Fungal oral medication itraconazole - sporonox/itrafungol dose

[Wiebke]

Thanks for your guidance! You were right, the deep cleaning day was intense and I was exhausted by the end of it! I am due for a vet check at the end of the second week of meds so hopefully much more improved, vet said either way at two weeks we’ll need to do pulse therapy (like one week off then on again) if needed.

Oh gosh I’m so happy to see progress on most of them. One of them still looks quite red so I’m hoping this extra week knocks it for her. Got the flaky skin off my piggie with the patch so hope it doesn’t come back!

The next deep clean and bath, should that be at the end of their treatment when I take them off the oral meds? Or just in another 2 weeks either way?

Yes the oral med is saving me hours every week! And less stress for the piggies also.

Ringworm is mainly lots of hassle and not cutting any corners - but at least with the oral meds you can keep it to a minimum if you go at it in an organised form in order to stop the spread of spores and any further transmission risks as much as possible. And it is so much less stressful for the piggies, too.

If there is no new exudate forming (i.e. fungal crusts/flaky skin), then this means that the ringworm has been stopped and no new spores are being produced. But in either case you can wait until the end of treatment with a last bath and deep clean - hopefully in two weeks' time. I do keep my fingers crossed that you are past the acute stage now. You should know in a day or two after the bath because that is usually when any new crusts appear.
It is unfortunately harder to get at ringworm in naturally hairless areas because it cannot come out together with the infected hair roots. A really bad ringworm infection will take a bit longer to get on top off.

 

[ceciliaxdee]

Ringworm is mainly lots of hassle and not cutting any corners - but at least with the oral meds you can keep it to a minimum if you go at it in an organised form in order to stop the spread of spores and any further transmission risks as much as possible. And it is so much less stressful for the piggies, too.

If there is no new exudate forming (i.e. fungal crusts/flaky skin), then this means that the ringworm has been stopped and no new spores are being produced. But in either case you can wait until the end of treatment with a last bath and deep clean - hopefully in two weeks' time. I do keep my fingers crossed that you are past the acute stage now. You should know in a day or two after the bath because that is usually when any new crusts appear.
It is unfortunately harder to get at ringworm in naturally hairless areas because it cannot come out together with the infected hair roots. A really bad ringworm infection will take a bit longer to get on top off.

Thank you, your reassurances are very comforting. This herd fungal outbreak has made me feel like losing my mind! I spoke to my exotic vet today and he’s happy with the progress and after these 2 weeks daily, we’re taking them off for one week. Then back on for 1 week, off again 1 week and then back on for final week (making up 6 weeks treatment in total).

I have great news to report that the flaky exude hasn’t come back on my piggie with the patch after the Malaseb bath. And the red ring has settled on most of the piggies except one, she’s still quite red and flaky. Hopefully we’ll get there soon though and vet said it was looking okay from
Photos. See photos attached.

 

[Wiebke]

Your tricolour looks like she still has a bit of active ringworm behind her ear but even that is looking much better now. It is a difficult area and it can be trickier if the immune system is not able to help as much for some reason.

The other two are now over their own acute ringworm infection.

 

[ceciliaxdee]

Your tricolour looks like she still has a bit of active ringworm behind her ear but even that is looking much better now. It is a difficult area and it can be trickier if the immune system is not able to help as much for some reason.

The other two are now over their own acute ringworm infection.

The tri colour piggie had a mild URI in the last few months and is always a bit sniffly and has easily irritated skin so I suspect it has something to do with it. I have to take them all off today as it has been 2 weeks so I’m hoping she doesn’t tip everyone over again! I’ll do another Malaseb bath in 1 more weeks time when they finish the one week off and start the next round of orals.

Woohoo! Everyone else aside from tri colour (Evie) looks like that or better so that’s great.

 

[VickiA]

What a marathon. Ringworm is exhausting for us slaves. So good to see the effect of the oral medication. Well done.

