Demodex mites are microscopic parasites that commonly reside on the skin of most dogs. While usually harmless, an overgrowth of these tiny inhabitants can lead to a skin condition known as demodectic mange, or red mange. If your dog is experiencing unexplained hair loss, skin irritation, or other dermatological issues, understanding demodex mites and how to get rid of them is crucial for their well-being. This comprehensive guide will delve into what demodex is, its symptoms, causes, diagnosis, effective treatments, and how to prevent future flare-ups, ensuring your beloved canine companion remains healthy and comfortable.
Understanding Demodectic Mange: What Are Demodex Mites?
Demodectic mange is a parasitic skin infection caused by several types of mites, primarily Demodex canis, but also Demodex injai and Demodex cornei. Under a microscope, these mites are distinctively cigar-shaped with eight short legs. They are a normal part of a dog’s skin flora, living within the hair follicles and sebaceous glands. In healthy dogs with robust immune systems, these mites exist in low numbers without causing any problems.
The issue arises when a dog’s immune system is compromised or immature, allowing these mites to multiply unchecked. This overgrowth leads to the development of clinical signs, most notably hair loss (alopecia) and red, scaly skin lesions. It’s important to note that demodectic mange is not contagious between healthy dogs. A dog needs a suppressed immune system to develop the condition, and normal exposure to mites from an affected dog does not typically pose a risk. Furthermore, demodectic mange cannot spread from dogs to humans, making it a species-specific concern.
For a broader approach to protecting your pet from various parasites, consider exploring options for best flea and worm treatment for dogs.
Recognizing Symptoms of Demodex Mites in Dogs
The clinical signs of demodectic mange can vary in severity and presentation, depending on whether the infection is localized to a small area or generalized across the body. Recognizing these symptoms early is key to understanding how to get rid of demodex mites in dogs effectively.
Common symptoms include:
- Alopecia (Hair Loss): This is often the most noticeable sign, appearing as patches of thinning hair or complete baldness.
- Skin Scaling: Flaky skin is common in affected areas.
- Papules: Small, red bumps may appear on the skin.
- Pigmentation of the Skin: The skin in affected areas may darken over time.
- Thickening of the Skin: Chronic cases can lead to thickened, leathery skin.
- Itchiness (Pruritus): The level of itchiness can vary greatly. It is often more pronounced if secondary bacterial or yeast infections develop, or if the lesions are widespread.
In puppies, lesions frequently begin around the face and head, often due to direct contact with the mother during nursing. However, lesions can emerge anywhere on the body. More severe, generalized cases of demodectic mange can present with additional systemic signs such as pain, lethargy, fever, draining skin wounds, and generalized skin swelling. Ear infections are also a possible complication if the mites invade the ear canals.
 Illustration of Demodex mites in a dog's hair follicle, showing how demodectic mange impacts canine skin
Illustration of Demodex mites in a dog's hair follicle, showing how demodectic mange impacts canine skin
Understanding the Causes of Demodex Mite Overgrowth
While demodex mites are a natural inhabitant of canine skin, mange occurs when these mites proliferate excessively within the hair follicles. The primary underlying cause for this overgrowth is almost always a compromised immune system.
Puppies are particularly susceptible because their immune systems are still developing and are not yet fully functional. This is why demodex is often transmitted from a mother dog to her puppies during nursing. In older dogs, underlying illnesses, stress, malnutrition, or certain medications (like corticosteroids) can suppress the immune system, leading to adult-onset demodectic mange. Some breeds also have a genetic predisposition to developing generalized demodectic mange, suggesting a hereditary component to immune system dysfunction in affected lines. In essence, while the mites are present on all dogs, it’s the host’s inability to keep them in check that leads to the clinical disease.
Diagnosing Demodex Mites in Dogs: What to Expect
Accurate diagnosis is the first critical step in understanding how to get rid of demodex mites in dogs. Veterinarians typically rely on a few common diagnostic methods:
- Skin Scraping and Hair Plucking: This is the most common and non-invasive diagnostic test. A small amount of skin is gently scraped with a dull scalpel blade, often deep enough to cause mild irritation or superficial bleeding, as demodex mites live deep within the hair follicles. Alternatively, hairs from affected areas may be plucked. The collected sample is then examined under a microscope. The presence of even a few demodex mites is considered a positive result, as they are rarely found in significant numbers on healthy skin.
- Fecal Flotation/Testing: In some cases, mites can be found during fecal examinations. This happens because dogs may ingest mites while licking or chewing their irritated skin.
- Polymerase Chain Reaction (PCR) Testing: While available, PCR testing is less commonly used for routine diagnosis. It can sometimes yield false negative results and is often unnecessary when traditional methods provide a clear diagnosis.
- Skin Biopsy: In more severe, generalized cases where initial treatments are ineffective, or if the diagnosis remains unclear after less invasive tests, a skin biopsy may be recommended. This involves taking a small tissue sample for histopathological examination.
Effective Demodex Mites Treatment in Dogs
Once demodectic mange is diagnosed, your veterinarian will discuss the most appropriate treatment plan. The approach depends on the severity (localized vs. generalized) and presence of secondary infections. The goal is not just to reduce mite numbers but to identify and address any underlying immune system issues, offering the best chance to get rid of demodex mites in dogs.
When is Treatment Necessary?
Not all cases of demodectic mange require aggressive treatment.
