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FAQs on Marine Ich, White Spot, Cryptocaryoniasis & Hyposalinity Trials as Cures

Related Articles: Marine Ich: Fighting The War On Two Fronts, Cryptocaryoniasis, Parasitic DiseaseQuarantine, Quarantine of Marine Fishes

Related FAQs: Using Hyposalinity to Treat Marine Parasitic Disease FAQs, Hyposalinity Treatments 2, Best Crypt FAQs, Crypt FAQs 1, Crypt FAQs 2, Crypt FAQs 3, Crypt FAQs 4, Crypt FAQs 5, Crypt FAQs 6, Crypt FAQs 7, Crypt FAQs 8, Crypt FAQs 9, Crypt FAQs 10, Crypt FAQs 11, Crypt FAQs 12, Crypt FAQs 13, Crypt FAQs 14, Crypt FAQs 15, Crypt FAQs 16, Crypt FAQs 17, Crypt FAQs 18, Crypt FAQs 19, Crypt FAQs 20, Crypt FAQs 21, Crypt FAQs 22, Crypt FAQs 23, Crypt FAQs 24, & FAQs on Crypt: Identification, Prevention, "Causes", Phony Cures That Don't Work, Cures That Do Work,  &  Marine Parasitic Disease, Parasitic Marine Tanks, Parasitic Reef Tanks, Marine Velvet Disease, Biological Cleaners, Treating Parasitic Disease, Using Hyposalinity to Treat Parasitic Disease, Best Quarantine FAQs, Quarantine 1, Quarantine 2, Quarantine 3, Quarantine 4Quarantine 5Quarantine 6Quarantine 7Quarantine 8Quarantine 9Quarantine 10Quarantine 11, Quarantine 12, Quarantining Invertebrates

About Hyposalinity:
Often kills fishes outright... Rarely effects a real/lasting cure... Too often death occurs due to cessation of biological filtration... osmotic shock, general stress

Not useful in systems with macro-algae, invertebrates... May forestall nitrification

http://reefkeeping.com/issues/2003-08/sp/index.htm
http://www.petsforum.com/personal/trevor-jones/hyposalinity.html
http://www.wetwebmedia.com/ichart2mar.htm
 

Treating an Ich Outbreak and FW dip questions 4/23/08
Hello all,
<Hello>
No question addressed to you should start without expressing an unbelievable amount of gratitude for all of your hard work. It is very much appreciated.
<Thanks>
My problem today is an ich outbreak that I am trying to treat. I am pulling all my fish from the main display of course and setting up hospital tanks for all of them. I gave everyone a long pH and temp adjusted FW dip with Methylene blue the other day for ~10 min.s. They all seemed to handle it extremely well albeit that most were pretty spooked from capture and handling.
<Can be a little stressful, but if the fish is still reasonable health, is worth the effort.>
I was under the impression that the FW dip would lyse or pop the parasites.
<Some that are not already too deep into the tissue.>
Today I woke up to see what looked like an even worse infestation on all of my fish (Heniochus acuminatus and Foxface).
<Definitely not a cure-all, or really a cure, but helpful in knocking down the infection a bit, allows some fish's immune system to catch up, but often more aggressive treatment is necessary.>
The white spots seem to have multiplied 3x fold.
<Typical of an ich infection.>
Are some stages of the parasite not affected by the dip?
<Only parasites on the fish, but not so deep into the fish's tissue that the fish's body protects it, are susceptible to the FW dip.>
My game plan as it stands now is to keep the display fallow for 6 weeks and to re-FWdip these guys, sterilize their hospital tank again, and then start a copper treatment. I'll continue the copper at 0.25-0.30 ppm for several days (5?) past any signs of infection at which point I'll remove the Cu through water changes and just observe them for the remainder of the 6 weeks.
<Follow the manufacturer's directions for length of treatment, too short of a duration and nothing is accomplished. A minimum of 4 weeks healthy is best after treatment is done to be reasonably sure the fish have cleared the parasites. Obviously the longer the better.>
I'll FW dip them one last time before placing back in the display.
Of course, without your guidance in the form of your excellent articles and FAQs my game plan would have just been a blank sheet of paper with a question mark.
<We all start that way.>
I suppose an additional question is what ongoing role should FW dips play, if any, during their extended stay in the hospital tanks? Is it more just meant to be an intermediary step when transferring specimens?
<Once in treatment I would not FW dip, although some people do daily dips.>
Thanks again to all of you.
Best,
Fred
<Please be aware that copper is not the best treatment for some fish, so other treatment may be more appropriate based on your livestock.>
<Chris>

Ich, Crypt... is hypo enough? Diff. of opinions   04/13/2008
I know that a hospital tank is the ideal way to handle an ich outbreak, but before going on vacation three weeks ago my ich returned. In order to act quickly, as I would be gone for a week, I pulled my live rock and sand from the tank and lowered the salt to 1.012. This kept the ich at bay while I was gone and upon returning I lowered it to 1.009.
<<Ok....However, always best to get the hyposalinity running while your around the tank, to keep an eye on salinity levels / fluctuations>>
It has been this way for over two weeks now. I am wondering if, at this point, what would be the best way to proceed.
<<Continue hypo until all traces have gone from the fish, and then monitor for 2 weeks>>
My display is bare only containing my fish and I am tempted to just use this as my hospital tank. After two weeks of 1.009 hypo I am still seeing periodic spots on two fish. At what stage in the ich life cycle does the hypo kill it?
<<Usually around 2 - 3 weeks before you start to see it dissapear>>
Is it at the stage where it falls off the fish?
<<Yes>>
Anyway, I am thinking that I will run the hypo for six weeks and after bringing the salt levels up I will follow with a copper treatment.
<<No need for copper treatment after hyposalinity>>
I have done copper for four weeks before, only to see the ich return after adding live rock from what I thought was a reputable shop until I found that the live rock tanks run on the same system as the fish tanks. So, this is where I am at now and i want to know what to look for during the Hypo process and if hypo could be enough to solve the problem alone or should I use copper as planned.
<<Hypo alone is sufficient. Constant monitoring of the fish through-out the process>>
My fish are all thriving in hypo and have shown no behavior changes thus far.
<<Glad to hear it>>
My tank is running with a wet/dry w/skimmer, an eheim classic and 25 watt uv. Any suggestions as to how I should proceed would be appreciated.
<<As you have already started the hypo treatment in the display tank, you may as well continue this until the end.>>
I am hesitating to move the fish into a hospital tank as they are handling the hypo with little stress in the display and I think that I would be best served to do the copper treatment here as well, hoping to finally rid my fish and tank of this problem.
<<As said above, after an effective hypo treatment, there should not be any need to use a copper treatment afterwards. Your on the right path to rectifying the Ich. Keep at it, keep water as pristine as possible, test regularly. Hope this helps. Enjoy the weekend. A Nixon>>
Thank you,
Greg Fasano

Re: Ich, Crypt... is hypo enough? Diff. of opinions (RMF amended title)  04/14/2008
Hey guys,
<Thomas>
I read this today on the FAQ, thought I'd add a comment since I had a tremendous battle with Ich in my main tank a while back. That Quinine Sulfate I ordered after you guys connected me with that National Fish Pharm really did a wonderful job on my Ich problem and did not harm my biological filter. and, though it's a risk you take, I know that some fan worms survived the treatment as well, as I had some appear some time after the treatment on live rock that had been in the tank during the treatment. I had not added any new rock at the time of it's appearance. From all indications, I had the tough, resistant strain of Ick as well. I recommend it if you have an Ick problem. We've been Ick free for 6 months.
Best of luck,
Thomas
<Thank you for chiming in... with this timely input. Will share. Bob Fenner>
Ich, Crypt... is hypo enough? Diff. of opinions (RMF amended title)  04/13/2008
I know that a hospital tank is the ideal way to handle an ich outbreak, but before going on vacation three weeks ago my ich returned. In order to act quickly, as I would be gone for a week, I pulled my live rock and sand from the tank and lowered the salt to 1.012. This kept the ich at bay while I was gone and upon returning I lowered it to 1.009.
<<Ok....However, always best to get the hyposalinity running while your around the tank, to keep an eye on salinity levels / fluctuations>>
It has been this way for over two weeks now. I am wondering if, at this point, what would be the best way to proceed.
<<Continue hypo until all traces have gone from the fish, and then monitor for 2 weeks>>
My display is bare only containing my fish and I am tempted to just use this as my hospital tank. After two weeks of 1.009 hypo I am still seeing periodic spots on two fish. At what stage in the ich life cycle does the hypo kill it?
<<Usually around 2 - 3 weeks before you start to see it dissapear>>
Is it at the stage where it falls off the fish?
<<Yes>>
Anyway, I am thinking that I will run the hypo for six weeks and after bringing the salt levels up I will follow with a copper treatment.
<<No need for copper treatment after hyposalinity>>
I have done copper for four weeks before, only to see the ich return after adding live rock from what I thought was a reputable shop until I found that the live rock tanks run on the same system as the fish tanks. So, this is where I am at now and i want to know what to look for during the Hypo process and if hypo could be enough to solve the problem alone or should I use copper as planned.
<<Hypo alone is sufficient. Constant monitoring of the fish through-out the process>>
My fish are all thriving in hypo and have shown no behavior changes thus far.
<<Glad to hear it>>
My tank is running with a wet/dry w/skimmer, an eheim classic and 25 watt uv. Any suggestions as to how I should proceed would be appreciated.
<<As you have already started the hypo treatment in the display tank, you may as well continue this until the end.>>
I am hesitating to move the fish into a hospital tank as they are handling the hypo with little stress in the display and I think that I would be best served to do the copper treatment here as well, hoping to finally rid my fish and tank of this problem.
<<As said above, after an effective hypo treatment, there should not be any need to use a copper treatment afterwards. Your on the right path to rectifying the Ich. Keep at it, keep water as pristine as possible, test regularly. Hope this helps. Enjoy the weekend. A Nixon>>
Thank you,
Greg Fasano

Crypt 03/06/2008
Hello Eric,
<<Good Evening Don, Andrew here>>
Hope all is well with you/WWM crew.
<<All doing very well thank you>>
I am one of those guys that learn like a mule. So I bought a Powder Blue Tang and I did the freshwater bath
for 6 ½. minutes and quarantined for about 2 ½ weeks <<I would quarantine for 4 weeks>>. I know crypt was either on him or in the tank still. Its not bad. He gets about 3 - 5 spots daily. All the other fish are showing no out right signs of infection. I have the 75 gallon up and running it was cycled already even though I know if/when I have to use copper (bought a couple hundred tests for testing multiple times daily) I'll lose all bacteria. Got that covered to by installing a RO/DI unit for massive water changes. Question is at what point would you take out the fish put in QT and go fallow for 6 weeks?
<<The infected fish should be held in quarantine and run hypo salinity for. This process will last about 6 weeks. The display should be left to fallow through-out this period. If not left to go fallow, cysts that could of fallen off the infected fish and attached to rock and sand can simply just re-infect another or same fish. BY going fallow, it removes the much needed hosts from the tank for the ich to attach too. Read more here and the linked articles and FAQ's>>
<<http://www.wetwebmedia.com/ichartmar.htm>>
<<http://www.wetwebmedia.com/ichart2mar.htm>>
Bob this note is to you personally, I don't know you but I really mean this that without this web site and crew I would have never learned all the
information you wrote. I go on forums and it is a joke what they have to say so a big thanks.
<<Bob will see these kind words, and am sure will pass on thanks for your kind comments>>
Don V.
<<Thanks for the questions, hope this helps. A Nixon>>

