Why is my dog's demodex mange worse after treatment? Secondary infection?

Question

What could be wrong with my dog skin. He has been receiving treatment for demodex Mange but seems he could have a secondary infection. Pet's info: Dog | American Pit Bull Terrier | Male | unneutered | 4 months and 21 days old | 78 lbs

Jenny, DVM · Accepted Answer

They can get a secondary infection from demodex and it usually gets worse before it gets better. The mites live in the hair follicle, so as the treatment works and the mites due, more hair falls out. Around week four after treatment is stated is usually as bad as it gets then things start to improve from there. A good bath in a shampoo with benzoyl peroxide helps flush the mites out but can be drying if done more than once a week. If there are scabs with a discharge it is best to get rechecked

Why is my dog's demodex mange worse after treatment? Secondary infection?

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