HELP. Clownfish is dying! :(

ArtsyAxolotl

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Two days ago I noticed my female clown was acting differently than usual and yesterday she wasn’t swimming well. Now, day 3, she’s lying in the sand with her fins all torn up breathing heavy and I don’t know what happened.

I think she has ich but I don’t know what to do for her. Do I quarantine her? All my tank parameters are 0 because I did have a tiny ammonia spike so I’ve been working on controlling that. Help!!

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Are there any other tankmates?

The second pic appears to be velvet. Here is the best way to treat for velvet. This is @Humblefish successful treatment plan.

https://www.reef2reef.com/threads/velvet-amyloodinium-ocellatum.217570/

The short version:
  • 5 minute freshwater dip
  • Immediately afterwards, perform a chemical bath (in saltwater matching SG/temp the fish came from). You have two options:
  1. Acriflavine (preferred) - Do the bath for 75-90 minutes, but remove the fish immediately at the first sign of distress. Aerate heavily both before & during the bath, and temperature control the water. The following products contain acriflavine: Acriflavine-MS and Ruby Reef Rally. DO NOT mix acriflavine with any other chemicals.
  2. Formalin - Do the bath for 30-60 minutes max, but remove the fish immediately at the first sign of distress. Aerate heavily both before & during the bath, and temperature control the water. The following products contain formalin: Formalin-MS, Quick Cure, Aquarium Solutions Ich-X, Kordon Rid-Ich Plus. Use protection (rubber gloves, face mask, eye protection, etc.) whenever handling formalin as it is a known carcinogen! However, you can add Methylene Blue to the formalin bath (1 capful per 2-3 gallons of bath water.)
  • After the bath, place the fish in a QT pre-dosed at 80mg/gal using Chloroquine phosphate. In theory, copper (exs. Cupramine, Coppersafe, Copper Power) should work just as well as CP. However, due to how fast velvet can reproduce you don’t have the luxury of slowly ramping up the copper level as is normally advised. Therefore, the fish needs to be placed in a QT with copper already at minimum therapeutic levels. This is the advantage CP has over copper in this particular situation.
  • While in QT, use a wide spectrum antibiotic (exs. Seachem Kanaplex, Furan-2) for the first week to ward off any possible bacterial infections. Secondary bacterial infections are very common in fish with preexisting parasitic infestations such as velvet.
  • Keep the fish in CP or copper (at therapeutic levels) for one month. However, you can transfer the fish into a non-medicated holding tank for observation after just two weeks (explained below). DO NOT lower the CP or copper level before transferring.
 
It could be Brook or velvet. Your best bet would be to transfer the clowns, and all fish into the tank into a quarantine. Whether its ich or brook or velvet, the treatment is the same. Therapeutic levels of chloroquine phosphate for 30 days. And let the display tank sit fishless for a minimum of 78 days to kill off all traces of the parasite.

Chloroquine phosphate: Treats Ich (Cryptocaryon irritans), Marine Velvet Disease (Amyloodinium), Brooklynella hostilis & Uronema marinum.

How To Treat - Chloroquine phosphate (CP) is a “new drug” that actually was widely used to control external protozoa in saltwater aquariums back in the 70s & 80s. It was even used in some aquarium medications sold at LFS. Nowadays CP requires a prescription to purchase legitimately, making it more difficult to obtain. Fast forward to today and thanks to the power of the Internet, CP has come roaring back! The biggest obstacle to overcome is obtaining pharmaceutical grade 99% pure CP. I cannot stress the importance of this enough. Do not buy it from some guy on eBay or even an online vendor. The only way to be sure you are getting 99% pure CP is to get your vet (or an MD) to write a prescription which can then be filled by a compounding pharmacy.

CP is a “one and done” medication, meaning you dose once and that’s it. There are no test kits for CP, so it’s important that you dose accurately using a digital scale. Also, don’t forget to dose any replacement water (from water changes, but not top-off) with CP. The dosage rates are as follows:
  • Prophylactic treatment is 40 mg per gallon.
  • For active infections (visible symptoms present), I typically will up the dosage to 60mg/gal. However, I cannot say if this is anymore effective than the "standard" 40mg/gal dose.
  • For Uronema marinum and really bad infestations, you can dose up to 80mg/gal. However, I have noticed appetite suppression and lethargy at this concentration. :oops:
As you can see, there is quite a bit of wiggle room between the minimum & maximum dosage. Practically speaking, 40mg/gal will treat all external protozoa issues… its just that the higher dosages may get the job done a little faster. Treatment lasts 30 consecutive days, and no carbon, UV, etc. may be used during this time (although it can be used later when you wish to remove the medication from the water.) A little quirk about CP is that light will degrade it; however it appears this mainly applies to the powder itself, so store your CP in a cool, dark place. Once in water, you may use an aquarium light with CP - however fish with velvet are light sensitive so I would only use ambient lighting (ex. lamp across the room) if treating for that. CP is NOT reef safe. In addition to killing your corals, it is a very strong algaecide.

Pros - Gentle on most fish (see DO NOT USE list below), a “one and done” medication that treats most external protozoa. CP is the closest thing there is to a “wonder drug” in our hobby.

Cons/Side Effects - Expensive, hard to get (requires a prescription), powder is heat & light sensitive - so store in a cool, dark place. Attempts to feed CP laced food are usually not successful due to its bad metallic taste.

** Based upon anecdotal experience (mine and others), DO NOT USE CP on Anthias, Wrasses or Hippo Tangs. For the time being, chelated copper (exs. Coppersafe, Copper Power) is the best alternative to use on these species. **

** Finally, a place to buy Chloroquine: https://www.reef2reef.com/threads/a-place-to-buy-chloroquine.252610/ **

Edit: @HotRocks beat me to it lol
 
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It also needs to be said, that regardless of which disease it is, you have to act fast as they have both been known to kill fish in as little as 24 hours time.
 
@HotRocks and @crabmcjones Thank you so so so much for the step by step guides. The only other fish is her mate and he is showing no signs of stress or illness. I've quarantined her in a tank in my office so she can't hurt herself on anything in the tank. Unfortunately I have to go to work and can't do anything right now but I'm going to try to leave early so I can go to the LFS and see if I can pick up the stuff you guys are recommending and treat her asap. I wish I could just get out of work for this but nope.
 
Just a heads up. You will want to treat both fish in the same QT even if one is asymptomatic.

Then allow your tank to be fallow for 6 weeks.

Wish you the best of luck!
 
Should I quarantine and treat my other inverts as well? I read "tankmates" and thought fish but I just remembered that might cover my cleaner shrimp and hermits.
 
Will most LFS carry some of these more exotic sounding things like Chloroquine phosphate or the products listed that contain acriflavine? I just tried to search them and I'm not sure if i can get them locally..
 
You will not find CP in LFS. It's a prescription only med from a vet. Copper is usually available in LFS.

Look for Ruby Reef Rally for acriflavine. It may or may not be carried by your LFS.
 
Well... it doesn't matter I guess. I was worried so I drove home during lunch and she was almost unresponsive. So I just put her down.. :'(
 
Sorry to hear that. I don't think you could have done much different here, but it may be worth getting some CP online (with a script) to have on hand for future purposes as it is impossible to obtain on short notice, as well as getting some antibiotics to have around.
 
Well... it doesn't matter I guess. I was worried so I drove home during lunch and she was almost unresponsive. So I just put her down.. :'(
Your other fish is likely infected and will need treated still for what it's worth. Sorry for your loss... :(
 

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