had an outbreak of Ich that killed almost all my fish after I added a harliquin tusk. I quarantined the remaining fish and took my 100gal reef tank down and left it fallow for 5 weeks. By the way I tried treating the tank with Kickich and of course it did not work. I actually took the opportunity to reaquascape the tank with pukani rock while it sat fallow .Unfortunately I did not remove the sand as I think maybe I should have now.
To restock the tank I purchased a dog faced puffer and a niger trigger, also a 7 line wrasse was the only survivor from the tank meltdown. All three of these fish were in my 36 gal quarantine tank for 3-5 weeks in copper (coppersafe). Everyone appeared healthy,so I transfered them to the display tank. The puffer started getting ich after about 1 week. He has continued to eat well and seems fine, but the Ich is not going away! He is scratching some and has some white spots on his eyes but acts hungry all the time. I really like this fish and dont want to see him deteriorate.
After a month of this and he has not died shouldn't his immunity have kicked in? I'm not sure what to do, did a dip in hydroplex a few days ago with no change in his spots .
I'm nervous to put him back in the quarantine tank as now after reading about puffers and copper im not sure the original treatment is not what stressed him and caused the ich. Also where did the ich come from after leaving the tank fallow for 5 weeks? Ugh!
The tank parameters remain stable at nitrates 5-15, phosphates 0.5, ph 8.3, sg 10.24.
Any advise on the best way to proceed would be appreciated. Puffers seem to have a lot of controversy on what they can and can not handle .Btw the other two fish in the tank are perfectly healthy with now signs of ich. Recently I have been doing water changes every 2 weeks and vacuuming the sand as well as feeding food soaked in focus, metroplex and garlic. There are a few corals in the tank as well.

Thanks! Sorry about being long winded[emoji1]
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Thank you! I have not heard of this this medication for treatment of ich before. I will write my fish a prescription [emoji5]
 
I just realized I have been feeding him the ich shield product with this med in it. Maybe that is why he has been alive so long with the ich? Just not getting a high enough concentration from this product??
 
I just realized I have been feeding him the ich shield product with this med in it. Maybe that is why he has been alive so long with the ich? Just not getting a high enough concentration from this product??

Chloroquine phosphate has to be dosed into the water to erradicate ich. This should be done in a bare bottom QT.

It's likely that the culprit here is the fallow period wasn't long enough. Proper fallow is 76 days for ich erradication.
 
Got my CP from diamond back drugs yesterday. Luckily that pharmacy is only about 20 minutes from me. It was $35 for 15 grams.
How long is it typically before you start to see improvement in a sick fish/ less protozoa on the skin?
 
Got my CP from diamond back drugs yesterday. Luckily that pharmacy is only about 20 minutes from me. It was $35 for 15 grams.
How long is it typically before you start to see improvement in a sick fish/ less protozoa on the skin?

Are you treating in a DT or (more sterile) QT environment?
 
Thank you! I have not heard of this this medication for treatment of ich before. I will write my fish a prescription [emoji5]

that certainly makes things easier for you.....lol

I have a dog face with ich, well he may not have it anymore, haven't seen a spot for about 9 days now, I cannot get a rx for the med, so had to use the Ich Shield powder, and well not sure if it will work, but will see, so far so good and hoping the stuff will work.
 
Are you treating in a DT or (more sterile) QT environment?

The puffer is in QT, although I was considering also using some in my display since there are only 2 fish and no corals or inverts right now. Try to knock back the ich or possibly even clear it before putting the puffer back in there after his quarantine.
My qt tank is only 36 gal and already has the puffer and a harliquin tusk fish in it. I dont think a larger trigger and wrasse would be a good idea too. Plus I'm almost positive I would not be able to catch those fish without tearing down the whole aquascape I just built. Many of the rocks are glued together[emoji19]
I know it is not really recommend because the rock and sand can absorb the medication making it hard to dose accurately, but I'm nervous the puffer will just get it again when hes back in...or once fully recovered will he have full immunity? Do you think that is a complete waste of time and med or would it help?
 
that certainly makes things easier for you.....lol

I have a dog face with ich, well he may not have it anymore, haven't seen a spot for about 9 days now, I cannot get a rx for the med, so had to use the Ich Shield powder, and well not sure if it will work, but will see, so far so good and hoping the stuff will work.

I'll keep my fingers crossed for him!
 
How long before i should start seeing improvement in his symptoms?

About a week. Neither copper or CP provides any direct benefit to the fish. It just protects them from getting reinfected.
 
About a week. Neither copper or CP provides any direct benefit to the fish. It just protects them from getting reinfected.

Ok thats what I thought. Is there anything I can do for the puffer to give him some relief now? It seems that most people say not to freshwater dip a puffer.
 
Ok thats what I thought. Is there anything I can do for the puffer to give him some relief now? It seems that most people say not to freshwater dip a puffer.

IME; they handle a FW dip quite well. You could also try a 90 min bath in acriflavine (e.g. Ruby Reef Rally) for immediate relief.
 
I'll keep my fingers crossed for him!

Thanks. Doesn't appear to be a huge outbreak, and he has never stopped eating, and no visible spots left, so hope this works. I don't want to risk copper since I cannot read the colors on copper tests and of course puffers being not so tolerant of copper.
 
Thanks. Doesn't appear to be a huge outbreak, and he has never stopped eating, and no visible spots left, so hope this works. I don't want to risk copper since I cannot read the colors on copper tests and of course puffers being not so tolerant of copper.

I did a fresh water bath on my guy last night just to help give him some relief because he looked more covered in parasites than he had. He seemed to do fine with it. Looks better today. Hopefully all will continue to go well for your guy and mine:) I love the dog faced puffer, he's got so much personality. And I just love when he crinkles his nose at me. Lol
 

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