Demodex in Dogs
Written By Darlene Stott
Published: 03/28/2017Updated: 11/04/2021
Demodex in Dogs - Symptoms, Causes, Diagnosis, Treatment, Recovery, Management, Cost
What is Demodex?
Generally, once your dog has had an infestation of demodex and the mites have been completely eliminated, they do not become re-infested with the mites. This is because your dog’s immune system is now able to recognize and eliminate any new demodex mites. Some dogs that have a weak immune system will not be able to eliminate the mites without medical intervention.
Demodex, also known as demodectic mange, in dogs is a mite infestation on your dog’s skin. The mites are tiny, eight legged, cigar shaped, and feed in the hair follicles and oil glands of the skin. Most cases of demodex are self-limiting, meaning your dog is able to stop the growth and reproduction of the demodex mites and will also repair the damage that was done by the mites.
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Symptoms of Demodex in Dogs
When Demodex first appears, it may just look like a small spot of hair loss, possibly from rubbing the area. However, if you notice any crusting on the skin or the hair loss spreads contact your veterinarian for an appointment. Symptoms of Demodex to look for include:
Types
Demodex has three distinct varieties.
Localized
This type of demodex will affect only a few parts of the body, usually the face. It will appear as just a small lesion around the face and is commonly seen in puppies. Most cases of localized demodex will resolve without any treatments as the puppies immune systems mature.
Generalized
This type of demodex will affect larger areas of skin or possibly the entire body. Generalized demodex will many times cause secondary bacterial infections. These bacterial infections will cause intense itching and a foul odor. It can be very difficult to fully eliminate all the mites.
Demodectic Pododermatitis 
This type of demodex is located on the feet only. It causes secondary bacterial infections that are located between the pads and the toes. This type is the most difficult to fully cure.
Causes of Demodex in Dogs
Demodex is caused by the Demodex canis, which is a parasite or mite that lives in the hair follicles of dogs. All dogs have these mites living on their skin but will not have a reaction to these mites unless their immune system is deficient. 
Demodex is most common in puppies and dogs that have immature immune systems. The mites will multiply uncontrollably when your dog’s immune system is immature or weak and unable to properly dispose of the excessive mites. Most adult dogs will be able to fight off the excessive mites without needing medical intervention. Older dogs may also show symptoms of demodex as their immune systems begin to decline and with age.
Diagnosis of Demodex in Dogs
Your veterinarian will begin by taking a complete medical history on your dog. They will also ask you about any changes in diet or environment. Then, your veterinarian will complete a full physical examination on your dog, paying close attention to any bald spots or noticeable lesions.
Your veterinarian will do a complete blood count and will also do a skin scraping of an affected area. The skin scraping will be placed under a microscope and your veterinarian will look for mites. Demodex canis mites are fairly easy to spot under the microscope. 
If your dog is a mature dog, your veterinarian may also search for the reason the Demodex canis mites were able to multiply uncontrollably. There is usually an underlying cause that is suppressing the immune system and sometimes it is extremely difficult to find what that cause is.
Treatment of Demodex in Dogs
Once your veterinarian has diagnosed demodex they will begin treatments to get rid of the overgrowth of mites. Anti-mite creams can be used as well as anti-inflammatory creams and corticosteroid creams. Your veterinarian may also recommend using benzoyl peroxide on larger areas. Your veterinarian will probably trim the hair around the affected areas. This will allow the prescribed creams to work more effectively on the affected areas. 
Some cases of demodex may require the use of anti-parasitic medications. Your veterinarian will prescribe the medications they feel will work best on your dog. Antibiotics may also be used in cases where bacterial infections from the demodex have occurred.
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Recovery of Demodex in Dogs
Most cases of demodex are treatable. Dogs that are suffering from a weak or suppressed immune system will be much more susceptible to other diseases and conditions as well as relapses of demodex. Dogs that have immature immune systems, such as puppies, will generally recover from demodex and will not have a relapse. 
Speak with your veterinarian regarding your dog’s prognosis. Dogs that have weak or suppressed immune systems should not be used for breeding. Puppies who have developed a case of demodex can still be bred when they are older as long as the demodex does not recur.
A demodex infestation can be expensive to treat. To avoid high vet care expenses, secure pet health insurance today. The sooner you insure your pet, the more protection you’ll have from unexpected vet costs.
Demodex Questions and Advice from Veterinary Professionals
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English Bulldog
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Blue
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10 Months
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0 found this helpful