- Localized Demodectic Mange: Mild, localized infections, often seen in puppies, may resolve spontaneously within 1-2 months without any specific medication. In other localized cases, topical medications such as moxidectin and imidacloprid may be prescribed.
- Generalized Demodectic Mange: If the infection is widespread or rapidly progressing, medication is strongly recommended to achieve resolution of symptoms and prevent further complications.
Veterinary Prescribed Medications
Mitici dal therapy is the cornerstone of treating generalized demodectic mange. These medications specifically target and kill the mites:
- Oral Miticidal Therapy: Several highly effective oral medications are now widely used. These include isoxazolines such as fluralaner (Bravecto), afoxolaner (Nexgard), sarolaner (Simparica), and lotilaner (Credelio). Older oral medications like ivermectin and milbemycin may also be used, but with caution.- Important Note: Dogs with the MDR1 gene mutation (common in breeds like Collies, Shelties, Australian Shepherds, and certain other herding breeds) should never receive ivermectin, as it can be toxic. Genetic testing can determine if a dog carries this mutation.
 
- Topical Miticidal Therapy: In some cases, especially localized ones, topical treatments are applied directly to the affected skin. Amitraz dips were once common but are now less frequently used due to potential side effects and the availability of safer, more effective oral options.
Miticidal therapy typically continues until at least two consecutive negative skin scraping or hair plucking tests are obtained, usually performed at monthly intervals. It is crucial to follow your veterinarian’s instructions precisely, as stopping treatment prematurely can lead to relapse. Regular use of top-rated worm, flea, and tick prevention can help manage other parasites that might compromise a dog’s health and indirectly affect their immune response.
Supportive Therapies and Management
- Specialized Shampoos: Shampoos containing benzoyl peroxide are often recommended. These shampoos help to open and flush the hair follicles, allowing topical and other treatments to penetrate more efficiently.
- Treating Secondary Skin Infections: The inflammation and damage caused by demodex mites can lead to secondary bacterial or yeast infections. These infections often require concurrent antibiotic or antifungal therapy, and sometimes it’s necessary to treat the secondary infection before the demodex mange can fully resolve.
- Addressing Underlying Illnesses: For adult-onset generalized demodectic mange, identifying and managing any underlying systemic illness that may be suppressing the immune system is vital for long-term recovery.
- Nutrition: Ensuring your dog receives a balanced, high-quality diet can support overall immune health.
Discussing all available options and their risks and benefits with your veterinarian is essential before starting any medication. An all-in-one parasite prevention plan can also contribute to overall health, indirectly supporting the immune system.
Recovery and Prevention Strategies for Demodex Mites
With appropriate and consistent therapy, most dogs with demodectic mange recover well. However, the timeline for recovery can vary, often taking several weeks to months. Dogs that require chronic treatment often have persistent secondary infections or undiagnosed underlying systemic illnesses that complicate recovery. In rare cases, especially with inappropriate therapy or poorly managed underlying conditions, severe generalized demodex can be fatal.
To prevent recurrence and promote overall health:
- Complete the Treatment Course: It is paramount to continue miticidal therapy until your veterinarian confirms two consecutive negative skin scrapings. Stopping early is a common reason for relapse.
- Address Genetic Predisposition: For dogs diagnosed with generalized demodectic mange, particularly if it’s recurrent or severe, it is strongly recommended to refrain from breeding them. This is because the disease is believed to have an underlying genetic component or immune system cause that contributes to the mite overgrowth, which could be passed to offspring.
- Environmental Cleaning: Unlike other types of mites, demodex mites are not typically transmitted through the environment. Therefore, extensive environmental cleaning is generally not required to prevent demodectic mange.
- Year-Round Parasite Prevention: While demodex itself is not typically contagious between dogs, maintaining your dog on regular, broad-spectrum miticidal preventatives is a good practice. These medications protect against other types of mites, fleas, and ticks that can cause skin irritation or transmit diseases, thereby supporting your dog’s overall health and immune function. Always follow your veterinarian’s recommendations for year-round parasite control.
Frequently Asked Questions About Demodex Mites in Dogs
Is demodectic mange contagious to humans?
No, demodectic mange is not contagious to humans. The mites that cause this condition are species-specific and cannot live or reproduce on humans.
How long does it take for demodectic mange to go away?
The time it takes for demodectic mange to resolve varies significantly. Localized, mild cases may clear spontaneously within 1-2 months. Generalized cases requiring medication can take several weeks to many months, depending on the individual dog’s response to treatment, the severity of the infection, and whether there are any secondary infections or underlying illnesses.
Does mange go away on its own?
Only mild, localized forms of demodectic mange, particularly in puppies, may resolve on their own without specific treatment. This spontaneous resolution typically occurs within 1-2 months. Generalized demodectic mange, however, usually requires veterinary intervention and medication to resolve.
How long is a dog contagious with demodectic mange?
Dogs with demodectic mange are not contagious to other dogs, pets, or humans. The condition arises from an individual dog’s compromised immune system allowing normal resident mites to overpopulate, rather than from transmission of mites between healthy individuals.
Remember, early diagnosis and consistent treatment under veterinary guidance are crucial steps to successfully get rid of demodex mites in dogs and ensure your pet’s long-term health and comfort. If you suspect your dog has demodectic mange, consult your veterinarian promptly.