Re: Crypt 03/07/2008
Sorry for the mix up. I must have asked the question wrong.
<<its fine, we'll try again..>>
At what point would you go fallow because I have read a ton of FAQ's say that if Crypt is seen here and there on maybe say 1 fish and not all WWM had responded to just keep an eye on the tank and add biological cleaners. What I was wondering/asking when do I need to go fallow or I might be not understanding the answer and your telling me as soon as you see the outright tell tale sign of salt like dots go fallow right away no matter what.
<<Realistically, as soon as Ich is seen in the aquarium, fish should be removed to quarantine and allow the display to go fallow. Personally, i would not just monitor them/ leave them in the display. Lots of opinions on the treatment / control of Ich.>>
I completely understand the life cycle of the parasite and I do know if a heater would quit or electric go out or undue stress Crypt will go completely out of control. Sorry again.
Don V.
<<Hope that clears the query up for you Don. Thanks. A Nixon>>

Another ich question! Treatment Failure 2/26/08
Hi Guys,
<Hello>
I have reviewed as much information on ich as I can find, both on your valuable site as well as others, and I am still at a loss. So I am hoping
you can give me some words of wisdom.
<Will try>
I have a 150g currently with only 2 inhabitants, a purple and a regal tang.
In January I had a bout with ich so I set up my old 65g with a BioWheel and mini skimmer I had lying around. I did hyposalinity which seemed to give them relief and they regained their strength and within 2 weeks there was no sign of infection nor sick behavior. I left them for another 3 weeks just cleaning and changing water as I don't like the idea of using chemicals unless absolutely necessary. During this time I also raised the salinity
back to normal.
Anyway after 5 weeks of the display running fallow and no signs of infection I put them back in. Within 2 days the regal is scratching again and hanging out in high flow areas.
So my questions are, if the fish never recovered why didn't it show in the other tank, yet show up as soon as I put them back?
<Most likely was caused by the tank change, can be stressful for fish and leaves them more susceptible to infection. The hypo helped knock down the parasites to a non-symptomatic level, but did not rid them all.>
If the problem is in the display how did the parasite survive 5 weeks without hosting, plus I raised the temp to over 80degs to speed up the cycle?
<Probably did not, but was still on the fish.>
As many have said before me your website is a tremendous source of information. Thanks on behalf of all of us caught by this obsession.
<Welcome>
Dayne
<Chris>

Ich resisting treatments, hypo. failure, quinine poss.    2/6/08
Hi and thanks in advance for your help! I will do my best to have proper grammar but I m French so excuse my errors.
<No worries. We make especial exception for non-native speakers, writers>
I have a problem with marine ich that I can’t seem to be able to resolve, I have been reading a lot on your site and many others and I'm now at the end of my resources and don’t know what to do next. I will give you a description of my system and a step by step of what have been done to help resolve the issue.
Tank is 78 gallons 4feet long and for filtration I have a basement sump 54 gallons with refugium filled with a deep sand bed and Chaeto, just over the sump there is a 25gal frag tank with a 2” sand bed and a few live rocks, in sump protein skimmer and 70 lbs of live rocks in the tank. We want to add a 220 gallons linked to the same system but will not do so until this ich issue is resolved permanently. I only have about 4 more months because these fish grow fast.
We started the tank in august 2007 and by the end of September we introduced 3 fish ( a pink tail trigger 3.5”, Picasso trigger 2”, hippo tang 3” that all get along great) since we wanted to introduce the 3 fish at once for territory issues we broke our fundamental rule of 6 weeks quarantine period.. big mistake…
<Oui>
within the first week ich started and quickly became out of control.. I read a lot about the parasite in question and decided to go with hypo salinity treatment of the display tank
<This rarely works>
so we removed the live rocks and moved them to the frag tank and turned off the pump and valves for the sump we have a shotcrete structure in the tank that cover the overflow and provide some hiding place plus we added some base rock and live rocks we didn’t like that much and made some caves for the fish to hide when needed.
We also added a canister filter and then lowered the salinity to 1.009 after 4 days the ich was gone we then waited 4 weeks and brought the salinity back to 1.023 over the course of a week or 2 everything was fine… a few days after we connected to the sump and ich was back again. We then waited a week and it got so bad that we decided to start hypo salinity again… I added some rocks in the sumps during week 3 of the treatment and thought it might had contaminated again.. so this time I decided to not add anything to the sump system at all (there is a medium white spotted crab and a few snails in there) we continued hypo salinity for 5 weeks then we took 2 weeks to bring the salinity back up and waited 2 more weeks with the system in full salinity for a total of 9 weeks without linking the tank to the sump.
Everything was great no ich and healthy fish so we brought the rock back up from the frag tank 2 days ago and aquascaped the tank as I was preparing to connect the sump again we noticed that the hippo is cover with ich again and the pink tail have some too.
<No fun>
I was under the impression that ich could not survive more then 4-5 weeks without a host and that invertebrate were not consider has host.
<Was with a host... not killed... the embedded trophonts/Crypt in the skin/connective tissue of the triggers, tang>
With the rock in isolation with only a few corals and inverts for 9 weeks I assumed they would be fine? What is the next step I don’t know what to do anymore and I m very discouraged.
Thanks in advance for your help.
Marc
<I would go the quinine treatment route. Please read here: http://wetwebmedia.com/quinmedfaqs.htm
Bob Fenner>

Dreaded Ich, SW...    2/5/08
Hi Crew,
<Hello>
I have successfully run my FOWLR system for 6 months now but I'm afraid my new addition (yellow tang) has brought my fish and myself a very unwelcome present.... Marine ich.<Tangs are notorious for Ich>
I have not had a problem before with ich so my knowledge on the subject was limited, however after days of frantically reading and researching I think I've got a decent understanding of the problem. I'll tell you how my problem came about...
I purchased a yellow tang recently from a reputable LFS (I did know previously that this species was susceptible to disease so I checked him thoroughly for white spots / cloudy eyes etc and I confirmed the fish was eating well with the store).
I got the fish home and acclimatised it over 5-6 hours (checking it all over for signs of parasite / disease). I then put it into my display tank and effectively infected my whole tank (unknowingly). I know that the first thing you will say is I should have a QT tank and believe me I've learned the hard way and will have a qt tank ready from now on (I am very angry at myself believe me). In the end I'm going to have 3 separate qt tanks now. Everything seemed fine at first, the fish was active and grazing on the live rock. Then two days later I noticed white spots like salt grains on his body and fins (not too bad but noticeable up close). I immediately ran out and got a 35 litre plastic tub, a heater and a mini internal filter. I put the tang in there with some tank water and a couple of dry ocean rocks (base rock) I had leftover from my main tank. I then frantically began to read up on what this could be. After learning about ich I started syphoning the gravel and rocks in my main tank and changing 20% of the water every two days (in an effort to syphon up any tomonts). After two days by himself with regular water changes the tang lost all the white spots and none have reappeared for a week now (I know this means nothing). However I woke this morning to find that my blue spot puffer and strawberry basslet have quite a bad case of ich. I am now wondering the best way to treat this disease.
I have read good and bad things about hyposalinity and I am very wary of the various copper remedies on the market. I am concerned my blue spot puffer and Tailspot blenny will not react well to copper treatment (are these fish classed as scale-less?). My basslet is also aggressive towards my yellow wrasse and Tailspot so they will need to be separated.
I was thinking of having 3 separate qt tanks (35 litres each) with the tang and yellow wrasse in one, the puffer and the blenny in another and in the final tank my basslet and clown fish. I was considering treating two of the tanks with Seachem Paraguard and try the puffer and blenny with hyposalinity (probably down to 1.008 - 1.009 spg. I will leave the main tank to run fallow for 8 weeks and carry out treatment for the same.
<Unfortunately, the puffer will eat ornamental shrimp. The cleaner shrimp will do wonders against Ich outbreaks.>
My question is this:
Will the ich parasite be killed off completely by running the system fallow for 8 weeks?<NO. The Ich can return when the fish are stressed or water quality is compromised.>
And am I using correct judgment in the treatment of the fish? I trust Seachem more than most brands on the market but does treating fish with copper / ParaGuard completely kill the parasite (especially after 8 weeks of treatment)?
<Seachem is a fine product, however the Hyposalinity is better IMO.>
I am concerned that I will be back to square one if one of the treatments does not work.
(very sorry for the long email guys, I know you have enough to do already)... will syphoning the bottom of a bare tank remove the vast majority of the tomonts?
Finally, I know that the parasite can be transmitted by water but if I rinse my hands in hot tap water and dry them will this kill the parasite and leave me free to put my hands in another qt tank without transmitting the parasite?
<you should be fine rinsing your hands in hot Freshwater.>
Thanks so much guys.
<<Who? >>

Ich, Hypo, Copper, Moray, Formalin  1/5/08
Dear Bob,
<Simon>
I have a 180 gallon reef aquarium and recently came down with a case of Crypt. I think this is because at the time I was not fully aware of the need to QT everything, including rocks, coral and algae. After buying a horde of new stock (all of these things but no new fish for nearly a year) my Powder Blue came up with the spots.
<A "very catching" species>
Since reading extensively I have learned from my mistake. I know which shop they came from because when I went back there a few days later, some of the fish that they had in the same system as the rock/ algae that I had bought were infected as well.
<Can come from "any shop"... even the best do have their parasite issues... ONLY a few that have entirely separated acclimation/quarantine/holding facilities AND the discipline for their use... can claim to avoid passing on these instances...>
Immediate action was to set up the 75g bare bottomed QT with hypo 1.009 which I have now done (I have a Moray so no copper). All fish are in there and have been for 6 weeks now. I moved the canister filter over that I have running on my ST for this purpose for the bio filter. Maintenance on the QT is a weekly 50% water change combined with scrubbing all surfaces first to remove tomonts. I temporarily drop the salinity to 1.005 for three hours in between the water changes based on A) study done by Woo, Chung http://www.blackwell-synergy.com/doi/abs/10.1111/j.1095-8649.1995.tb01874.x and B) Colerni 1985 (in which they used 3 hours and found it effective). All fish seem to be in perfect health and feed very well.
<Thank you for passing along this reference, account>
Problem I have now is what to do next. I know that Hypo is not usually 100% effective. Three weeks ago I saw over a period of 2 days a couple of white spots on one tang, and a single spot on the other. These disappeared after a day. This is the only sign of the parasite that I have seen over this whole 6 week period, but I know that with all these things where there is 1 there is likely 100. I intend to raise the salinity up over the next two weeks in the QT to 1.021 and then administer a copper treatment to eradicate the parasite.
<Mmm, okay... perhaps a Quinine treatment would be better... but, as you say, there is still likely to be a latent infestation>
I have a Zebra Moray eel and I believe that they are sensitive to the copper treatment.
<Yes, this is so>
When I get the salinity up to 1.021 the fallow period in the tank will be 8 weeks, so I can (hopefully!) safely start moving the fish back into the ST (which is 1.023). I intend to put the eel in first. Since I believe that there may be crypt still in the QT (albeit at low levels) should I use a formalin dip on the eel before I put him in the ST?
<I would do so>
I am unsure if he is showing signs or not as he spends most of the day in his tube poking his head at me! I am fully capable of researching things myself, but one thing that I do not have that you do is years of experience with this sort of thing, particularly eels, crypt and formalin etc. (I have read all your stuff). Would you dip the eel or not?
<I would, though only for a short duration. True eels (lack scales, have slimy skins par excellence...) generally don't have much in this way of "embedded" Protozoans... slough off easily>
On the copper treatment, since I have tangs, should I do full strength and move the tangs after 1 week, then the others a week later (Volitans, Emperor Angel)? Or do 1/2 strength for the full 2 weeks and move them all at the same time?
<This latter if they appear to be able to "take it">
I am leaning to the full strength for the 1 week as I would rather stagger the fish into the ST than move them all at once so as not to overload my system. What would you do with regard to this?
<As stated>
I am sorry to have written such a long e-mail, but I feel that the situation is a little different to normal ones because of the eel. I want to do the best I can for the animals that are in my care.
Thank you in anticipation,
Simon, England
<Thank you for writing so well, completely. Do please read here: http://wetwebmedia.com/quinmedfaqs.htm
and here: http://wetwebmedia.com/parasittkfaq2.htm
and the linked files above. Bob Fenner>