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My pet has the following symptoms:
Skin Crust
So we adopted a 10 month old bulldog a month ago, took her to the vet last week. We found out she has demodex, pyoderma and roundworm. She is currently on antibiotics, flea an tick treatment and heartworm prevention. What would be the better shampoo for her one with benzoyl peroxide or the ketoconazole shampoo? Her skin is flaky and smelly.
May 6, 2018
0 Recommendations
You could use a benzoyl peroxide shampoo for the flaky skin followed by an antifungal medicated shampoo for the fungal infection; however the fungal infection is more important than the flaky skin when considering what to treat first. Amitraz dips are usually recommended for the treatment of Demodicosis in dogs and should be discussed with your Veterinarian. Regards Dr Callum Turner DVM
May 6, 2018
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Siberian Husky
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Kaysa
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7 Weeks
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1 found this helpful

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1 found this helpful

My pet has the following symptoms:
Swollen And Red Eyes And Mouth
My dog had Demodex about a year ago, she bred and now I have five 7 weeks old puppies with red and swollen eyes, and scratching their ears. My vet thinks is Demodex and gave them an ivermectin shot, but, how can I know if it can be cured without medication? Is it ok to medicate them at that early age?
March 18, 2018
1 Recommendations
Demodex commonly affects puppies due to an underdeveloped immune system and the mite is a usual finding in asymptomatic dogs; localised Demodicosis may resolve itself but generalised Demodicosis would require treatment. Treatment is with either ivermectin, milbemycin, amitraz among other medications; any treatment is down to your Veterinarian’s discretion especially the use of ivermectin which is off label. Regards Dr Callum Turner DVM
March 18, 2018
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German Shepherd
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Drogo
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2 Months
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My pet has the following symptoms:
Hair Loss
2 month old puppy has hair loss on snout. This happened after he was vaccinated. Seems like demodex but could it be a reaction to vaccine? Also how do I treat if it's demodex. Thanks
Feb. 12, 2018
Answered by Dr. Michele K. DVM
0 Recommendations
Thank you for your email. Demodex is somewhat common in young puppies, and doesn't tend to be a reaction to vaccinations. It tends to resolve with treatment, and there are a few different treatment options for it. Your veterinarian can recommend the best treatment for Drogo based on his health status.
Feb. 12, 2018
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Shih Tzu
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Beau
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4 Years
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My pet has the following symptoms:
Fever
Is it possible that dogs with demodex can’t live longer? And is it possible that stress can trigger them? Is it curable? Our vet told us to use amitraz and vetnoderm soap. We can’t give them a bath bec. They have fever
Jan. 7, 2018

Answered by Dr. Michele K. DVM
0 Recommendations
Thank you for your email. Demodex in older dogs (not puppies) can indicate an underlying systemic disease. The demodex is usually easily treated unless there is a problem underlying the skin condition. Your veterinarian prescribed medication and treatment that should take care of the Demodex, and if it doesn't, it would be best to follow up with your veterinarian to let them know.
Jan. 7, 2018
My dog shitsu has a demodex first from neck, it cured then next to legs,and it goes to face and other feet. And i looks loke going to ear. . Its been 3 months since i am struggling to cure my loved dog i spent money to vet. And its not cured so i stop and hat back my dog cause i spent too much money. Tnx
March 26, 2018
John P.

My dog has it but has been treated but if he knocks a scab off it leaves a hole in his skin is that normal
Jan. 17, 2018
Carroll B.
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