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OK, seriously though, the rest of the post will be in plain English 😉
I’ve discussed the problems facing the “Morse Code” Maroon with Christine Williams and Boomer. Both often make a reference of Edward Noga. As you know, I’ve been treating the Morse Code’s mouth rot with Kanamycin. From Christine, the dosage of Kanamycin for fish is “50-100 mg/liter every 3 days for 3 treatments with a 50% WC before each”.
As you know, I’m using Kanamycin powder from National Fish Pharmacy (www.fishyfarmacy.com). Both Christine and Boomer have suggested that the dosage on Kanamycin may be “low” compared to that recommended by Noga. So I sat and “did the math”.
I’m using their consumer packaged Kanamycin, which is called “Kana Pro”. From their website, the dosage is 1/4 teaspon per 20 gallons of water. Treat every 24 hours with a 25% water change before each treatment. Treat for 10 days. For tuberculosis, use for up to 30 days.
The entire package of Kana Pro is 20 grams, and treats 640 gallons at their dosage rate. Per their dosage, that works out to 1 gram (1000 mg) treating 32 gallons of water (121 Liters). This works out to roughly 8.25 mg per L per day. If I went to dosing every third day at that level, it amounts to roughly 25 mg per L. This is basically half of Noga’s minimum dosage. Of course, I simply also need to mention that other experts give dosages lower than Noga, i.e. more in the range of 20 mg/L to 50 mg/L according to the sources that Boomer cited, but Boomer was quick to add that often times, the dosage for a medication in saltwater can be as much as twice that in freshwater. That could easily account for a disparity between Noga and the other references, specifically if Noga is talking marine and the others were talking fresh!
So far, at best I was only at the absolute bare minimum therapeutic level for Kanamycin based on the dosage. But then things took another bizzare turn. Boomer noticed it, credit where credit is due. National Fish Pharmacy sells both Kana-Pro (hobbyist packaged product) and bulk Kanamycin Sulfate powder. 20 Grams of Kana Pro sells for $14. 25 grams of bulk Kanamycin Sulfate sells for $35. The net result – Kana Pro sells for about 50% of what the bulk product sells for. WHY?! Even more curious, the package of Kana Pro says right on it “Pure kanamycin sulfate powder – no inert ingredients added”.
While I have not found the time to contact National Fish Pharmacy to ask about this very peculiar discrepency, it is certainly suggestive that the hobbyist-packaged Kana Pro cannot be the same thing as the Kanamycin Sulfate that our published experts are referring to when they talk about dosages. At best, it may be that the bulk Kanamycin Sulfate is a higher GRADE and thus more expensive. At worst, the Kana Pro could very well be a diluted form, perhaps mandated as such by the FDA for “home use” (this is purported to be a FDA-Approved product). In the worse case scenario, could it be that the “Kana Pro” is diluted by 50% or more (would clearly justify costing half as much!)? The real implication, when you follow it through, is that if Kana Pro is 50% or less of the active ingredient, then the labeled dosage might not be just “half” of Noga’s minimum dosage, but 25% or lower of the minimum suggested dosage by Noga.
And we wonder why medicating fish is a “complicated” issue! Well, after 3 doses following the instructions, I had seen no results. Once Christine, Boomer and I had these conversations, I took it upon myself to immediately DOUBLE the volume of dosage of Kana Pro I was using. Based on all the information I had at hand, it seemed to be a safe and likely necessary step.
On Tuesday, I took another step – I swabbed the fish. The plan was to send a sample to Christine for culturing / identification. Obviously, if I we can figure out what exactly is going on, we have a better chance to treat it. If nothing else, we may be able to put a real label on these photos and say “here’s a known case of X infecting a Maroon Clownfish”. Of course, I missed the post office, so the package went out Wed and should arrive Friday. Obviously, answers will not be immediate.
It is now Thursday night, and for the past 3 nights I’ve been using the doubled dose of Kana Pro. The verdict? Let the pictures tell you:
It is pretty clear to me that Kanamycin, even at the doubled dosage, is having NO affect on this infection. My plan now has been to abandon this (as I’ve used almost an entire package with no results now). Around 8:00 PM I placed a large back of fresh carbon in the filter. I’ll followup with a larger partial water change as well, and probably by midnight, I’ll be using a different medication. Looking at what I have on hand, and what has more often succeeded than failed, it will probably be Maracyn SW (Erythromycin). I believe I also have Maracyn Two SW (Monocycline) running around. I believe I can even tag-team these two medications by using them together, hitting both gram-positive and gram-negative bacteria respectively. Given that Kanamycin treats gram-negative bacteria primarily, the use of Monocycline with Erythromycin may be unnecessary, but at this point, what’s a guy to do?
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