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Quarantine & Disease Prevention

A quarantine tank is the single most important piece of equipment you can own after your display tank. It costs under $100 to set up and can save you from losing every fish you have. This guide covers setup, disease identification, treatment protocols, and the medications every marine aquarist should stock.

11 sections7 diseases covered8 medications reviewed~25 min read

Why Quarantine?

Every experienced marine aquarist has the same answer when asked their biggest regret: "I didn't quarantine." Here is why skipping quarantine is the most expensive mistake in the hobby.

With Quarantine: ~$80–115
  • 10-gallon tank, sponge filter, heater, PVC hides
  • Copper Power + test kit for prophylactic treatment
  • Every new fish is treated for 30 days before entering display
  • Your display tank stays parasite-free indefinitely
  • Total investment: One-time $80–115 setup
Without Quarantine: $500–2,000+
  • One infected fish introduces ich or velvet to your display
  • Parasites spread to every fish in the tank within days
  • You cannot treat a display tank with copper (kills invertebrates & live rock bacteria)
  • You must remove ALL fish to QT and leave the display fallow (fishless) for 76+ days
  • Cost: fish deaths, emergency medications, 76 days without fish in your display
CRITICALThe 76-Day Fallow Period

Once marine ich (Cryptocaryon irritans) is in your display tank, the only way to eliminate it is to remove every single fish and leave the tank completely fishless for a minimum of 76 days at 76°F. The parasites' encysted tomont stage can survive without a fish host for up to 72 days. At lower temperatures, this period extends even longer. During fallow, your display tank sits there with corals and invertebrates but zero fish — for over two and a half months. There are no shortcuts. UV sterilizers, garlic, "reef-safe ich treatments" — none of them work. Fallow is the only proven method.

The bottom line: A $80 quarantine tank is the cheapest insurance policy in the marine aquarium hobby. It is not optional for serious fishkeepers. Every fish — no exceptions — should spend a minimum of 30 days in quarantine before entering your display tank.

Setting Up a Quarantine Tank

A quarantine tank is intentionally simple. Bare bottom, no live rock, no sand, no decoration that can absorb medications. It should be easy to sterilize between uses and easy to dose medications accurately.

ItemCostNotes
10-gallon glass aquarium$15Bare bottom — no sand, no live rock. A 20-gallon is better if you keep larger fish.
Sponge filter + air pump$15–25Pre-seed in your display sump for 2+ weeks before use. Sponge filters do NOT remove medications like carbon does.
Submersible heater (50W)$15Match your display tank temperature exactly. A stuck-on heater in 10 gallons can cook fish in hours — use a controller or check daily.
PVC pipe fittings (2–3 pieces)$5–10Hiding spots that are easy to bleach-sterilize between uses. Stressed fish that can hide recover faster.
Thermometer$5Digital sticker or floating glass. Check temperature daily.
Small powerhead or air stone$10–15Provides gentle water movement and surface agitation for gas exchange. Copper medications reduce dissolved oxygen.
Lid or egg crate cover$5–10Stressed new arrivals jump. A fitted lid is not optional — it is mandatory.
Copper test kit (if using copper)$10–15Hanna Checker or Seachem copper test kit. You MUST test copper levels daily — sub-therapeutic levels breed resistant parasites.
Total$80–115One-time investment that protects your entire display tank

Step-by-Step Setup

  1. 1
    Place the tank on a sturdy surface

    A closet, laundry room shelf, or garage workbench all work. The QT does not need to be visible — it just needs to be accessible for daily checks. Keep it away from windows to avoid temperature swings.

  2. 2
    Pre-seed the sponge filter

    Place the sponge filter in your display tank's sump or hang it in the display for at least 2 weeks before you need it. This colonizes the sponge with beneficial bacteria so the QT has instant biological filtration. Without pre-seeding, ammonia will spike and kill your fish before the disease does.

  3. 3
    Fill with display tank water

    When you're ready to quarantine a new arrival, fill the QT with water from your display tank (during a water change). This matches temperature, salinity, and pH exactly. Top off with fresh mixed saltwater as needed.

  4. 4
    Install heater and air pump

    Set the heater to match your display temperature (76–78 degrees F). Connect the air pump to the sponge filter. Ensure there is gentle surface agitation for gas exchange.

  5. 5
    Add PVC hiding spots

    Place 2–3 PVC elbow fittings or short pipe sections in the tank. Stressed fish need places to hide — a fish that feels exposed will refuse to eat and decline faster.

