Bravecto™ administered once as chewable tablets is not only effective against Demodex spp. mites on dogs but remains effective for 12 weeks following treatment.
One dose of BRAVECTO Chewable Tablet clears ear mite and sarcoptic mange infestations within 1 month, and demodex mite infestation within 2 months. The absence of mites can be confirmed by two consecutive monthly skin scrapings. If mite infestation reoccurs, consult with a veterinarian.
The active substance in Bravecto, fluralaner, acts as an 'ectoparasiticide'. This means that it kills parasites that live on or in the skin or in the fur or ears of animals, such as fleas, ticks and mites.
There are several 'spot-on' topical treatments, such as moxidectin + imidacloprid (Advantage Multi®, Advocate®) and topical fluralaner (Bravecto®). These medications are used 'off-label' for the treatment of demodicosis.
Ivermectin (Ivomec®, Eqvalan®) is available as an injectable liquid or oral paste as a deworming agent for production animals. It can be given orally daily as a liquid to dogs to treat demodicosis.
Ivermectin – This is an oral medication that can be used to treat cases of demodectic mange in dogs. It may take several weeks or months before you see improvement in your dog's skin condition when using this treatment alone. Due to the potential side effects of ivermectin, other therapies are often used first.
NexGard is a medicine used to treat infestations with fleas and ticks, as well as demodectic and sarcoptic mange (skin infestations caused by two different types of mites) in dogs.
Simparica is a veterinary medicine used to treat infestations with ticks and fleas, demodectic and sarcoptic mange (skin infestations caused by two different types of mites) and ear mite infestations in dogs.
Treatment for a mite infestation usually involves a cream, gel, lotion or wash containing an acaricide. An acaricide is a pesticide that kills ticks and mites. Your healthcare provider may recommend: Benzyl benzoate.
Nexgard uses Afoxoflaner and kills 100% of fleas in 24 hours. Bravecto uses Fluralaner and begins to kill fleas in as little as 2 hours. Bravecto kills many types of ticks including the lone star tick for 8 weeks. Nexgard is the only FDA approved option for preventing infections that cause Lyme disease.
Both of these brands are recommended by vets and are easy, convenient, and effective. Simparica protects against more varieties of ticks than Bravecto does and also offers a variation that protects against worms. Bravecto is effective for three times longer (12 weeks), while Simparica must be reapplied monthly.
Dogs may itch after Bravecto is administered for a couple of reasons. First, if your dog has fleas, your dog may itch more because of them. Second, in a U.S. field study1 including 321 dogs, 0.9% of dogs given topical Bravecto experienced moist dermatitis/rash, which could lead to increased itching.
BRAVECTO PLUS is an extended-duration, broad-spectrum combination (fluralaner and moxidectin) topical solution for cats, indicated for both external and internal parasite infestations: ticks and fleas, heartworm, intestinal roundworm and hookworm.
Since about 90% of young dogs with demodex will resolve the problem on their own we do not recommend immediate treatment in these cases. If your pet is not uncomfortable and otherwise in good health we recommend a 4-week monitoring period to determine if it will resolve on its own or will require treatment.
The total lifespan of a Demodex mite is several weeks. The dead mites decompose inside the hair follicles or sebaceous glands.
Demodectic mange can resolve on its own in mild cases. It usually takes 1-2 months for mild, localized infections to resolve spontaneously.
Direct contact or eggs present in dust as well as contact with infected towels, blankets, or sponges are the possible routes of Demodex spp. infection described in the literature [13, 14]. The use of facial creams or eyeliners has been considered as a potential route of Demodex spp.
Of all the treatment options investigated, tea tree oil has been shown to be the most promising option for killing Demodex mites (Liu 2010).
I recommend washing sheets and pillowcases in hot water and drying with the hottest possible dryer setting to kill the mites that might otherwise jump from bedding to faces. In some cases, it might even help to get new pillows. Patients might also consider not using makeup for a week, and discarding their old makeup.
Currently, tea tree oil is the most commonly used treatment due to its demodicidal properties, however the first FDA-approved treatment for Demodex blepharitis may soon become available in the form of lotilaner ophthalmic solution.
Thus, ivermectin can have a useful therapeutic effect on Demodex blepharitis because of its antiparasitic and anti-inflammatory effects, which can eliminate both the cause of Demodex infestations and the inflammation caused by the progression of the infection.
Simparica Trio provides broad protection against some of the biggest threats to dogs including: Adult fleas. Brown Dog Ticks & Paralysis Ticks. Heartworm.
Several reports have documented the successful treatment of demodicosis with ivermectin and acaricidal agents, but there has never been a report of Demodex mite's refractory to ivermectin.
The most common treatment of Demodex infestations is metronidazole. Topical metronidazole administered in combination with azelaic acid and oral doxycycline is effective for treating moderate to severe rosacea, which is another cutaneous disease associated with Demodex infestation.
In this case a single oral dose of 200 μg/kg ivermectin effectively led to substantial clinical improvement within 1 month. Repeated skin scrapings remained negative for Demodex mites. The 10-year history of the use of oral ivermectin to control onchocerciasis indicates that it is a safe drug.