There are two types of mange, sarcotic and demodectic.  

Trombiculidae (Chigger)

Sarcoptic Mange (Scabies) / Sarcoptes scabiei mite

Very Contagious.  Some dogs can be carriers and show no symptoms!  In a multi-dog house, if one dog has sarcoptic mange, all dogs must be treated.


  • Skin is very very itchy
  • Prefer short hair dogs or areas with little hair like abdomin and ears


  • Skin Scrapings (hard to find)
  • Antibody Blood Test ELISA


  • Natural Treatment:
  • Revolution/Stronghold (Pfizer) - Drug Info Active ingredient is Selamectin is an ivermectin derivative. Normal monthly use of this product should prevent a sarcoptic mange problem but studies show that to clear an infection, for reliable results an extra dose is usually needed after 2 weeks. This product is probably the best choice for Collie or Australian shepherd breeds. See more information from the manufacturer on Revolution.  Dosage is 6mg per 1 kg of dog weight)
    • Heartworm
    • fleas and flea eggs
    • ear mites
    • sarcoptic mange
    • Ticks (Only American dog tick/wood tick)
  • Advocate (Bayer) -  Contains 10% imidacloprid and 2.5 moxidectin spot on treatment
    • Fleas
    • Lice
    • Mites (scaropic mange)
    • Demodex Mites
    • Hookworms
    • Whipworms
    • Roundworms (Toxocara andToxascaris)
    • Heartworms
    • Lungworms
  • Ivermectin - This is one of the most effective treatments against Sarcoptes scabiei yet it is off-label as far as the FDA is concerned. There are several protocols because of the long activity of this drug in the body. Typically an injection is given either weekly or every two weeks in one to four doses. In most cases this treatment is safe and effective but some individuals have a mutation that makes ivermectin toxic at the doses used to kill mites. These individuals are usually in the Collie family: Collies, Shetland Sheepdogs, and Australian Shepherds are classically affected. There is now a test that can determine if any dog has the mutation that makes ivermectin use dangerous. An additional caution comes from an interaction with the relatively new flea control product Comfortis® (spinosad). Relatively high doses of ivermectin are needed to treat sarcoptic mange and if Comfortis® is used concurrently, ivermectin side effects are more likely to occur. While ivermectin is a prototype compound upon which most other sarcoptic mange treatments are based, it may be worth using a product that has actually been approved for the treatment of sarcoptic mange.
  • Moxidectin (Advantage Multi®) – Moxidectin is yet another ivermectin derivative. In Advantage Multi, it is combined with imidacloprid, a flea-killing topical, to create a product used against heartworm, hookworm, roundworm, whipworm, and fleas. In the U.S. this product is not FDA labeled for sarcoptic mange but it is in other countries and should still be effective even though technically it is off-label. See more information from the manufacturer on Advantage Multi.
  • Milbemycin Oxime (Interceptor® or Sentinel®) - Milbemycin oxime is approved for heartworm prevention as a monthly oral treatment (as either Interceptor® or Sentinel®). Happily, it also has activity against sarcoptic mange and several protocols have been recommended by different dermatologists. This is another medication that you might find recommended. See more information on Interceptor from the manufacturer, and see their page for Sentinel.
  • Dipping - Anti-bacterial or anti-itch shampoos precede one of several anti-mite dips. Mitaban dips (Amitraz) or lime-sulfur dips given weekly are usually effective. Disease typically resolves within one month. Dipping is labor intensive and rarely done any more as the other products are easier and more rapidly effective. We mention dipping since it has been a standard mange treatment for decades prior to the introduction of ivermectin.

Home Treatments

  • Hydrogen Peroxide / Borax / Water solution.  Add water to hydrogen peroxide so that you end up with 1% hydrogen peroxide.  So if 2% hydrogen peroxide 1/1, if 3% hydrogen peroxide, 2/1.   Add borax power until it does not disolve any more in the solution.  Wash dog with dandruff shampoo, then apply the rinse all over the dog.  Leave it on for 10 minutes and then rinse off.
    • Places to buy Borax in Czech (they have to import it first, 2 weeks wait)

Demodectic Mange (Demodex)


  • Dog does not itch [VetMD]
  • Skin scraping
  • Not difficult to diagnose

Non contagious

Inherited from the mother and treated with Amatraz, which is found in Certifect flea control and Mitoban Dip. Either of these two products will assist in elminating the Demodex Mange.Localized (only affects face and legs)

Localized Demodectic Manger


  • Benzoyl peroxide, or clorexidine shampoo to clean out hair folicals
  • or a flea treament containing Imidacloprid + moxidectin
  • Oral treatments include Ivermectin or Interceptor (milbemycin)
  • Amitraz dip, the only approved medication for demodecosis, has serious side effects, including causing death in up to 3% of patients treated with it. [Vetinfo]


  • Amatrax - 

Generalized problem
Whole body treatments, once a week until two skin scrapings until no mites found

  • Mitoban Dip

Oral milbemycin and

Moxidectin (Advantage Multi®) is off label, is a derivative of Ivermectin below.

Milbemycin Oxime (Interceptor® or Sentinel®): approved for heartworm but also works for sarcoptic mange

Amitraz drug