Hyposalinity question... for Crypt trtmt.    11/14/07
Hi Crew!
<Chris>
Just a question as I can't find the answer elsewhere. When dropping the salinity for hypo, is it normal for fish behaviour to change?
<Yes... if one is observant>
I've been dropping it over the past couple days, and today my porcupine pufferfish is acting quite lazy. He's breathing normally, just lazy sitting at the bottom. I've never done hypo before, is this normal?
<Yes... is stressful... physiologically as well as behaviorally>
He's still eating vigorously. All levels, ammonia, nitri, nitra at 0. Tank has been running for about 6 months, lost previous fish to ich, let it run fallow for a month, now added porcupine. Been in there about a week and got ich.
<I would be reading re Crypt... using quinine and/or formalin dips, vacuuming... instead of manipulating spg here>
Let me know if this is normal, I was going to do 1 more water change tomorrow to bring down to 1.009, now I'm unsure if I should?
<I am. Read>
Thanks in advance,
Christopher
<Welcome. Bob Fenner>

Re: hyposalinity question   11/14/07
Thank you, overnight everyone went back to normal.
I've considered using formalin, but I can't find it for sale anywhere.
<See the piece on WWM re, the maker's/repackagers listed there... Look for Kordon's brand via the Net, e-tailers. RMF>
Thanks again,
Christopher

Chaetomorpha salinity – 09/15/07
Hi.
<Hi Larry.>
I am planning to do a hyposalinity treatment on my 55 gal. fish only tank due to Ich outbreak. Will the macroalgae Chaeto survive during the treatment?
<I tried to grow Chaetomorpha in a brackish tank with sg = 1.010 and it died within 3 weeks. Hyposalinity is used best in a separate tank without substrate (that way you can vacuum the bottom and remove quite a lot of protozoans), but if you are applying this method in your main system, you need to find alternate quarters for you macro algae.>
Thanks. Larry.
<Good luck with your treatment! Cheers. Marco.>
Hippo tang in need of immediate help - possibly ringworm? Hyposalinity... 3/5/07
Dear Bob,
<Ryan>
I searched high and low on your website for an answer to this question but I could not find one. I was hoping you could shed some light on the issue and put me out of my ignorance. This hippo tang has rings all over its body.
<I see this>
I have enclosed some pictures for you to see. Currently, the fish is in hyposalinity to get rid of ich. The specific gravity is at 1.008,
<This is a/the problem... Paracanthurus don't do well in such low salt densities... See WWM re Crypt, Hyposalinity... this is simple stress marking>
ammonia and nitrite are 0, nitrates are 10, temperature is 79, and the pH is 8.3. I have had people say that it was the beginning of head and lateral line erosion, gas bubble disease, or maybe, side effects of hyposalinity.
<Bingo>
I performed hyposalinity on two times in the past in a quarantine tank and have never seen this happen to a fish. Any advice you can offer would be very much appreciated.
Sincerely,
Ryan Smith
<BobF>

Hyposalinity in a tank with a BTA   1/27/06
Hello Crew!
<Garen>
I have small cowfish and blue throat trigger with a severe case of ich.  I wanted to try hyposalinity treatment on the display tank because I don't have a hospital tank that could hold the trigger and cow (only 10 gallons).  The problem lies in that there is a maroon clown with his BTA in the tank.  I would like to know what the lowest salinity that the BTA could tolerate and for what amount of time?
<I would not fool with spg here and the anemone>
Also, I would like treat with copper on these two fish because I don't want to risk losing them due to the advanced stages of ich and the minimal success rate of hypo treat.
<Good>
I think that the blue throat can tolerate normal amounts of the copper (please tell me if there is anything special about treating the trigger vs. other "hardy" fish) and that the longhorn cowfish can only tolerate very small amounts copper.  So it appears that I would have to buy another 10 gal treatment tank and treat them with different levels of copper in separate treatment tanks.  I have looked at the Boxfish FAQs and Boxfish Disease FAQs and have seen that Mr. Fenner has said that small amounts of copper can be used on the cowfish but I can't find how much copper to use in any of the FAQs for the cowfish.
<The lower limits of efficacy: 0.15 to 0.20 free cupric ion ppm>
  I am desperate here and need the suggested amount of copper for treating a cowfish, along with the appropriate temperature, duration of treatment, and salinity level for his treatment.
<Upper 70's F. for most species, two weeks, and 1.018>
A little off topic here, but could you guys tell me (or direct me with a link) how to get lionfish/scorpionfish to eat prepared foods.  I can't get my Cheekspot scorpionfish, diabolus, and antennata lionfish to eat prepared foods but strangely my fuzzy dwarf lion will only eat pellets.  Strange situation, one extreme to the other within the Scorpaenidae family.  I'm confused, you?
<All the ding dang time. The feeding is a matter of "practice" with meaty food items, a "stick" to attach same to and dangle in front of the fish. Bob Fenner>
Thanx again,
Garen Wright

Add-on to "Hyposalinity in a tank with BTA"   1/30/06
Hello,
a couple of things here that I forgot to add to my first email:
<If re-writing, please always include previous correspondence>
1.  I forgot to tell you that the copper that I am using is Cupramine by Seachem and I am also using the Multi-test by Seachem.
2.  If I use 10 gallon hospital tanks for copper treatment, how often and how much of the water should I change out in order to keep the Ammonia under control.
<Test it and change accordingly. I would seek to keep ammonia under 0.5 ppm>
3.  Is it really that helpful to use a polyfiber pad in a filter or can I get away (safely) by using a powerhead for water circulation?
<... Polyfiber? As in a mechanical/sieve structure? Is useful, though such need to be kept clean>
It just seems that if I am changing the water often and with a Python, that a filter will just serve to circulate water in the same manner as a powerhead because I will be vacuuming waste out with my water changes. (I apologize if the way I worded this question is confusing)
<Does make sense... I would likely use a powerhead, but with an intake foam fitting... for some particulate filtration as well as to prevent livestock from being sucked against the intake.>
4.  If I keep the Blue-throat in a 10 gallon hospital and the Cowfish in a 10 gallon hospital (separate hospital tanks)  what is the minimum that I can feed them over the treatment period without adversely affecting the strength of their immune system.
<Only trial can tell here... I would keep a close eye on their apparent "index of fitness"... that is, fullness in the abdomen region... and keep feeding to a minimum... likely something every other day... but not much>
5.  When being treated with copper, do fish rely evenly on their immune systems and the copper to fight off the crypt parasite or do they rely more on one than the other?  If it is uneven, what would you say the percentages are.
<Mmm, don't "rely" on either... Immune systems are always in play... the copper acts as a proteinaceous precipitant mainly... poisoning the fish/es, causing them to produce copious amounts of body slime/mucin... sloughing off adult parasites... as well as poisoning "swarming" intermediates when they are in the water column... the last the reason why one needs to have a "treatment dose/concentration" present at all times.>
Thanks,
Garen Wright
<Bob Fenner>