  6. 6
    Verify lid is secure

    Newly arrived fish are stressed and will jump. An egg crate lid, fitted glass top, or even plastic wrap with holes poked in it — anything that prevents a fish from jumping out.

  7. 7
    Run for 24 hours before adding fish

    Let the heater stabilize the temperature and the filter establish flow for 24 hours. Test ammonia to ensure it reads 0 before adding any fish.

Between uses: After each quarantine cycle, drain the tank, rinse with a dilute bleach solution (1 part bleach to 19 parts water), rinse thoroughly with freshwater, and let it air dry. The sponge filter goes back into your display sump to stay seeded. The QT does NOT run 24/7 — it only runs when you have fish in it.

Prophylactic vs Observation Quarantine

There are two schools of thought on how to quarantine new fish. Both are valid — the right choice depends on your risk tolerance, the species, and your experience with medications.

Prophylactic (Medicate Everything)

Treat every new fish with copper (2.0 ppm) for 30 days + PraziPro for flukes, regardless of whether they show symptoms. This is the approach used by professional aquarium services and recommended by researchers like Dr. Matt Wittenrich and Humblefish.

Pros
  • Eliminates parasites before they reach your display tank
  • Every fish gets treated regardless of visible symptoms
  • Shorter total QT time (30 days of medication vs 30+ days observation)
  • Peace of mind — if you medicate properly, your display stays parasite-free
Cons
  • Medications stress fish, especially fragile species (wrasses, anthias, dragonets)
  • Copper kills invertebrates — cannot be used on shrimp, snails, or corals
  • Requires daily copper testing and precise dosing
  • Some fish (scaleless species, mandarins) are copper-sensitive

Observation (Watch and Wait)

Hold new fish in the QT for 30+ days with clean water, good food, and daily observation. Only medicate if symptoms appear. This approach is gentler on fish but carries more risk of missing subclinical infections.

Pros
  • No medication stress on healthy fish
  • Safe for copper-sensitive species and invertebrates
  • Simpler setup — just clean water and observation
  • Less equipment needed (no copper test kit)
Cons
  • Parasites can be present without visible symptoms for weeks
  • If disease appears late in the observation period, you restart the clock
  • Ich tomonts can survive 72+ days in some conditions — 30-day observation may not catch everything
  • You may transfer a seemingly healthy fish that is carrying low-level parasites

Our recommendation: Use prophylactic copper + PraziPro for all standard fish (clownfish, tangs, angels, wrasses, damsels, gobies, blennies). Use observation-only QT for copper-sensitive species like mandarins, dragonets, pipefish, and seahorses. When in doubt, medicate — the risk of introducing ich or velvet to a $2,000+ display tank far outweighs the stress of 30 days of copper on a hardy fish.

Marine Ich (Cryptocaryon irritans)

MODERATE URGENCYTreatable if caught early. Fatal if ignored.

Marine ich is the most common disease in saltwater aquariums and the #1 reason quarantine exists. It is caused by the protozoan parasite Cryptocaryon irritans — not to be confused with freshwater ich (Ichthyophthirius), which is a completely different organism. Marine ich is harder to treat, has a longer life cycle, and is virtually impossible to eradicate from a display tank without going fallow.

Symptoms

  • White spots — Small, salt-grain-sized white dots on the body, fins, and gills. Often compared to grains of salt sprinkled on the fish. Unlike freshwater ich spots, marine ich spots are smaller and more irregular.
  • Flashing / scratching — Fish rubs against rocks, sand, or equipment to try to dislodge the parasites. You may see this before visible spots appear.
  • Rapid gill movement — Parasites infest the gills, making breathing difficult. If a fish is breathing rapidly at the surface, check for ich immediately.
  • Appetite loss and lethargy — As the parasite load increases, fish stop eating and become listless.
  • Spots disappear and reappear — This is the hallmark of ich. Spots vanish as trophonts drop off, then reappear days later as new theronts attack. Hobbyists often think the fish "recovered" when spots disappear — it has not. The parasites are multiplying on the substrate.

Life Cycle (Why It Is So Hard to Eradicate)

Understanding the four-stage life cycle is essential because medication only works during ONE stage. The other three stages are protected.

On the fish · 3–7 days
Trophont

The visible white spot. The parasite feeds on the fish's skin and gill tissue. It is protected from medication during this stage by the fish's own tissue reaction encapsulating it.