 

[Wiebke]

The tri colour piggie had a mild URI in the last few months and is always a bit sniffly and has easily irritated skin so I suspect it has something to do with it. I have to take them all off today as it has been 2 weeks so I’m hoping she doesn’t tip everyone over again! I’ll do another Malaseb bath in 1 more weeks time when they finish the one week off and start the next round of orals.

Woohoo! Everyone else aside from tri colour (Evie) looks like that or better so that’s great.

Two weeks of sporonox will prevent a return in your others or a major flare up in Evie.

 

[ceciliaxdee]

What a marathon. Ringworm is exhausting for us slaves. So good to see the effect of the oral medication. Well done.

thank you! Yes piggie slave life.

 

[ceciliaxdee]

Two weeks of sporonox will prevent a return in your others or a major flare up in Evie.

They are nearly a week off now, I’m due to start the next week of oral meds in 2 days. Just did a check and some are still redness free, others mild red ring and Evie’s redness has settled more but she is one that has the mild red ring. No major flares so hopefully this next week kicks it more. I’m contemplating whether to do the next Malaseb bath this week (start of oral round) or next, at the end of the next round of orals. What would be better?

I think I’m going to have to ask for some more meds though as one of the symptom free ones (Archie) that developed the red ring when I started oral meds and then I popped on just in case, still has a slight red ring. So he’ll need to go on the next round also I think or it’s mild enough perhaps Malaseb bath would be ok. I had just enough left for the badly infected ones for another 2 weeks (1 off and then 1 on for 4 weeks).

 

[Wiebke]

They are nearly a week off now, I’m due to start the next week of oral meds in 2 days. Just did a check and some are still redness free, others mild red ring and Evie’s redness has settled more but she is one that has the mild red ring. No major flares so hopefully this next week kicks it more. I’m contemplating whether to do the next Malaseb bath this week (start of oral round) or next, at the end of the next round of orals. What would be better?

I think I’m going to have to ask for some more meds though as one of the symptom free ones (Archie) that developed the red ring when I started oral meds and then I popped on just in case, still has a slight red ring. So he’ll need to go on the next round also I think or it’s mild enough perhaps Malaseb bath would be ok. I had just enough left for the badly infected ones for another 2 weeks (1 off and then 1 on for 4 weeks).

I would do it at the end of the next oral round so you have the end of treatment bath all in one and less stress. The coming week of oral treatment will prevent any spores from taking hold. All the best!

 

[Wiebke]

I would do it at the end of the next oral round so you have the end of treatment bath all in one and less stress. The coming week of oral treatment will prevent any spores from taking hold. All the best!

The one week on - one week off interval interrupts any potential new infection since it takes about 10-14 days for it to develop before it becomes an active spot.

Bathe at the end of the medication week so if everything is settled down by then you don't have that extra bath still to do. Less hassle for you that way and most efficient for your war against the spores.

 

[ceciliaxdee]

The one week on - one week off interval interrupts any potential new infection since it takes about 10-14 days for it to develop before it becomes an active spot.

Bathe at the end of the medication week so if everything is settled down by then you don't have that extra bath still to do. Less hassle for you that way and most efficient for your war against the spores.

Thanks! Yes it is winter here in Australia and freezing (tonight is 0 degrees Celsius!) I’m trying not to bathe the piggies unnecessarily so where it’s most effective would be good! I have another week off then the vet wants me to do another week on. At the end of the next round, do I bath again? It’s so cold

Most are looking better - I took photos of them at the start of this round of meds (so a few days ago!). Poor Evie was still the most red! But Stormie (my grey one) was one of the symptom free ones and is still looking fungal free so she didn’t start this next round. Archie the other previously fungal free one was still slightly red so he had to continue. I’ll need to ask my vet to dispense a few extra mls for the last round I think.

Evie my tri coloured is a Peruvian and has a long fringe covering her ears, would this be affecting the fungal healing? Wondering if her hair covering the area isn’t good?

Will post photos after this next round. Fingers crossed!