Crypt  8/31/05
Dear Bob,
     I would request that you post this for others to read...If, that is, you agree. Make comments as you please.
<Okay>
     I would like to relay to the readers of this site my experiences with a recent Cryptocaryon outbreak in my FO 180 g display.  This tank has been in operation for approx 4 years and has been closed to new additions during that period of time.  No visible signs of disease were noted on the fish ( Powder Blue, Large Naso, Foxface, Purple tang, Macaroon Clown, Mated pair of perculas, One Damsel, Majestic Angel.  )  This was a disease free tank in every sense of the word.  All fish in this system were quarantined in my mother's garage, in copper at therapeutic doses for 6-8 weeks while we were waiting for our new house to be ready 4 years ago.   My mom's garage looked like a pet store with all of the tanks, and she hated it, but tolerated my craziness.  The day arrived when I finally set up the 180 and I introduced the fish slowly.  All fish did great after they settled down.  No fatalities. The clownfish have spawned multiple times in the system but the hermits ate the spawn.  No other additions after the initial introduction.
     Recently, I looked over my noted and saw that two of my fish had been pets for over 7 years and they looked like they were slowing down a bit. (getting old)  They were eating fine,  a bit less active and slowly losing weight.  It also looked as if they had given up previous positions higher up in the pecking order of the tank to some of their younger tankmates.  
     I decided to go for adding an adult Emperor Angel. Oh my, and what a beautiful addition. This fish is awesome ! I QT'd him in hyposalinity in a well cycled 55 gallon tank.  The quarantine period was for approx 6 weeks total.  Initially the angel looked like he may have had mild crypt but visible signs of disease disappeared with the hyposalinity.  When the angel was introduced into the display, I even went to the task of reducing the salinity of the display to 1.010 for 6 weeks for what I thought would be extra assurance.  (Surprisingly, it has been 2 months and the angels have proven to be compatible, so far )Within 7 days of introduction my powder blue was infested with ich.  I moved him to the 55 gallon QT and treated with Cupramine to a value of .6 mg/l using fastest and SeaChem tests for copper.  All other fish were looking fine.
     I wrote to Bob Fenner and asked for advice: he gave me the painful, but accurate message, that my display was infested with ich and that the only way to achieve eradication was to take fish out, treat them with copper and allow the 180g to lay fallow for 30-60 days.  I knew that I was now in a pickle in that I did not have adequate space in the QT for all of the fish in my display.  
    Though there were no visible signs of disease in the main display, I watched closely as I brought the salinity up from 1.010 to 1.024 over 10-14 days.  As I slowly brought the salinity up I noted that the tangs ( Naso and purple ) in the display did get a dusting of crypt.  I fed garlic extreme, and treated the water also.  Kick Ich did nothing.  The fish in the tank continued to do well ( eating, activity etc ) but as The fish seemed to ward off this minor outbreak on their own, so I took no drastic measures.  ( which, I know, is controversial ) As I raised the salinity more it became ever so clear that the tank was infested.  The salinity is now 1.024 and all inhabitants are doing well.  I have had no severe ich outbreaks and I have had no casualties. It is hard to see that there is any sign of ich infestation except in the early AM when I turn lights on.  Not surprisingly, where do you think I see a spot from time to time?  On a fish's belly, of course, because ich is in the aragonite substrate and seems to attach at night.  The fish do not look ill. Their immune system is obviously in tact. They eat out of my hand and they are the envy of my friends. ( I do not make a practice of feeding by hand, though )     My powder blue, on the other hand, is still alive in the QT, has the beginnings of HLLE, was really stressed out, but still eating throughout his entire ordeal.  Also, because I added the Cupramine slowly there was no disturbance in nitrification. His ich is cured.   I am now faced with the decision of daring to place him back in the display.  I know that tangs are especially susceptible to ich.
     I do not have enough space for a larger QT nor can I set up another 55 g tank.  Plus I know that only a well established bacterial bed has a chance at surviving copper without major disturbance in nitrification.
     To make things even more challenging, I have approx 150 lbs of beautifully cured live rock with red green and pink coralline algae that has been manicured and picked over by hermits and snails.  I really want to add it to my display, but if I have a crypt outbreak, what then ??? A lots of work ... Possibly some frustration.  I am thinking of taking the oldest fish out of the display ( purple tang, because he seems to be the most susceptible and always has a spot or two of ich, this fish is very old ~ I have had him for 10 yrs )  
     So here are my conclusions:  QT absolutely necessary ( which I already Knew )  Strongly consider keeping a QT operational at all times ( which I did, but not practical for many )  Strongly consider copper prophylaxis for appropriate fish  ( which I know is controversial, but something I will definitely do next time )  Hyposalinity is a great temporizer, if there is such a word.  Hypo buys you time and weakens the parasite, but it does not cure. ( I will use hyposalinity again but not without also using another form of treatment ) My Mud substrate for my refugium is now in the trash, because I think it makes eradication or control of ich from a system much more difficult
<This is so>
( as if it weren't a challenge already)  Throughout this ordeal I performed aggressive water changes on the display tank and I turned the skimmer off.  Even without the mud a couple of fish with chronic HLLE have been cured of this malady.  ( since I stopped skimming, Iodine levels in the tank have been much more consistently in an acceptable range, whereas before, I think I was skimming off the iodine:  I will skim, but not 24/7 as I was doing before )
     I now have a system that looks great to the naked eye in the middle of the day but I KNOW that there is crypt in the system, and I KNOW that if I add any fish to the system that I should expect to see some sort of acceleration of ich infestation within the display,
<Yes>
unless of course, we all get lucky and someone finds a cure.  
     Though disappointed at times, I do remain somewhat encouraged by my fishkeeping skills, in that there have been no fatalities.  All fish are still alive and appear well !!!!!
Other suggestions will be happily accepted.
Thanks Jimmy
<Thank you for your careful accounting of facts, resolve. Bob Fenner>

Crypto and hyposalinity 8/9/05
Good Morning,
   I have a 180 g fish only tank to which I recently added a emperor angel.  This angel is a beast.. aggressive and a great addition, now king of the tank ( others.. Naso tang, powder blue, majestic angel, Fiji Foxface, purple tang )  unfortunately, even though I used a QT for a month the display tank came down with crypto.  
<No...>
I have two questions..
I have a refugium and I have heard from the ecosystems site (M. Paletta ) that crypto can be difficult to eradicate when miracle mud is in use  Is this true ???
<More difficult, yes>
    My second question: I treated the entire tank after taking the macroalgae out with hyposalinity ( SG 1.010 brought down slowly over 5 days )  Fish are all doing great.  I am feeding high moisture foods ( mysids, formula I, II )  How long should I, can I treat and is it likely that the crypto will return as a problem as  I bring the salinity back up SLOWLY?
Thanks Jimmy
<Almost certainly you will not be eradicating this parasite... optimized conditions, purposeful cleaners... you may achieve some sort of uneasy balance... Please read... on WWM re hyposalinity treatments, Cryptocaryoniasis... Bob Fenner>
Re: crypto and hyposalinity 8/9/05
Dear Bob,
    Thanks for the reply on hyposalinity.  One last question.  ( 180 g FO tank )  I started the hyposalinity treatment after four fish in the tank came down with crypto.
<Lowering spg will very unlikely effect a permanent cure...>
  I plan on eventually putting LR in the tank.  I have read on WWM extensively.  Are there any other options for treating the display ( it currently has no inverts ) that will eradicate the crypto but not harm the biological filter bed.
<Mmm, no>
Currently all inhabitants are doing well, eating like pigs and are free of infection in SG 1.010  ( Naso tang, blue tang, majestic angel, emperor angel, Fiji Foxface ).  Should I continue with the hyposalinity or should I consider other options.
<The latter>
Will formalin wipe out my bacterial bed if used at the conventionally prescribed doses ?
<Oh yes... a general biocide... crosslinks proteins... building blocks of all life on this planet... Do please read on WWM re marine ich... consider copper treatment... and soon. Bob Fenner>
Thanks Jimmy
Re: crypto and hyposalinity 8/11/05
Dear Bob,
   I am very thankful for your advice.  I would use copper to treat my fish but my experience with copper and nitrite sensitive angels ( emperor, majestic ) is not so good.
<Better than losing your livestock though...>
  Hyposalinity clears the ich in 5 days
<... but does not remove it from the system...>
but I am concerned about the long term eradication of ich from the system.
<Ah good, me too>
It seems to me that once these fish become afflicted with crypt then the battle is uphill.  Even with copper at adequate levels for the prescribed length of time in a QT recurrences do occur
<Very rare... if the therapeutic dose is maintained...>
and the fish are more apt to get a reinfection because of the immune suppressant effects of the copper.  Do you have personal experience with copper treatment of above species?  
<Ah, yes... a very great amount>
Should I run a QT with copper at all times in order to allow the biological cycle of the tank to mature  with copper ?
<Posted... on WWM>
     I think that for this go round I may need to rely on the hyposalinity ( sg1.010 ) ozone, UV sterilizer, frequent water changes, and garlic extreme / good nutrition get me through since my filter in the QT may take a hit if I add copper ( my fish have done so well and look to be disease free with the hypo, ozone, UV etc that I feel that I may be doing more harm than good by turning to copper.  Is my thinking off base on this issue i.e. do you think that I will regret this approach ?
Thanks Jimmy
<I do agree with you re cycling, copper and QT... But I would still go this route... rather than ping-ponging with Crypt... Bob Fenner>
Re: crypto and hyposalinity 8/12/05
Dear Bob,
     After reading extensively on hyposalinity and crypt, and, of course, with your help, I am reaching the conclusion that eradication of crypt from the marine system can only be achieved with QT and copper treatment and letting the display lie fallow for two months.
<There are a few other approaches... but none as assuredly successful>
I was somewhat enchanted by Steve Pro's recommendation that hyposalinity is his #1 choice because it is easy on the fish.
<... if only it worked>
  I am beginning to realize that there is much controversy re: hyposalinity as a cure, but more often than not, the attestations as to its effectiveness are followed by reports of outbreaks 6-12 months later.
<Or generally much sooner>
I have a 180 g FO tank and I really want to do this right but I only have a 29g and 55g tanks set up as QT, neither of which have been cycled with copper so the addition of copper will disrupt the biological cycle of the tank/filter.  What is the best way to treat with copper so as not to disrupt my bio cycle ?
<Minimal doses with a chelated formulation... twice daily testing... Bob Fenner>
Re: crypto and hyposalinity a thanks to the crew 8/12/05
Bob,
    Now that I am convinced that hyposalinity may not achieve long term cure for the treatment of crypto, I am curious as to why you think it does not.
<Historically it just hasn't... in the vast majority of cases.>
I cannot see any signs of visible infestation in the fish that I have treated.  
<... not visible to the naked eye>
I suspect that the proponents of this method of treatment for marine ich would argue that hyposalinity is the equivalent of allowing the tank to be fallow.  
<No... or not valid... Is there a difference between a present, though not observable infestation and none at all? Yes>
Is there a "subclinical" or low grade infection that occurs even at low salinity that slows down but does not completely disrupt the life cycle of the parasite?  
<Bingo... though, for clarity's sake, the term infection is used for infectious disease... bacteria, fungi... and not protozoans like Crypt>
Would using hyposalinity with a Metronidazole or a malachite green formalin combo like Kordon's Rid Ich+ achieve the desired result ?
<In what sort of treatment mode? As a dip? As long time immersion? Maybe... the point is to remove the feeding stages from their host fishes as well as destroy (here's the hard part) all intermediate stages... in well-established infestations, systems... this can be very difficult... lowering spg, elevating temperature in the infested systems themselves is of use in "speeding" up the metabolism, cycle of the parasite>
As an aside
I note that Kordon states that their product does not disrupt the bio cycle. is this true ?
<Mmm, strictly speaking... are you referring to Malachite Green?... this is so... but indirectly, this use often does lead to a check to loss of nitrification. For Malachite AND Formalin, biological filtration is indeed kaput, finished>
(It has been my experience to be wary of products that make this claim)
     I must digress and take one moment to thank you for all of your help.  
As a Biology Major and an MD with a background in pharmacology, I have found you and the crew at WetWebMedia to be an excellent source of information, sympathy, encouragement for those dedicated to the hobby.  As I have pursued the hobby through the years I have found myself reading more and more to seek a reasonable consensus of opinion amongst the experts rather than just believing the label or the LFS is always "right"
Thanks and have a nice day  Jimmy
<Thank you. Bob Fenner>
Re: crypto and hyposalinity: hypo does not work 8/15/05
Dear Bob:
    I must say that as much as I initially resisted the concept that hyposalinity ( 1.010 ) does not work for marine crypto: I am now a believer that it is not the panacea that people once thought it would be.
<Or have tried to promote it as such>
I have a 180g FO tank that came down with crypt shortly after I added a gorgeous Emperor Angel.
<... no quarantine?...>
The first fish (no surprise) to be afflicted with this malady was a powder blue tang the others looked fine but who knows.
<Ah, yes... good bio-indicators...>
I quarantined this fish from the system in a 55 g tank and dropped the salinity to 1.010 in both the quarantine and the display.  I have written a few times questioning if hyposalinity is a reasonable treatment given the fact that fish in the display are doing so well with no overt signs of disease (I run a UV sterilizer as well as ozone as well as frequent water changes every other day in the display but I run a bare bones, but well cycled quarantine ).
<Ah, good>
It has been three weeks and today I noticed that my quarantined powder blue indeed has crypt while in a salinity of 1.010, subtle but still there.  I took therapeutic measures and he is swimming in copper now to the tune of a therapeutic dose and the rest is out of my hands.  So what do I do about the fish in the display that are all doing so seemingly well?
<Am sure you already know the answer to this Jim...>
Does combining hyposalinity with 5-nitroimidazoles make sense or would I just be wasting my time and money?
<The latter my friend>
What do people that keep reef tanks after they quarantine one diseased fish in a system that has other residents?  Thanks Jimmy
<... you need to remove all fish life... treat all... leave the main system sans hosts... Bob Fenner>

