Could it be anything but ICK?

I removed all of my fish from my display tanks after a ICK outbreak, put them in a quarantine, and treated everybody with Cupramine at the .5ppm level for the recommended two weeks. Now several weeks later (everybody is still in quarantine), I am seeing small white dots on my melanurus wrasse's pectoral fins.

Can it be anything but ICK? Do I need to treat with Cupramine again? The surviving fish did not appreciate the Cupramine treatment... most had lethargic appetites during treatment.

Any help is greatly appreciated.
 
Two weeks is typically not long enough to eradicate cryptocaryon. You need to treat for 4 weeks to ensure all parasites have completed their life cycles and are killed by the copper treatment.
 
I wish the instructions had mentioned that...

Thanks, I guess I will have to restart the treatment then. Hopefully my poor fish survive it... :(
 
I wish the instructions had mentioned that...

Thanks, I guess I will have to restart the treatment then. Hopefully my poor fish survive it... :(

I know, it's frustrating. The 0.5mg/l dose they recommend is too high and too aggressive, IME. Try dosing at 0.35-0.40 and keep it there for the 4 week period. I also ramp up the dose slowly over 5-7 days to give the fish time to acclimate better.
 
I know, it's frustrating. The 0.5mg/l dose they recommend is too high and too aggressive, IME. Try dosing at 0.35-0.40 and keep it there for the 4 week period. I also ramp up the dose slowly over 5-7 days to give the fish time to acclimate better.

This is vital; IMO & IME.
 
Thanks for the all of the feedback. I have re-started treatment as of a few of days ago getting up to the .4mg/l level. I will continue treatment for 30 days.

Please keep your fingers crossed for my fish!
 
+1 to the above comments; cupramine is a good drug, but the instructions are poor, IMO.

I think we need a sticky on proper cupramine dosage/usage. Hopefully would prevent problems like this...
 
Friday is 30 days, but there is definitely still something on the pectoral fins of the melanurus wrasse. Apart from one additional loss, everyone else looks great.

It is hard to describe but looks like a bit of opaqueness with small whitish spots.

He moves too fast for me to get a picture to show you, but IMO it does not look like ick. What else could it be that would not be cleared up by copper? He also has been acting strange, like picking fights with every one (goby, hamlet, clownfish pair) and swimming not quite right. Everyone is in a 57g.

What should I do? Any help is greatly appreciated!
 
I know, it's frustrating. The 0.5mg/l dose they recommend is too high and too aggressive, IME. Try dosing at 0.35-0.40 and keep it there for the 4 week period. I also ramp up the dose slowly over 5-7 days to give the fish time to acclimate better.

Correct.
 
+1 to the above comments; cupramine is a good drug, but the instructions are poor, IMO.

I think we need a sticky on proper cupramine dosage/usage. Hopefully would prevent problems like this...

We are revising the stickies in several ways and they should be available in one week or less. However, at this point we did not do one for copper because different brands are done in similar but different ways. The instructions above are excellent for that brand of copper.
 
Friday is 30 days, but there is definitely still something on the pectoral fins of the melanurus wrasse. Apart from one additional loss, everyone else looks great.

It is hard to describe but looks like a bit of opaqueness with small whitish spots.

He moves too fast for me to get a picture to show you, but IMO it does not look like ick. What else could it be that would not be cleared up by copper? He also has been acting strange, like picking fights with every one (goby, hamlet, clownfish pair) and swimming not quite right. Everyone is in a 57g.

What should I do? Any help is greatly appreciated!

Does this look like lymphocystis?
 
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