 

[Wiebke]

Thanks! Yes it is winter here in Australia and freezing (tonight is 0 degrees Celsius!) I’m trying not to bathe the piggies unnecessarily so where it’s most effective would be good! I have another week off then the vet wants me to do another week on. At the end of the next round, do I bath again? It’s so cold

Most are looking better - I took photos of them at the start of this round of meds (so a few days ago!). Poor Evie was still the most red! But Stormie (my grey one) was one of the symptom free ones and is still looking fungal free so she didn’t start this next round. Archie the other previously fungal free one was still slightly red so he had to continue. I’ll need to ask my vet to dispense a few extra mls for the last round I think.

Evie my tri coloured is a Peruvian and has a long fringe covering her ears, would this be affecting the fungal healing? Wondering if her hair covering the area isn’t good?

Will post photos after this next round. Fingers crossed!

Hi

It looks all healed out now to me now?

Since you have another round of sporonox after this one, you can skip the bath with this round and just do a last one at the end of the last round to make sure that there are no spores sitting anywhere on the piggies before you move them into a freshly deep cleaned cage for the very last time in two weeks' time for a hopefully totally spore free start into a much brighter future.

Even if there is a naughty spore some months or a couple of years down the line, at least you can now step with the oral meds straight away and stop it in its tracks straight away with just a week on sporonox for the affected piggy and 3-5 days for the companions plus one deep clean with the spore production stopped before it can really get going. You won't have ever to deal with the level of deep seated and wide spread ringworm ever again. That nightmare is now firmly behind you.

Make sure that you plan a special celebration in with a naughty treat for yourself at the end of it all.

 

[ceciliaxdee]

Hi

It looks all healed out now to me now?

Since you have another round of sporonox after this one, you can skip the bath with this round and just do a last one at the end of the last round to make sure that there are no spores sitting anywhere on the piggies before you move them into a freshly deep cleaned cage for the very last time in two weeks' time for a hopefully totally spore free start into a much brighter future.

Even if there is a naughty spore some months or a couple of years down the line, at least you can now step with the oral meds straight away and stop it in its tracks straight away with just a week on sporonox for the affected piggy and 3-5 days for the companions plus one deep clean with the spore production stopped before it can really get going. You won't have ever to deal with the level of deep seated and wide spread ringworm ever again. That nightmare is now firmly behind you.

Make sure that you plan a special celebration in with a naughty treat for yourself at the end of it all.

Ok that’s a relief as Evie is still quite red so is that just part of the healing and not an active infection anymore?
I just emailed my exotic vet photos taken today attached, they are coming off onto another weeks break after tonight. Most are looking much better! But it’s just that redness still showing particularly for poor Evie.

Sounds great! I am looking forward to never dealing with this level of infection again! What a journey considering it started in March! Still traumatised from the 2 months of trying to treat it topically. Haha

Also glad I checked with the forum here on dosage, as the 5mg per kg dose worked so didn’t need the higher dose and save their livers plus money as the oral med is so exxy! Would have been double the cost unnecessarily.

Thanks all! @weibke, for sure I will be celebrating once everyone is healed! Can’t wait

 

[ceciliaxdee]

In more happy news - the potatoes are loving their new deep cleaned and rebuilt cage. The coroplast base was worn out and they had chewed the edges in places so we rebuilt a DIY new base for them, which was sprayed in f10 but hopefully that also helped cut any fungal spores as the old base was sprayed and thrown out.

 

[Wiebke]

Ok that’s a relief as Evie is still quite red so is that just part of the healing and not an active infection anymore?
I just emailed my exotic vet photos taken today attached, they are coming off onto another weeks break after tonight. Most are looking much better! But it’s just that redness still showing particularly for poor Evie.

Sounds great! I am looking forward to never dealing with this level of infection again! What a journey considering it started in March! Still traumatised from the 2 months of trying to treat it topically. Haha

Also glad I checked with the forum here on dosage, as the 5mg per kg dose worked so didn’t need the higher dose and save their livers plus money as the oral med is so exxy! Would have been double the cost unnecessarily.