Re: crypto and hyposalinity: hypo does not work  8/16/05
Bob,
    I did quarantine the Emperor before for 1 month but still had the problem with the crypto.
<Did you treat (prophylactically) with copper?>
Is a 55 gallon quarantine with daily water changes for all the fish in the 180g display enough or am going to have problems ?
<Can't tell... you just have to try, monitor and see>
This is the only tank that I presently have set up for QT purposes ?  ( Fish = Large Emp Angel, Naso Tang, Majestic Angel, Foxface, Purple tang )
<These two angels together... not a good idea...>
All fish are still eating and doing very well i.e. no exterior signs of disease.  Do I need another QT ?
<Maybe>
    Kordon's Rid Ich+ is said not to disturb nitrification ( this is a 11.5% formalin USP grade  4.25% and a zinc free chloride salt of malachite green .038% )
<... we've been over this? Formalin is a biocide... crosslinks peptides... did you not state you had some bio-medical academic background? Look up the MSDS information on this compound>
I guess you would not recommend treating the main display with this?
<...>
Because ?
<... posted on WWM: ...>
it would not work ? or I would have trouble getting it out of the system after treatment done?
You have been a big help separating wheat from chaff re this issue.
And I will be patiently persistent
Jimmy
<Then read... http://www.wetwebmedia.com/formalinart.htm
Please learn to/use the indices, search tool on WWM... Bob Fenner>

Marine ich-- how long can it survive essentially fresh water situation?
I'm sorry if this has been answered before but I can't seem to find the answer using the search.
My question is: With a marine system with ich at 78 degrees, if I exchange all the water and put in RO water so that the system now is essentially 1.000 sp grav, how long do I need to leave it as such before adding salt and bringing system back to 1.024. I basically have rock, sand with no corals and now, no fish.  All I have seen answered before is when the tank is left fallow but at ~1.024 sp grav. --6 to 8 weeks. Thank you.
<I suspect, if there is not much mulm, detritus, muck... most all ich/crypt should be killed within a few to several hours. Unfortunately, I have heard, read anecdotes stating that this parasite withstood weeks of freshwater exposure in "dirty" tanks that had their fish and other livestock removed... Best to go the biocide route and bleach/wash such systems to be absolutely sure. Bob Fenner>

Hyposalinity Or Medication For Ich Treatment?
Hi crew,
<Hi there! Scott F. here today!>
I have am having serious issues in battling ich this time around.
<Uh- Oh...>
All of my fish (1 Flame Angel, 1 Valentini Puffer, 3 Firefish and 1 Neon Goby) were infected with ich. I removed all from my 100 g. and put them into 2 separate 10 g. QT cycled tanks. The Flame Angel Beat up the Firefish so I got a second-hand 29 g. with a divider and moved all fish in there. I lowered the sg to 1.010 and ever since, I'm having bad water quality issues. I tried
Bio-Spira but it doesn't work at that sg.
<Not sure of that- I would follow the manufacturer's guidelines to the letter. I've never been a big fan of hyposalinity for a variety of reasons, but regardless- water quality can be brought in line through good husbandry techniques...>
I change 10 g. twice daily in effort to reduce nitrites. Ammonia is now 0, nitrite usually 0.1-0.2. I was using tap water for the change water but the chloramines (.25 ammonia even with Prime) were creating larger nitrite spikes (.5). I am running to my LFS daily to get 20 gallons of DI water.
<Unfortunate, but your solution is a good one, given the circumstances...>
It's been almost 2 weeks and it's getting very expensive and time-consuming. I spend 5 hours a day changing/getting water. I can't install a RO unit at this time.
<I'm sorry to hear that...It sounds like actually procuring the water is eating up most of your time? Daily water changes are not a great idea in a situation like this, IMO. Possibly more disruptive than helpful. Consider increasing the SG (gradually, of course) back to "normal" parameters. This will allow you to use the currently ineffective "bacteria in a bottle" product. You could then treat with a common over-the-counter ich medication, such as copper sulfate (for fishes that can tolerate it) or a formalin-based product.>
To make matters worse, it's been 10 days of hyposalinity and the fish have ich again. I lowered the sg to 1.009. My flame angel's lips are white (probably from bad water quality).
<Hmm...not sure about the cause, but water quality is certainly a possibility>
All fish are still eating. I think the cure is worse
than the disease at this point.
<Well, as I've previously stated- I am not a big fan of hyposalinity. Not to say that some medications are any less stressful, but they do have proven track records.>
I think I might have to raise the sg back to normal, and use some other treatment.
<We're on the same wavelength!>
I've had success with hypo in the past, but that was only 1 fish at a time not 6!. I'm probably not siphoning all the eggs out (the firefish are very jumpy and prone to fly out of the tank when I siphon).
<Understood>
Should I continue hypo, and if so how long? Should I treat with formalin too? I can't use copper because of my scaleless fish. My main display is fallow (I'm keeping it this way for 4-6 weeks).
<Regular specific gravity and formalin-based medication would be my recommendation>
Thanks for any advice you can provide
Tired, Angela
<Do a little "course correction" here, Angela- and carry on from there! Good luck! Regards, Scott F.>

Ich treatment: Is Ruby Reef Hydroplex safe (5/29/04)
Is Ruby Reef Hydroplex safe to use on a Porcupine Puffer? < I am not familiar with that medication/treatment ....sorry. I did do a bit of research for you and came up with no helpful information. The contents are not listed and there is no mention of contraindications for certain fish species. I would suggest either contacting the manufacturer or instead using one of the other known ich remedies like a pH & temp adjusted fresh water dip for 7 to 8 min and up to 30 if the fish is comfortable and tolerating the dip. Any signs of distress the fish needs to be removed immediately. Never leave the fish un attended. In addition hyposalinity, lowering the main tank to a specific gravity of 1.010 for 4 to 6 weeks. Some believe that lacing food with garlic preparations is helpful. Its effectiveness is controversial but certainly is not harmful.>
He has ich and needs some medicated fresh water dips.  How often and for how long should I do
this? < there is information on freshwater dips and hyposalinity here
http://reefkeeping.com/issues/2003-08/sp/index.htm
http://www.petsforum.com/personal/trevor-jones/hyposalinity.html
http://www.wetwebmedia.com/ichart2mar.htm
..... He is living in the main tank by himself right now.  
My clown is in a hospital tank with CopperSafe.  Is this okay for the clown?  <Never mix medications unless the manufacturer instructions tell you differently.
I did a 50% water change to my 80 gallon main tank. < 80g will not be sufficient for you Puffer long term. You will need at least 100g or more> The temp is 80 and the
ammonia, nitrites and nitrates are zero. The specific gravity is 1.019. pH is 8.3. I have read your articles already for about one hour.  I got tired of looking for my answers. <Sorry >
I hope you don't mind me asking you directly. <No problem at all>
Please advise.
< In addition biological cleaners are helpful ....cleaner shrimp (the best Lysmata amboinensis) and maybe a couple of cleaner gobies (Gobiosoma spp.) these will help remove the parasites, and make the fish livestock "feel" a lot better.
Thank you! Irene. < Your most welcome, Leslie >

Copper or Hypo?
I have a debate. I have my Tusk, Assasi trigger and Black cap Gramma in my hospital tank for a week now. These are new additions. I have seen only 1 or 2 spots on the tusk over the last 6 days.  My Trigger is from the Red Sea. My debate is; I have read along the forums that a tusk did not survive hypo, and also that the Red Sea fish don't like hypo too much. So do I treat with Cupramine or hypo?<I would go with copper, these are pretty tough fish> I personally would like copper better because I think is a more for sure way of eliminating ich.<agreed> But can my fish handle it.<they should> I really want to do the best as I just lost about $800 on fish to ich and these were not cheap either.<agreed, I would treat with a brand called Copper Power... it is less toxic than most other copper remedies and I have "never" (knock on wood) lost any fish when treating them for parasites with this medication, good luck, IanB> My main tank has been fish-less for 6 weeks now.

- Treating Ich with Hyposalinity -
Hello crew:
<Hello.>
I am currently letting the main tank go fallow, and my fishes are in a 20gallon QT with filters heater, I know how a proper Qt should be setup so I do not need info on that.  This is the first time I try hyposalinity and before I used copper most of the time. The reason why I try this is because I have 2 very sensitive fish in the list, 1 being a sub adult regal angel and a juv Blueface angel. From the observation, they have ick. Not like they have velvet. because they are still behaving normally and actively searching for food, eat well in the QT and no scratching of any kind. Also, I notice when the ick fell off the fin of the fish are not transparent anymore... and it is not velvet because I see no slime, not breathing too rapidly either. 
<Ok.>
I put them into the qt on Monday and gradually lowering the salinity, from 1.025 to now 1.010. However the ick is still present.. should ick Trophont be killed at this kind of salinity? 
<It "may" but really hyposalinity on its own has never worked for me.... you'll need to use this in addition to some other methods to kill the ich. Because of the sensitivity of these fish to copper, I'd recommend formalin. Do make sure you follow the directions to the letter as an overdose will likely be fatal. Make sure you also use a gravel vacuum to clean the bottom of the quarantine as you'll be able to remove the sessile stage of ich this way and potentially break the cycle. Likewise, once you start the formalin treatment you'll need to have many days of water changes ready to perform perhaps 25% a day or more to keep the water quality tip-top.> 
The qt temperature is 82F. and no ammonia..  The concern is I can see my fish getting more ick on its body today, then before I lowered the salinity 4 days ago... and the fish is still live and eating, swimming and behaving normal[ly]. Should I add copper now??? 
<See, previous comment.> 
I really love this 2 fish and so not want them to die. 
<And neither would I... but act now... don't wait.> 
Please help me !!! Desperate.  Eric
<Cheers, J -- > 

- Treating Ich with Hyposalinity -
Should I wait to see if they will get any better?
<No... parasitic problems don't "just go away" and in fact have a nasty tendency to get worse as the parasites multiply.> 
I have heard that formalin is very dangerous to my fish and myself and I do not know how to administer them.... if I really need to do this can you tell me how much should I add to my QT? 
<The directions are on the container... will vary from brand to brand so I can't give you a generalization. Formalin can cause problems, but if you follow the directions to the letter, you should be all set. That and of course don't drink it and you will be fine.> 
I have a 20 gallon QT. how about dips?
<You can do that too... again, follow the directions on the bottle.> 
And how to prepare dip solution?
<You can use fresh or saltwater... a bath is longer than a dip, and a bath in a formalin solution would be what I'd recommend here if you don't want to add formalin to the quarantine tank.>
Will the siphon and dip everyday further stress the fish?
<More than being covered with parasites? My friend, you need to understand that from the point you put the fish in a quarantine tank, they were under stress. What do you think would be less stressful - someone siphoning the tank or suffocating because your gills are full of parasites?> 
I prefer to put my hands in the qt as little as possible... stress is a "initiator" of disease right? 
<Stress can open the door to disease, but as I mentioned, this door was opened quite a while ago.>
If hypo treatment is so unsuccessful in your opinion why people still advocate? 
<They typically advocate this IN ADDITION TO other treatments.>
Eric
<Cheers, J -- > 

