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FAQs on Marine Disease Mis-Treatments in General

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Medicating a marine tank.     7/5/18
Happy 4th of July to your crew!
Gotta a question for you. Can you treat a tank with Melafix, Pimafix and copper power...all at the same time?
<Mmm; you could, but I wouldn't. Am decidedly NOT a fan of the "fix" products by API.
They're usually worthless; sometimes interfere with nitrification; cause water quality issues>
Been dealing with a big mess since just before Father's day.
<See this on your Emperor Angel pic. Yikes>
Tank info: 110g qt, ocean clear canister filter, no carbon, filled with ammonia and nitrate reducing pads, 2 airstones, 1 air wand, 2 foam in tank filters each rated for a 125g.
Fish: 2 triggers, 1 ladder wrasse, 1 Kole tang, 1 HiFin snapper, 1 tusk, 1 Emperor angel, 1 toadfish, 1 Foxface, 1 random damsel, and 1 mono. All currently in the QT.
<This is a lot of good sized fishes for a 110>
I have lost 7 fish in the last few days . Rusty angel, vlamingii, sailfin and 4 yellow Hawaiians.
<Good gosh; even more fishes?>
We took everyone out of the DT to treat for what we assumed was flukes due to flashing and rapid breathing with no other signs of spots or symptoms.
<Likely just crowding and water quality at work here>
We intended to try hyposalinity, but couldn't drop the salinity fast enough safely to avoid the fish ripping gaping wounds..so we went with Prazi.
<... did you freshwater dip; detect worms?>
About a week after starting the Prazi we had some serious aggression in the tank. Then it looks like an infection broke out in the tangs. This is when we started treating with the Pimafix and the Melafix.
<Please.... search both on WWM>

We were unsure what kind of infection and found both medications were safe to use together so we did. One by one we lost the group of 7 fish. My angel looks really bad but is steadily improving as we continue dosing. However, the signs during the loss of the 7 fish and on the angel now..look a whole lot like velvet.
<No; not likely. All would be dead. See Velvet on WWM...>
I attached a pic of the angel..the bacterial infection is clearly the red..but it's the while spots that are not raised all over her that are the question. Upon closer inspection of all the fish their colors are like dull copies of the original fish. They almost look dirty.
I told you all of that to get to this. Can I continue to treat with the medications I have been and add copper power or does it need to be one or the other?
<I wouldn't use copper and wish the non-"fixes" would disappear off the planet. They are responsible for MANY livestock losses. At best placebos and mild bacteriostatics; of no real use whatsoever>
Also if I have to switch to just copper, can I get away without doing a large water change and just start to copper?
<Copper in all formats is too toxic for continuous use>
We did a 30% water change on this passed Sunday.
Any and all helpful suggestions are appreciated.
<Really; the reading (on WWM) for now... IF this was the start of your troubles, getting a much larger system, splitting up the fish livestock into two plus tanks... Use of Quinine cpd....>
Thanks!
Kim
<Welcome. Bob Fenner>

Re: Medicating a marine tank.     7/5/18
The main DT is a 275G with 60g sump.
<Ahh>
We tried to take them out for treatment to avoid crashing my whole system. I always FW dip any and all fish before they go in any of my tanks.
<Good>
My 18yr old thought he would surprise me with a wrasse and a snapper..no treatment..just into the tank water and all from the lfs. This is where our troubles began. Prior to the addition of the two fish... I have had zero loss in almost 2 years.
<Dang>
The 110 was set up to be the hospital tank since I had so many fish and they are all decent sized.. they were in close quarters definitely. Water parameters have been good with the exception of a couple times where the ammonia was elevated slightly. A quick water change and by the next day everything was good and remained so (as far as parameters go).
So I am gathering your advise is to halt the treatments, don't start the copper, and just maintain the water quality?
<Definitely water quality is important; but I would also be sampling, trying to discern the presence of pathogens; treating for them if present>
I am genuinely asking..not being a snot about it.
Thanks,
Kim
<Certainly welcome. BobF>

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