Thanks all! @weibke, for sure I will be celebrating once everyone is healed! Can’t wait

Not quite 100% sure about Evie but it is not very obvious anymore and my eyes are not the best.

Itrafungol/sporonox doesn't quite always work with all piggies if they have underlying issues. But it does work better than the traditional methods. You may have to keep an eye on her after she comes off the sporonox for good whether the ringworm revives or not.

 

[ceciliaxdee]

Not quite 100% sure about Evie but it is not very obvious anymore and my eyes are not the best.

Itrafungol/sporonox doesn't quite always work with all piggies if they have underlying issues. But it does work better than the traditional methods. You may have to keep an eye on her after she comes off the sporonox for good whether the ringworm revives or not.

I sent the photos to my vet also and he thinks she’s looking a lot better so yes will keep an eye on her and hoping this last round kicks it. I’ll be taking them back to get tested to see if there’s any fungal spores after treatment is finished. Fingers crossed!

 

[ceciliaxdee]

Not quite 100% sure about Evie but it is not very obvious anymore and my eyes are not the best.

Itrafungol/sporonox doesn't quite always work with all piggies if they have underlying issues. But it does work better than the traditional methods. You may have to keep an eye on her after she comes off the sporonox for good whether the ringworm revives or not.

Hi @Wiebke, unfortunately poor Evie came down with an upper respiratory infection again so I took her and some of the others to the vet.
Good news is the 4 piggies I took in are not showing fungal spores on the skin or hair anymore where there used to be! (Vet took skin scrapings and also hair samples from the fungal areas). Bad news is Evie and also Custard are now on antibiotics (trim sulpha) and also the vet took a sample of Evie’s clear nose discharge and weirdly found fungal spores. But she no longer had any on her hair or behind ears. We now think it could potentially be systemic fungal for her maybe causing respiratory symptoms as it was in her nose discharge! Do you have any experience with this ?

I’ll be doing the final round of oral fungal meds for all and two of them will get trim sulpha as well, vet said safe to have both meds at the same time. The saga continues sigh, winter in Melbourne Australia is freezing.

 

[Wiebke]

Hi @Wiebke, unfortunately poor Evie came down with an upper respiratory infection again so I took her and some of the others to the vet.
Good news is the 4 piggies I took in are not showing fungal spores on the skin or hair anymore where there used to be! (Vet took skin scrapings and also hair samples from the fungal areas). Bad news is Evie and also Custard are now on antibiotics (trim sulpha) and also the vet took a sample of Evie’s clear nose discharge and weirdly found fungal spores. But she no longer had any on her hair or behind ears. We now think it could potentially be systemic fungal for her maybe causing respiratory symptoms as it was in her nose discharge! Do you have any experience with this ?

I’ll be doing the final round of oral fungal meds for all and two of them will get trim sulpha as well, vet said safe to have both meds at the same time. The saga continues sigh, winter in Melbourne Australia is freezing.

HUGS
I am so sorry.

I am not aware of a link between fungal ringworm and bacterial respiratory infections but shed ringworm spores can be easily inhaled when nosing around in the hay and bedding and getting into the respiratory system that way. Fungal spores love a moist, warm environment.
I would rather consider the URI a result of a lowered immune system and the cold winter weather you are experiencing. Both URI and ringworm are opportunistic illnesses.

PS: We have just had the warmest June in about 80 years (in parts of the UK enough 30 C days in a row to constitute a heatwave in June and lots of warm nights) after a cold winter with lots of hard frosts.

 

[ceciliaxdee]

HUGS
I am so sorry.

I am not aware of a link between fungal ringworm and bacterial respiratory infections but shed ringworm spores can be easily inhaled when nosing around in the hay and bedding and getting into the respiratory system that way. Fungal spores love a moist, warm environment.
I would rather consider the URI a result of a lowered immune system and the cold winter weather you are experiencing. Both URI and ringworm are opportunistic illnesses.