Marine Ich (I think)
Hi, My hippo tang has developed about 5 or 6 white spots on his body, is breathing rapidly and looks a bit pale. I've read through the articles and Q&A on disease but am still somewhat confused. So, what is my best plan of action?  My tank houses 2 clowns, 1 yellow wrasse, 1 hippo tang, 1 cleaner shrimp, a few turbo snails, and 1 brittle star. Coral include, a leather, candy cane, bubble, torch and assorted polyps. If I move all the fish to a quarantine tank, is it true that the parasite population will crash with no host? If so how long would that take? Would I have to remove my shrimp, star fish and snails to? What would be the best treatment in the quarantine tank, what brand of medication? Is it ok to treat the other fish even though they show no signs of disease since they will all be in the quarantine tank?  Thanks for your time and info.  Angelo
>>Good morning, Angelo, Marina here.  Ok, you seem to be observing a parasitic infection, classically ich, either Cryptocaryon or Amyloodinium.  Look up "hyposalinity ich" in the Google search engine on our site and you'll find PUHLENTY to read, eh?  Also, look up "parasitic disease" as well.  Now, onto using hyposalinity: remove all the fish to however many hospital-quarantine tanks/containers (doesn't have to be a tank, per se) as necessary to avoid overcrowding.  They're going to be in there a good 6-8 weeks while you let the main display lie fallow (fishless) to deprive the parasites of hosts.  This will clear the display of cysts.  The fish can be treated either using hyposalinity or copper (I generally don't recommend Formalin, as it's a bit tricky to use), though I'll suggest the hypo route initially, saves you time and money (you'll need a test kit if using copper).  You *will* need to be sure that the salinity in the q/t is around 1.010 or less to be effective.  It will take the fish a couple or three days to acclimate to the lower salinity (try a drip method if you can set up a container w/drip line).  They should be free of ich after 30 days, but you don't want them back in the main till you're sure it's ich-free.  If you bump up the tank temp that will speed up the parasite's lifecycle--be careful here, no more than 84F what with the corals.  That should do the trick for you.  Also, utilize nutrition as a means of fighting disease, use a supplement such as Selcon (soak food in it for a bit) a few times a week to give all fishes a boost.  I will also suggest having on hand some Spectrogram and/or Melafix in case of secondary infections at the parasite wound sites.  Best of luck!  Marina

More Issues With Ich
>Hi!
>>Hello!
>Long time reader, infrequent question asker.  Really enjoy the information provided on the page, I consider it one of my #1 resources.  
I have a 60 gallon tank, I purchased a flame angel and introduced the specimen into the tank (I don't have a Quarantine tank as such, I inherited the larger tank).
>>You know what we're going to say, right?  And, as a longtime reader, you also know that quarantine doesn't need to be done in a proper aquarium.  But now it's moot, let's continue.
>The fish looked grand in the store, however, 3 days after introduction the fish developed Ich.  I have never had ich in my tank before, or any disease for that matter but it had to happen sometime, ya know, with my reckless abandon and all... *ahem*
>>AHEM!  
>Anyways, I have the tank running under a hyposalinity treatment, I have also been feeding garlic, doing bi-daily water changes (10 - 15%).  The fish no longer shows signs of ich, but I imagine that is just because the trophonts have fallen off.  I have been doing a gravel siphoning with every other water change and have been moving ornaments around here and there to vacuum under them.  None of the other fish (yellow tang, maroon clown, Heniochus Bannerfish) are showing signs of the disease and they all seem to be taking the hyposalinity treatment well.
>>Good.
>Here's the question portions... Is there anything else I should be doing (besides quarantine) to my tank to ensure the disease doesn't spread anymore?  I don't relish the idea of treating the tank with copper as Centropyge loricula is known to be somewhat copper sensitive, and formalin treatments are fairly hard to find in most of the shops in my city.
>>Well, if you're automatically factoring those treatments out, then the only thing I can tell you is the set up a q/t, freshwater dip all fish before you put them in it, and let that display lie fallow for 6-8 weeks.  The garlic has only been proven to have some antibacterial effects, and there is anecdotal evidence that it seems to stimulate feeding response.
>Also, my tank is equipped with an underground filter powered by two Powerhead 802's, the post powerful ones of the AquaClear label, it sucks down food instantly which prompts me to turn the pumps off during feeding, is it possible that the suction from the gravel bed will keep the encysted ich babies on the bottom of the tank and break their life cycle by not making them able to attach to a host? Far fetched maybe, but is it possible?
>>Yes, VERY far fetched, not at all likely that they'd be entirely "trapped" within the confines of the U.G..
>I will keep it at the current gravity (1.012) for about a month and see what happens, is it a safe attitude to have that assuming after 5 weeks of treatments and there are no reoccurrences or ill effects of the fish due to hyposalinity that I can consider the problem finished?  Should I be considering a more aggressive treatment for the problem?  I'd appreciate any advice you might have. -Bj Rampton
>>Hyposalinity would be better at 1.010, sometimes even as low as 1.007.  Always consider more aggressive treatment, since you can't get the formalin in town, order some (cuz we can tell you're online ;) ) and have it on hand.  Remember, you have to be careful with this stuff as well as with copper.  (My own experience with flames doesn't show them to be exceedingly sensitive to copper treatments, but formalin will certainly work as well if it comes to that).  The big thing is that to eliminate the possibility of reinfection you'll need to let that display lie fallow.  Search for Terry Bartelme's articles on ich, too, he's written much about this parasite.  I would go with 6-8 weeks with no ich observed before I felt it was no longer an issue.  Marina

Ich Again!
I've had my tank setup for 18 months and this latest bout with Ich has me just about ready to give up.
<Never give up! We're here for you!>
My tank is setup with all of the best equipment as recommended by users of this site, it is all oversized and properly maintained.  Water parameters are excellent (I even switched to RO/DI), temp is controlled via a chiller and dual heaters ......oh yeah, I also have a 25watt UV for which I change bulbs every 6 months.  I got impatient and pulled a fish too quickly from QT and ended up with Ich in the display (110 gal FO).
<It happens...We're all human. I KNOW that you'll never do that again, right?>
Over time after treating each fish it got to the point that I disregarded conventional wisdom and treated the display with copper.
<Not what I would do- but  hey, you used your best judgment...Can't be faulted for that>
It looked fine after treatment (3 weeks at appx 1.015-1.02) for about 2 weeks and voila, Ich on at least 3 fish.  With 9 fairly large fish, I don't see QT as a viable option therefore I can't allow the tank to go fallow for 4 weeks.
<Honestly, even though it's the biggest pain in the butt, I believe that letting the tank run fallow is the best, and most reliable way of breaking the life cycle of the causative parasite, and essentially eradicating this illness from your system. As an alternative to another tank, have you considered the large plastic Rubbermaid storage containers? They are relatively cheap, can hold fairly large amounts of water, and can do the job in a pinch. Throw in a filter and heater of correct size, some PVC sections for cover; maybe a cheap fluorescent light fixture, and voila-instant triage center! Not pretty- but it does the trick! Do consider this>
I have been thinking about hyposalinity.  Will this rid not only the fish but the tank of Ich?
<Hyposalinity can work, but frankly- I think that it's more trouble than simply letting the tank go fallow. In my opinion (notice I said "my"?), there are quite a few potential things that can go wrong with hyposalinity if you don't keep a very close eye on things. If not done carefully, there can be "collateral damage" to desirable animals. I think that environmental manipulation is a good alternative if you are dead-set on not removing all of the fishes, but it is not the most effective course.>
What is my best course of action?
<I like the fallow tank technique, as indicated above-if for no other reason than the fact that it denies the parasites access to a host, and absolutely reduces their population to a level that healthy fishes should be able to withstand It does work if done correctly>
I read all of the faq's, etc and I get conflicting answers.
<Yep- there are tons of opinions out there- no one is the 'perfect" answer. You just have to weigh all of the factors and choose the course of action that you feel will work the best. Just because the fallow tank procedure works for me does not mean that it will be the cure for your system. It is, however, very, very effective the majority of the time, and has been proven over and over by thousands of hobbyists and professional aquarists...>
Your response could save me from going over the edge and switching to fresh water. Thanks
<Again- don't give up! you're learning a lot from this awful experience! You'll be successful if you adopt a course of treatment and stay with it! You can do it! Good luck! Regards, Scott F>

Hyposalinity/Ich
Hi Craig/WWM
I need your advice. I'm planning on decreasing the SG (1.012, gradually) in my main tank and increase the temperature to 82-83 (gradually).
<With your corals and inverts I wouldn't lower SG.>
My SG right now is 1.023 at 77-78 deg. How slow is the modification/change should be? I have leather corals, polyps and mushroom in my main tank. I also have a lawnmower blenny, sailfin tang (I only did a FW dip before putting him in, I know shame on me) and a cleaner/neon goby (he hides a lot and not doing any cleaning yet). My water parameters are ammonia 0, nitrite 0, nitrate 0, Ca is 400 and PO3 0. Would this environment modification kill my soft corals? How long can I keep my main tank in this low SG and increase temp (without killing my soft corals)? Will my neon goby be a cleaner someday (he's tank raised according to my LFS)? My fish/es does not show any symptoms yet? (knock on wood). I already loss a sailfin tang with a FW dip (I guess too stress and weak from ich). My tank was fallow for 5 weeks before adding the tang. By the way, I'm doing this to prevent ich (?). My quarantine tank has copper from my previous sailfin (ick). I read about copper causing some damage to tang's digestive system (that's the reason I only did FW dip with my new sailfin). I know the best prevention is QT. But can I perform this modification at my present situation? and would this help eradicate some of the ick in my system?. Thanks again for your help, Jun
<Wait and see if you get symptoms on any other fish. The neon Goby may or may not be a cleaner, I have two tank raised Neons and they clean my Tang while the shrimp clean everyone else. You can run your main at 83F but I wouldn't lower the SG because of your other inhabitants. I suspect your sailfin was pretty weak already....
I would see if you have any symptoms and treat them if necessary. Good luck!  Craig>

Ich
Hi Bob, 
<<Actually JasonC, Bob has dashed off to a tropical paradise for another diving junket.>> 
Yet another question about getting rid of marine ich. I've read an article on Osmotic Shock therapy that mentions dropping tank salinity to 1.012 or 1.010 for three weeks once valuable inverts are removed. 
<<Also referred to as hyposalinity - it can work, but that SPG range is rather low in the long haul, and could be detrimental. You can accomplish the same thing using a pH-adjusted, freshwater dip of five to ten minutes.>> 
It claims that bacteria and fish will survive this lowered salinity, ich will NOT. 
<<Inverts will not survive either. If you really want to go this route, I wouldn't lower the salinity any farther than 1.018.>>
 It does also mention, a complete system cleaning and large water change, which I know are also tools used in combating ich. I know you recommending removing fish to a separate system for treatment, but if this is not practical, does the OST approach work? 
<<Not as the only method - it can be used as part of a system of treatment, but in my experience your best bet would be to remove the fish to separate quarantine systems and run the tank fallow for six weeks.>> W. Tripp

