Re: Which meds to use?
Thank you for your post caroltan. I am sorry to hear about your loss and that your cichlids are not doing well.
ParaGuard, KanaPlex, and Sulfathiazole are all excellent for treating fungal and bacterial infections. However, if all are used at the same time, this can create a stressful situation for any fish. Since the fish are already stressed due to infection, adding all three medications will increase stress further and potentially prolong treatment. The infected fish will respond much better to treatment if one medication is selected.
I would use KanaPlex by itself. KanaPlex works best when it is added to the water instead of using it within a food mix, since the medication is easily absorbed by the fish.
Does the hospital tank have a filter running? Be sure to remove any chemical filtration, such as carbon, during the medication process. Any chemical filtration does have the potential to remove the medication. I would also monitor ammonia, nitrite, and nitrate levels. If these begin to increase, or are already elevated, then I do suggest performing a water change during the treatment process. Since KanaPlex dissipates from the system within 3 days, you can perform a water change 3 days after the last dose without worry of removing any effective medication.
Please let us know if we can help further.