PS: We have just had the warmest June in about 80 years (in parts of the UK enough 30 C days in a row to constitute a heatwave in June and lots of warm nights) after a cold winter with lots of hard frosts.

Thank you, hugs back. I know my vet said it’s just bad luck. Mine are all indoor pigs and for the first 3 years or so of their lives never had any respiratory issues. Something must have tipped over their immune systems. Yes I was thinking maybe the fungal spores have gotten into her nostrils somehow. Not much I can do to clean it as you can’t just wash their noses so I’m hoping the sporanox gets it the next round!
At least the topical skin areas are fungal free!

Oh no - I am worried about our upcoming summer too. It’s a very cold winter currently and I’m hoping we don’t get the other extreme in summer here also

 

[Wiebke]

Thank you, hugs back. I know my vet said it’s just bad luck. Mine are all indoor pigs and for the first 3 years or so of their lives never had any respiratory issues. Something must have tipped over their immune systems. Yes I was thinking maybe the fungal spores have gotten into her nostrils somehow. Not much I can do to clean it as you can’t just wash their noses so I’m hoping the sporanox gets it the next round!
At least the topical skin areas are fungal free!

Oh no - I am worried about our upcoming summer too. It’s a very cold winter currently and I’m hoping we don’t get the other extreme in summer here also

All you can do right now is to hang on in there.

You may want to consider whether you want to do a 2-3 weeks vitamin C immune system booster, just to give it a little lift? Only a short-term booster because with long-term high dosed additives the body will adapt to them and they lose their impact. In fact, most scurvy symptoms cases we deal with on here are from overdosed piggies whose level has just dropped for some reason or other. I am not a fan of throwing lots of artifical additives at a piggy but when you get to longer running sagas they do have their place.
You may also want to help the gut with a little probiotics sprinkled over their veg to bolster the impact of the baytril on the digestive gut bacteria for all piggies.
Probiotics, Recovery Foods And Vitamin C: Overview With Product Links

 

[ceciliaxdee]

Hello! All the pigs got their final Malaseb bathing (except Custard who has lymphoma and so vet said don’t stress her out). Glad to report that the fungal has resolved and 2 weeks later we seem ok still. Some of the piggies have some signs of dry skin on the ears but vet has looked at and seems just to be part of the healing process! What a journey!

 

[piggieminder]

I am pleased to hear this, what a time you have had with it all.

 

[VickiA]

Oh what a relief for you. Glad to hear things are finally over the worst.

 

[ceciliaxdee]

Unfortunately almost a year on and Evie has ringworm/fungal again on her ears! She started the Itrafungol/sporonox today and my other 5 aren’t showing any symptoms. Given they all had extensive treatment with the oral med last year, I’m wondering do I need to seperate or treat the others again if they’re not showing any symptoms?
Vet only told me to actively treat Evie and I’m not too keen on separating her (also it has been a while already so not sure if all cage mates would already be exposed). She showed minor symptoms 2 weeks ago but I had been doing spot on treatment with Malaseb on her ears as it wasn’t too bad.

 

[Wiebke]

Unfortunately almost a year on and Evie has ringworm/fungal again on her ears! She started the Itrafungol/sporonox today and my other 5 aren’t showing any symptoms. Given they all had extensive treatment with the oral med last year, I’m wondering do I need to seperate or treat the others again if they’re not showing any symptoms?
Vet only told me to actively treat Evie and I’m not too keen on separating her (also it has been a while already so not sure if all cage mates would already be exposed). She showed minor symptoms 2 weeks ago but I had been doing spot on treatment with Malaseb on her ears as it wasn’t too bad.

Hi

I am very sorry.