Ich
Hello Bob, 
<<Actually, it's JasonC today...>>
I recently lost several fish in a 72 gallon saltwater to what I believed to be ich or velvet. I used green-x & was then told by my local fish dealer to drop my density slowly from my normal 1.021 to 1.015 to hopefully save the last 2 fish, a maroon clown in very poor health & a porcupine puffer that seemed to be doing well. I was told to leave it for 2 weeks at the lowered salinity & also raise the temperature to 81 degrees. They also instructed me to use a Spectrum Thera+A which has garlic in it. The clown was also dipped in FORMALIN -3 for 50 minutes. After all was said and done both fish came through with flying colors. I waited for the 2 weeks then raised the salinity back up slowly. We thought it was safe because there were no signs of disease so we purchased a medium size blonde Naso tang. He looked great...for 2 days and then white spots appeared. Later that night we noticed him twitching and darting. The next morning we dipped him in Formalin-3 (which the fish dealer had already done before we purchased him 3 nights earlier). I'm sure by now you can tell I have no QT. 
<<All this could have been avoided if you did...>> 
I have been told to lower the salinity down slowly to 1.009 and keep it there for 4 weeks. 
<<Egads.. please don't do that as you will likely lose all your fish. I would consider that now is a good time to get a couple of 20g tanks as start your quarantine systems... isolate these fish and allow the tank to run fallow for about six weeks. You can lower the salinity, but anything lower than 1.018 is going to cause significant stress on the fish.>>
 Also, the tang is eating a dried seaweed. The dealer instructed me to put a liquid garlic on this food which I have done. 
<<For whatever it's worth, I don't subscribe to the concept of garlic as a cure - perhaps as a preventative, or promoter of good health, but certainly it will not kill ich or Oodinium.>> 
He is still eating it. I also purchased a cleaner goby, but I haven't seen him clean anything yet. I would certainly appreciate any advice you could give me.
 <<Start quarantining!>> 
Both the clown & puffer appear fine as well as the new goby, but the tang is still darting and I noticed a film on one of his eyes. I also have about 45 lbs of live rock. I am presently at a density of 1.0135. 
<<Don't run the SPG this low.>> 
Also how often can a fish be dipped in this Formalin-3 ? Will 4 weeks get rid of this disease? 
<<Not if the problem is still in the tank. All of these parasitic diseases have life cycles. When you see spots on your fish, these are irritations caused by the parasites and most often, the parasite has already dropped off and is already making 100,000 copies of itself to come back and haunt you another day. Consider quarantining everything - running the tank fallow. Please read this link and the FAQs beyond: http://www.wetwebmedia.com/parasiti.htm >>
Thanks, Gary in Kentucky
<<Cheers, J -- >>

Re: Ich
Jason, 
<<Hi,>>
Thanks for the quick response. I had read Bob suggesting Hypo-salinity by slowly lowering the salt density to 1.010 to many different people. Is this not something you agree with or is my situation different? 
<<Well, perhaps you and I are reading different pages, and for me, I'm just working from memory but I can't ever recall anyone recommending anything below 1.015 unless it was a freshwater bath, but I wouldn't be surprised. Keep in mind that it's not supposed to be a permanent condition and keeping the specific gravity low for several weeks will cause stress on the fish. On the flip side, and from my own experience, I've never had any luck with using 'just' hyposalinity as a curative measure. Your absolute best bet is to run the system fallow. I offer these two URLS for your reading pleasure:
http://www.wetwebmedia.com/martrthyposalfaqs.htm
http://www.wetwebmedia.com/marparasitcurefaqs.htm >>
In getting a QT tank or tanks, should I use water from my 72 gallon and then use copper to get rid of ich? 
<<You can do this, but keep in mind that it will be next to impossible for biological filter bacteria to thrive/survive a copper treated system so you will need to do large, frequent water changes to keep ahead of the ammonia - perhaps 25-50% every other day.>>
 Do I put the fish in during the copper treatment, or wait till the treatment is complete? 
<<You put the fish and the copper in the quarantine tank - don't put anything in the main display, not even fish - let it go fallow.>> 
I'm really a rookie at saltwater, so I appreciate your wisdom. I understand to keep the 72 fallow for six weeks. Could I get by with one 20 gallon tank for 6 weeks with a 4 inch puffer, a 3 inch Naso, a 2 inch maroon clown & a 1 inch neon goby?
 <<I really wouldn't recommend it - something will not make it through that type of crowding.>> 
What do I lower the density to in the fallow tank? 
<<I wouldn't even bother - I've run this routine myself - you could, and it won't hurt, but you'll need to bring the conditions back to normal before you re-introduce the fish. I would just turn up the temperature to 82 or so and put the parasite reproduction into overdrive - with no host fish to live on, their numbers will soon be depleted.>> 
Do I keep the QT tank at 1.021? 
<<Or perhaps even closer to 1.025 which is the average for the world's oceans.>> 
Last question, Does live rock carry disease & do I leave the rock in the fallow tank. 
<<It can 'house' it, but it won't promote parasitic disease. By taking out the fish, you will break the life cycle of the parasites. I would leave the live rock in the fallow tank and give it a chance to recuperate from the hyposalinity - low SPG is especially harmful to invertebrate life and potentially some of the fauna in the live rock.>> 
Well, I guess that was two, but thanks. 
<<My pleasure - take it slow. Cheers, J -- >>
Gary from Kentucky

Help Treating Ick
Hi Bob
<<JasonC here, Bob is away diving.>>
I have an expensive clown trigger in my 72 gal. I had an Ich breakout and added copper (Its at .20 ppm now) and lowered the salinity to 1.014 temporarily. The tang cleared up but the trigger is infected. Is this due to the cycle of the parasite? How badly was my bacteria media affected? <<somewhere between stalled-out and dead I would guess. Sometimes these things make a recovery, sometimes they have to start all over again. Copper is serious stuff, best used as a third or fourth option and not the first.>> 
Is there anything else I can do to stop the from spreading? 
<<Don't introduce fish into your tank until they've been through a couple of weeks of quarantine. Once you put a fish with parasites into your display tank, within a day or so, the parasite will have made the rounds. Do read up:
Parasites & Marine Tanks: http://www.wetwebmedia.com/parasiti.htm >> Thanks, Joe
<<You are quite welcome. Do also run some activated carbon to pull out the remaining copper. Cheers, J -- >>

Re: Ich
Bob,
Fish are doing fine, eating very aggressively. Follow me around tank looking for food. I do see a slight increase in parasites on the body. No scratching or hiding. Will the parasites run in cycles or will they keep increasing in numbers?
<Increasing if conditions favor them>
Should I leave well enough alone or consider hyposalinity?
<One avenue of control.>
I have read your articles about and was wondering why you do not get complete kill if you go to 1.010 specific gravity for an extended period of time (what would that period of time be)?
<Mmm, tolerance by some individuals, allowance for more resistant stages...>
Of course I would elevate temp. Freshwater dips are so effective that I would think you could do some major damage to parasites. What else would you lose?
<The hosts>
Have 3 butterflies, goby for cleaning, snowflake eel and live rock. Also have a few snails and hermit crabs. D. Stanley
<Life to you my friend. Bob Fenner>

Ich update
Hi Bob,
A couple of months ago I did not quarantine two little Blue Green Chromis for long enough and my tank became infected with Ich. You probably remember.
<Yes. A painful lesson>
I remove the fish to a 38 Ga. and treated with copper after dipping in Methylene Blue. The Ich returned a week later. I tried Malachite green and formaldehyde plus dipping. The Ich returned again. Then I lowered the S.G. and it got rid of it for good. I let them stay in the Q-tank for almost two months to lower the Ich in the main tank. Now my fish have been returned to the main tank and have been there for over two weeks. Perfect health and full of vigor. They all survived and are fat and sassy. Thanks for all your help. Just wish I tried the lower specific gravity first. Man that sure did the trick.
<Thank you for relating your ordeal and success. Bob Fenner>
Zimmy

Ick...Ich
Hello Bob,
<You actually have Steven now. Bob is off traveling until next week.>
Hope all is well. Quick update, I got the herbal ich attack and emperor aquatics 25 watts, in the mail yesterday. I successful transferred and fresh water dipped all the occupants of the 125 gallon and they are now in the 55 gallon. I have began treatment with the Herbal ich attack and will keep you posted on results as it appears to be fairly new. I was on WWM last night trying to find the procedures for leaving the tank empty, but all I gathered was that I should drain system and add freshwater for a couple of hours
<Please do not do this. You are correct. It will kill your beneficial bacteria and any life on you live rock.>
then add salt water up to 0.015 to kill parasites. At what point do I raise the salinity to normal limits and won't this throw the nitrogen cycle off. I don't want to have to recycle the system again. Please give me the step by step process, I'm trying to kill those parasites for good this time. I will also hook up the new UV sterilizer, kind of double kill here. I know you recommend leaving the system empty for 2 months, do you think this could be sooner with use of the new UV sterilizer.
<You can probably get away with one month.>
Thanks Again, Gillian

In the Thick of Ick
Bob,
<Anthony Calfo, my friend, in your service>
It's me again from my Wife's email account. My Purple Tang has Ich. It looks like someone sprinkled salt on him. I looked at him on Thursday and he was fine. My wife had ACL surgery Friday and when I got home Saturday, he was sprinkled with white dots. Today, he looks a little better and there are fewer white dots than yesterday. My water conditions are near perfect with a trace of ammonia (I've done two 10% water changes the last three days to help correct that).
<ahhh, but beyond the ammonia, what else is going on that could have caused the Ich? What is the day/night swing in temperature. What size is your heater, etc?>
My question is what to do now. I have a 90 Gallon All-Glass Reef Tank with 100lbs of LR, 20lbs Live Sand, A cleanup Crew consisting of hermits, snails, sally Light Foot crabs, Emerald Crabs, Decorator Crabs, Haddoni Anemone, Blonde Naso Tang, Blue-Headed Wrasse,
Clarkii Clown and a Orchid Dottyback as well as numerous corals (please see the link for all the coral types) http://www.slabe.net/Reef.htm. I do have another 30 gallon tank (use to be freshwater) in the closet not even set-up yet. I'm not quite sure what to do. I've read about Hyposalinity cure 
<I am not a big subscriber to this methodology for most>
but that doesn't treat "The System" as you're article mentioned on disease. In addition, I was going to setup the other tank tonight anyway with an Aragonite Sand bottom and a hang-on filter and use this tank as a quarantine
<quarantine a great idea but not with sand (harbors parasites and absorbs medicants... must go bare bottomed (the tank...not you)>
on all new fish purchase but even if I get it setup today and add a damsel fish tomorrow, it still won't be cycled for a month or so,
<you need to read a lot more on how easy quarantine is... a sponge filter can be ready and running in your main tank or sump at all times without needing a ferocious damsel in a boring display tank at all times. Leave filter running in future and only set up secondary tank when needed>
so I'm back to square one and completely lost.
<be sure to always QT all fish, coral, rock I the future>
I don't want to lose any corals, inverts 
<not possible... Ich is non pathogenic to these animals>
<sorry, but a possibility>
and especially any pricey fish (The Blue Haddoni & Blonde Naso). I wish I could just do something with the Purple Tang by itself but I don't know what to do... Please help...Need good advice quickly...Christopher Slabe
<sorry again... but the issue must be addressed in the tank in some way. Feeding medicated food is mildly helpful. Maintain stable temperature is critical. Small frequent and proper temp water changes from tank bottom will also reduce parasites. Lightly lowering the salinity may be stimulating (moving up to 2/100th point daily from 1.024 to 1.019 but watch inverts carefully). Otherwise... the dam has already sprung a leak. We need to find the problem (what stress caused the Ick) and address it. Anthony>

