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Hello, this is Dr. Linda. I hope I can help with your question today.
I am sorry for your concerns about Carolena. Was she diagnosed by your veterinarian with demodex mange? This is what we commonly call red mange.
How long have you been treating her, & what have you used so far?
Hello again. Yes, there is actually a wonderful treatment for red mange ( Demodex ) that is supported in a recently published paper (www.parasitesandvectors.com/content/8/1/187 ).
Bravecto ( Fluralaner ), is labelled to kill fleas & ticks for 12 weeks in dogs 6 months & older. It comes as a flavored chew that you give once, & of course repeat in 3 months, & as long as necessary to prevent the mites from returning . It will also take care of any fleas & ticks Carolena might have. I personally have used this treatment, & several of my colleagues have also had very good results. One even treated a 4 month old pug, which is extra label.
You will need to purchase this through your vet.
You can also use daily ivermectin, which is a standard treatment for demodex, too. But you usually need to administer this for 3-4 months.
I would continue the Cephalexin & Pyoben shampoo. These are very good adjuncts to treatment, especially if there is a significant secondary bacterial infection present.
Hope this helps.
You are so welcome. All the best to you & Carolena.