The time between infection and outbreak is 10-14 days with ringworm so yes, you need to treat any companions but about three days on the itraconazole (intrafungol/sporonox) should do the trick of preventing any outbreak for healthy companions if you step in right at the start unless the ringworm isn't stopped in its tracks within a week in the affected piggy - sometimes underlying issues can make ringworm treatment difficult if the immune system is not on your side; it is an important ally in fighting ringworm.
The three days 'circuit breaker' mini-course has done however done the trick a couple of times for healthy quarantine companions of my own. With any frailer/ill companions, you'd better separate and do a full itrafungol/itrconazole course for them as well as they are at much higher risk of coming down with a more serious case of ringworm.

You still need to deep clean the cage and furniture at the start and the end of the course and also the bath at the end of treatment for all piggies to ensure that no spores sitting loosely in the coat can be carried over. Any fabric in potential contact with ringworm spores needs to be hot washed throughout treatment (the piggies and yours) as well as good handwashing hygiene before and after any contact with guinea pigs or any of their stuff.

Ringworm is unfortunately a lot of hassle but these measures should keep it to the necessary minimum while maintaining full efficiency. The ears are unfortunately a rather difficult to treat place. Ringworm sits normally at the root of hairs and can be cleared out as these come out. This is not the case on hairless or only very lightly haired skin.

However, hygiene is key to prevent any further outbreaks and cannot be skimped on. You will still need to take care of all potential transmission angles to get on top of any potentially shed spores. Ringworm spores can stay live for over 2 years in my own experience. You have my sympathy. The various measures in our ringworm guide have been learned the hard way.

Here is our Ringworm Care and Hygiene guide: Ringworm: Hygiene, Care And Pictures

All the best. The quicker you step in, the less of a problem it should be.

 

[ceciliaxdee]

Hi

I am very sorry.

The time between infection and outbreak is 10-14 days with ringworm so yes, you need to treat any companions but about three days on the itraconazole (intrafungol/sporonox) should do the trick of preventing any outbreak for healthy companions if you step in right at the start unless the ringworm isn't stopped in its tracks within a week in the affected piggy - sometimes underlying issues can make ringworm treatment difficult if the immune system is not on your side; it is an important ally in fighting ringworm.
The three days 'circuit breaker' mini-course has done however done the trick a couple of times for healthy quarantine companions of my own. With any frailer/ill companions, you'd better separate and do a full itrafungol/itrconazole course for them as well as they are at much higher risk of coming down with a more serious case of ringworm.

You still need to deep clean the cage and furniture at the start and the end of the course and also the bath at the end of treatment for all piggies to ensure that no spores sitting loosely in the coat can be carried over. Any fabric in potential contact with ringworm spores needs to be hot washed throughout treatment (the piggies and yours) as well as good handwashing hygiene before and after any contact with guinea pigs or any of their stuff.

Ringworm is unfortunately a lot of hassle but these measures should keep it to the necessary minimum while maintaining full efficiency. The ears are unfortunately a rather difficult to treat place. Ringworm sits normally at the root of hairs and can be cleared out as these come out. This is not the case on hairless or only very lightly haired skin.

However, hygiene is key to prevent any further outbreaks and cannot be skimped on. You will still need to take care of all potential transmission angles to get on top of any potentially shed spores. Ringworm spores can stay live for over 2 years in my own experience. You have my sympathy. The various measures in our ringworm guide have been learned the hard way.

Here is our Ringworm Care and Hygiene guide: Ringworm: Hygiene, Care And Pictures

All the best. The quicker you step in, the less of a problem it should be.

Thanks for your reply! I know I can’t believe it’s happening again but it’s not as severe as before and Evie was one of the ones struggling to get rid of it last time and is also dealing with a respiratory infection currently. I do have enough to do the 3 day course for all the healthy companions so will do that along with baths and deep clean this weekend. Evie is also getting spot cleans of her ears daily with diluted malaseb.