Re: In The Thick of Ich
Anthony,
<hello, Ohio buddy!>
I think that the Purple Tang obtained Ich when I introduced a 
<as you called it a baby horse of a fish > 
Blonde Naso. It is much larger than the Purple Tang and I think maybe the Tang just got scared and got ich?
<stress could certainly cause it but would be much less likely if all fish went through strict quarantine>
Does this sound like it might be a culprit? Here are my next questions based on your responses:
1) How do I lower the pH as you mentioned? 
<my mistake... I misspoke!: I meant to say lower your SALINITY as a stimulant by 2/100th point per day towards 1.019/1018>
I currently use a Kalk Calcium addition system with a Dosing Pump and that keeps the pH high. Adding a buffer solution also keeps the Alkalinity high which resists the lowering of the pH. I have a Electronic pH monitor to easily be able to tell the drop but I don't know how to drop it...
<if it is under 8.7 during peak daylight... don't worry about it. Natural seawater is 8.45 and can easily swing up to 8.6/8.7 with no trouble in aquaria>
2) I do have two sponges that water flows through in my sump. I could use one of those? 
<yes, converting these mature sponges can make excellent and ready bio-filters!>
I'm going to do a search on a quarantine tank in your database...
<excellent... best regards, Anthony>

Thanks
I wanted to write to thank you for some very sound (albeit drastic) advice. I've submitted a number of questions to your column and thought it only fair to take a moment to express my appreciation. Besides, it's kind of interesting what happened and I thought you might appreciate the feedback.
I have five marine tanks, reef and fish only. Four of them have been trouble-free for long periods and help me keep my sanity in dealing with the fifth. The fifth tank, a 125 fish only has been plagued for close to a year with recurring ich. I tried everything and nothing worked. I have an 80 gallon quarantine tank and I moved all my fish (several times) there to treat them with copper. I've treated the main tank with copper (very carefully testing and maintaining therapeutic levels everyday), run it fallow for weeks on end. Every time, the ich returned when I put healthy fish back in the tank.
A few months ago, I read one of your columns where you recommended draining the tank, replacing it with freshwater and basically, dipping the tank. It sounded drastic and I was hesitant to try it. I have a plenum in the tank and was unsure what effect the freshwater would have on the bacteria. But I had exhausted all other options so I gave it a shot with some modification.
First, I lowered salinity to 1.014 over a two week period, leaving the fish and inverts in. (The ich was not very severe at the time and the cleaner shrimp were providing some relief to the fish). By the way, from what I've seen, having done this a few times, the salinity and temperature trick rarely eliminates ich; it seems to just set it back until it acclimates.
<Agreed>
To my surprise, all the inverts (including snails and cucumbers) handled the salinity fine. I then removed all livestock, moving the fish to the QT with copper and moving the inverts to a refugium on a reef tank. I then let the tank run fallow two weeks. Then I drained the tank to about 2 inches of water (enough to keep the plenum under water). Then I refilled with straight tap water (not dechlorinated). 
After about 30 minutes, I removed all live rock to a saltwater holding tank and left the tank running with freshwater overnight.
The next day, I drained it and filled with pre-mixed R/O saltwater, added a bottled bacteria colony and let everything run a few days. I slowly returned the live rock, checked all nutrient levels and the water was fine. 
As for return of livestock, I started with a purple tang, figuring if there was any ich in the tank, the tang would show it right away. I've now returned about half the fish to the tank and it's been about ten days without a sign of any problem.
I know this may all sound drastic and you may be saying "Of course there's no ich after all that," but after a year of fighting ich in this tank, I was pleasantly surprised that it worked so well. A few other notes: the impact on the plenum was undetectable. Within 2 or 3 days of the "dip" the plenum was bubbling as efficiently as ever and nitrates are still only at trace levels. Also, to my surprise, three small black and white Hawaiian hermit crabs lived through the whole process, even 60 degree chloraminated freshwater (which made me worry the parasites might have survived as well). Finally, having the tank so empty was a great cleaning opportunity. This tank hasn't looked so good in a long time.
Thanks again. I hope this information proves helpful. >>
<Thank you for the synopsis, and careful relating of your trials and triumph. It has helped (in future) many more folks and will save untold numbers of fishes. I thank you, Bob Fenner>

Marine Ich and Treatment?, Tang With Ich
Hello Bob,
<Scott F. here tonight>
I have a fairly new 100 gallons FOWLR tank with only 1 yellow tang. Few days ago, I noticed there were some small white spots (like salt grains) on the fins but quickly disappeared after a few hours. I did lot of reading on this web site and these steps were what I did so far:
- Dipped the fish in FW with Methylene Blue for 5 min.s
- Then moved it to a hospital tank (20 gallons).
- Raised tank temperature 1 degree/day.
- Lowered the Spg 0.001/day.
- Do water change everyday (2 gallons) since hospital tank is not yet established.
- Let the main tank goes fallow for about 1 1/2 month.
<Good protocol, quickly/decisively executed>
Here're my questions:
1) How high the temperature should I keep in the hospital tank? 
<I'd recommend a consistent 78-80 degrees>
What about the Specific Gravity?
<Personally, I'd go with regular tank s.g.-but aggressive treatment can entail lowering s.g. to around 1.015>
2) Should I treat the yellow tang with any kind of chemical such as copper, formalin... or just altering the water like what I did is enough and observe the fish for a while?
<I'd do the latter, at least at first. Prolonged exposure to copper could damage the fish's digestive system microfauna>
3) For the main tank, should I raise the temperature and lower the Specific Gravity as well?
<I'd leave it alone> 
Should I still do water change even without fish hosts?
<Yup- follow regular maintenance procedures-siphoning substrate may even (arguably) lower the parasite count in the main tank>
Thank you in advance for your help.
<You're doing great-just be patient and keep learning/observing> 
Regards, Dung Ngo

Solving the dreaded ich problem
I am fairly new at the saltwater fish hobby, learning day by day. I released a fish in my main tank not realizing it had ich. Now the majority of the fish in my tank have it. I've taken the infected fish out to medicate and when I put them back in the main tank a week later they have it again. I was told to take my inverts out and drop the salinity level down to 1.015 that this would kill the parasite. It's been three days, I haven't noticed any change. Is this going to work? Any advise would be appreciated, Jeff Johnson
<< If anything is in abundance in our interest/hobby, it is opinions on how to treat disease... No, simply lowering the specific gravity of your system will not kill the ich... Please take a look at the materials stored on my site: Home Page , for not only some concrete ideas on how to proceed, but the logic behind them.
I would continue with the reduced spg, raise the system temperature (to about 82F to speed up the life cycle of the protozoan parasite) and utilize a copper-based medication (with a test kit... daily) for two weeks... and keep your live rock, invertebrates separated for about two months to allow the resting stages of the ich/Cryptocaryon to go fallow.... and avail yourself of purposeful cleaner organisms like Lysmata Shrimp. Bob Fenner>>

Emperor Angel and FW dips for crypt  9/8/05
Dear  Bob,
     Thanks so much for all of your wonderful advice over the past couple of months.  I have a 180g FO tank that had crypt introduced into it after I added an emperor angel, yes I used a QT 4 weeks but unfortunately still had the problem.
     I have had a problem ping ponging with crypt since.  I have had no fish die.
<A testament to your active, good care...>
I have 3 ich magnet tangs in a 55g QT ( large Naso, powder blue, purple tang ) they are doing surprisingly well though they are being treated with copper. Cupramine used to the letter of instructions.  Powder blue initially got HLLE which is now much better since feeding with Gracilaria for a week.  These guys will eventually be cured.
<I admire your resolve>
     As for the other guys in the display ( Emperor 6", Majestic 5" , Foxface 5" 2 clown fish aggression amongst angels has not been a problem)  they are all eating and doing fine.  I initially treated the display with hyposalinity to a SG of 1.009 for 6 weeks which predictably failed to achieve a cure.  Aggressive water changes, good diet etc have kept the fish alive but tank is infested.  I now see the Emperor is getting some white discoloration at the distal end of his right pectoral fin. Probably crypt,
<... or the result of hyposalinity, treatment, stress...>
but I have seen this type of thing go away never to return on other fish many times.  I am in the process of preparing a QT's of 55 gallons as well as 29 gallons.  Yes That makes 3 QT's in all. Two 55gallon and one 29 gallon.
QT 55 g 1 Cupramine Treated 1 Naso, 1 powder blue, 1 purple tolerating well Aggression amongst the tangs has not been a problem
<Crowding has its benefits at times>
Planned QT 2 55 G Plan to add Majestic, Foxface, damsel  3 clowns ( these guys appear disease free )
     Plan on using copper added SLOWLY, testing twice daily
Planned QT 3 29 g plan on treating emperor alone
I have well cycled large BioWheel filters that I am planning to use on the new QT's ( used in curing live rock )
I have read at wet web media that FW dips and daily water changes for and FW dips for 8 days can effect a cure for crypt.
<Some, sometimes>
  Is it likely that treating the emperor in the 29 G in this fashion will achieve a cure ?
<Not the route I would take>
The 180 gallon will lie fallow for 6-8 weeks. I will introduce and aquascape 150 lbs of beautifully cured LR as well as cleaner shrimp to make a new home for the fish that survive.
<Good>
I will most likely reintroduce 3-5 large fish and 3-4 small fish ( hopefully the angels, the Naso, clowns )
Do you think that this is a reasonable plan of action ?
Thanks Jimmy
<I would "risk" the use of copper (likely chelated... maybe the Cupramine product) on the Angel/s... Bob Fenner>

Re: Emperor Angel and FW dips for crypt  9/9/05
Bob,
   Thanks for the feedback.  I am going to QT the angels and start Cupramine at a very low dose and move up to the recommended level.  This AM both of these fish look great in the Display no visible signs of disease ( but that is why they call it crypt which is Greek for hidden )
  but I know there is still crypt in the tank.
<Yes and yes>
  I will fatten them up a bit until things are right for the QT.   As an aside.  What a difference a two foot wide tank makes on reducing stress !!!
<Ahhh! Perhaps asking folks to consider how hard it is on them to make a turn in their car in a too-narrow street...>
  I think that when I put fish in QT their biggest stress seems to be the decreased tank width (  front to back ) of the tank until they re-adjust their swimming pattern when they turn in the water.  
     My experience with my hobby this summer has taught me that there are times to act and there are times to wait.  
<My friend~! You are gaining/unfolding to enlightenment>
Taking action, though important, at the right time can be detrimental when it is time to sit fast.  Aggressive tank maintenance and excellent water conditions go a long way to allow for the fish's immune system to work.  Constantly assessing if treatment is worse than disease is imperative.  Treating in a timely manner when the disease is worse than the treatment can save fish.  Treatment when the treatment is worse that the disease kills fish.  Excellent fish husbandry oftentimes buys us some time to make this critical decision.
<Ahhhh>
Thanks Jimmy
<Thank you... for the "Tao of fish keeping" insights. BobF>