Posted by Theresa
(Mpls., Mn) on 09/01/2015
What you are dealing with does not sound at all like demodex - yet your recent skin scrapings confirm this is so; something *has* to be going on here.
If this were my dog I would cease the ivermectin and mitaban dips and use Ted's Mange Remedy. Even if it fails to work completely, it is better than dipping him in mitaban. But first things first...
What are you feeding your boy? A RAW home diet is ideal, but barring that a grain free top of the line kibble is your best bet. Grain free A-one kibble is critical; no grains, no red food dyes, no un-named ingredients of any kind on the ingredient label.
Soothing baths help: oatmeal shampoos followed up with vinegar and water rinses and on alternate days baths with Ted's remedies for mange or the anti-staph remedy.
**For sure I would supplement his water with epsom salts, borax or baking soda in some way. Sometimes we are dealing with internal/systemic yeast or an internal fungal infection - and sometimes despite the best nutrition out there we will experience an individual that for some reason is deficient in a mineral such as boron. If the dog is low in magnesium quite often allergies will arise. If you are dealing with yeast try adding 1/16 teaspoon of epsom salt in 1 liter of drinking water for 2-3 days - max; this is not intended for long term use, just to nip a break out in the bud. When you stop the epsom salt in the water you can then start adding 1 teaspoon baking soda to 1 liter of water; do this for 5-7 days. This is a 'break out' or crisis dose. After a week you can cut it back to a maintenance dose of 1/2 teaspoon of baking soda to the water. If you suspect a fungal component you can add 1/16 teaspoon borax along with the baking soda in 1 liter of water. In acute and extreme cases 1/4 teaspoon of borax in 1 liter of water is indicated. Many humans take 1/8 - 1/4 teaspoon borax in 1 liter of water daily as a detox and antifungal/antiyeast, so long term use is not an issue, however all these remedies are something you should 'play by ear' and should be adjusted as you see fit. The water additives address mineral deficiency issues and should be addressed first.
You might also consider a topical cream for the open sores; an OTC tripple antibiotic may help, this applied after the mange remedy or anti-staph remedy bath; you might also consider calendula creams or lavender oil creams to help calm the skin - just be sure you are using quality essential oil products.
One last thought; resistant demodex cases usually have an underlying issue compromising the immune system. It will be helpful to have your vet do a full blood panel and check the organ function and the thyroid function. If the bloodwork shows no issues I would still keep a flag waiving in the back of my mind to look for a hidden disease condition - so monitor your boy carefully, and keep a log of what he eats, his food treats, any changes in laundry soaps or cleaning chemicals in the house, new carpets - all these may contribute to a skin condition. For now though, feed the most excellent food you can and start the water supplements, and be sure the supplemented water is the only source of water available for drinking.