 

[Wiebke]

Thanks for your reply! I know I can’t believe it’s happening again but it’s not as severe as before and Evie was one of the ones struggling to get rid of it last time and is also dealing with a respiratory infection currently. I do have enough to do the 3 day course for all the healthy companions so will do that along with baths and deep clean this weekend. Evie is also getting spot cleans of her ears daily with diluted malaseb.

Ringworm is one of the opportunistic illnesses that can make a comeback if there is a spore hanging around somewhere... All it takes is just one spore sitting somewhere in the skin.

If you step in promptly, you should get over it pretty easily and quickly. It won't be quite the battle like the last time. Consider whether you want to give Evie a 3 weeks vitamin C booster for her immune system. Don't be tempted to supplement for the long term since the body accustoms to the higher levels and will react with scurvy symptoms as soon as they drop (even if they are still above normal levels) but a short term booster may be something that you and your vet could consider.
Probiotics Live Gut Microbiome Transfer ('Poo Soup'); Recovery Formula Foods And Vitamin C: Overview With Product Links and Transfer Recipe

All the best.

 

[ceciliaxdee]

Ringworm is one of the opportunistic illnesses that can make a comeback if there is a spore hanging around somewhere... All it takes is just one spore sitting somewhere in the skin.

If you step in promptly, you should get over it pretty easily and quickly. It won't be quite the battle like the last time. Consider whether you want to give Evie a 3 weeks vitamin C booster for her immune system. Don't be tempted to supplement for the long term since the body accustoms to the higher levels and will react with scurvy symptoms as soon as they drop (even if they are still above normal levels) but a short term booster may be something that you and your vet could consider.
Probiotics Live Gut Microbiome Transfer ('Poo Soup'); Recovery Formula Foods And Vitamin C: Overview With Product Links and Transfer Recipe

All the best.

Fingers crossed that a week of treatment for Evie gets on top of it since I've caught it earlier before it established in the herd! And yes Evie is on a booster vitamin c while she’s unwell.
Should I bath this weekend after all have had their mini course treatment and while Evie is still on her 1 week or at the end once Evie has finished her 1 week? Or both? Piggies hating baths so not looking forward to that part again!

 

[Wiebke]

Fingers crossed that a week of treatment for Evie gets on top of it since I've caught it earlier before it established in the herd! And yes Evie is on a booster vitamin c while she’s unwell.
Should I bath this weekend after all have had their mini course treatment and while Evie is still on her 1 week or at the end once Evie has finished her 1 week? Or both? Piggies hating baths so not looking forward to that part again!

You can get away with just one sign-off bath to make sure that there are no spores hanging around at the end of treatment if it is a mild outbreak that you can catch right at the start before it can seriously spread and shed spores in their thousands.
The one blind spot of any oral treatment is that it cannot catch any shed spores that guinea pigs pick up from the ground while sleeping and scent marking. Baths are not fun but you cannot do without them completely.

You will however have to monitor Evie closely - if the ringworm is still active on her after one week, you will have to continue with treatment and better do 2 rounds of full body malaseb dips to ensure that the companions don't pick anything up. If in doubt - it is really better to be safe than sorry with ringworm. It is the one health issue where throwing the kitchen sink at it is worth it.

 

[ceciliaxdee]

You can get away with just one sign-off bath to make sure that there are no spores hanging around at the end of treatment if it is a mild outbreak that you can catch right at the start before it can seriously spread and shed spores in their thousands.
The one blind spot of any oral treatment is that it cannot catch any shed spores that guinea pigs pick up from the ground while sleeping and scent marking. Baths are not fun but you cannot do without them completely.

You will however have to monitor Evie closely - if the ringworm is still active on her after one week, you will have to continue with treatment and better do 2 rounds of full body malaseb dips to ensure that the companions don't pick anything up. If in doubt - it is really better to be safe than sorry with ringworm. It is the one health issue where throwing the kitchen sink at it is worth it.

I’ve added in canestan topical treatment too daily for Evie since it’s on her ears to try and get on top of it along with the oral meds! I’ll bath everyone this weekend and then fingers crossed she’s looking good in a week.