Falls off fish · Hours
Protomont

The mature parasite drops off the fish and sinks to the substrate. It is briefly vulnerable here but quickly encysts.

Substrate / surfaces · 3–72 days
Tomont (Cyst)

The encysted stage. Each cyst divides into 200+ daughter cells (theronts). This stage is IMPERVIOUS to all medications. This is why treatment must continue for 30+ days — you must wait for every last cyst to hatch.

Free-swimming · 24–48 hours
Theront

Newly hatched parasites swim through the water seeking a host. THIS is the only stage vulnerable to copper. If they do not find a host within 24–48 hours, they die.

Treatment Protocol

Medication: Copper Power (ionic copper) at a therapeutic level of 2.0 ppm. This is non-negotiable — sub-therapeutic levels (below 1.5 ppm) do not kill the free-swimming theronts and instead breed copper-resistant parasites.

Duration: Minimum 30 days at a constant 2.0 ppm. The 30-day window ensures that every single tomont cyst has hatched and the resulting theronts have been killed by the copper before they can reinfect the fish. Some aquarists extend this to 45 days for extra safety.

Testing: Test copper level every single day using a Hanna Checker HI702 or Seachem copper test kit. Copper is absorbed by silicone seams and organic waste, so levels drift downward. You will need to re-dose small amounts daily to maintain 2.0 ppm.

After treatment: Run activated carbon in the QT filter for 48 hours to remove copper residue. Then observe the fish for 1 additional week in clean water before transferring to the display.

WARNING

"Reef-safe ich treatments" do not work. Products marketed as reef-safe ich cures (garlic extract, herbal remedies, pepper-based solutions, UV sterilizers) are not proven to kill Cryptocaryon at any life stage. The only scientifically validated treatments are copper and chloroquine phosphate, neither of which is reef-safe. If your display tank has ich, the only option is to remove all fish to quarantine and let the display go fallow for 76+ days.

Marine Velvet (Amyloodinium ocellatum)

EMERGENCYKills within 24–48 hours. Immediate action required.

Marine velvet is the deadliest common disease in the saltwater aquarium hobby. It kills faster than ich, is harder to detect in early stages, and can wipe out an entire tank of fish overnight. If ich is a house fire, velvet is a bomb.

If You Suspect Velvet — Act NOW

  1. 1. Move ALL fish to quarantine immediately. Every fish in the tank is infected or will be within hours.
  2. 2. Begin copper treatment at 2.0 ppm OR chloroquine phosphate at 40 mg/L immediately.
  3. 3. Darken the QT (if using CP). Turn off lights and cover the tank. CP degrades in light.
  4. 4. Add heavy aeration. Velvet attacks the gills first — the fish is suffocating. Maximum oxygen is critical.
  5. 5. Display tank must go fallow for 6 weeks minimum (velvet tomonts have a shorter life span than ich).

Symptoms

  • Fine golden or gray dust — Unlike the distinct white dots of ich, velvet creates a fine, powdery coating that gives the fish a "velvet" or "gold dust" appearance. It is best seen by shining a flashlight on the fish at an angle in a dark room.
  • Rapid, labored breathing — The first symptom and often the only one before death. Velvet attacks the gills before the body. The fish gasps at the surface or breathes abnormally fast. By the time you see the dust coating, the gills are already severely compromised.
  • Clamped fins — Fins held tight against the body. The fish looks "pinched."
  • Scratching on surfaces — Similar to ich, but more frantic and desperate.
  • Sudden death — Fish that appeared healthy the evening before are found dead the next morning. If multiple fish die overnight, velvet is the likely cause until proven otherwise.

Ich vs Velvet: How to Tell Them Apart

FeatureMarine IchMarine Velvet
AppearanceDistinct white "salt grain" spotsFine golden/gray dust, powdery coating
Spot sizeVisible individual dots (~0.5mm)Much smaller, need flashlight to see
Speed of onsetDevelops over days to weeksCan kill in 24–48 hours
Primary targetBody and fins first, then gillsGills first (breathing issues before visible spots)
Mortality rateModerate (treatable if caught early)Very high (often 90%+ without immediate treatment)
Fallow period76+ days6 weeks (shorter tomont survival)

Treatment Protocol

Primary: Copper Power at 2.0 ppm therapeutic level for 30 days. The same copper protocol as ich works for velvet — but speed matters more. Start treatment within hours, not days.

Alternative: Chloroquine phosphate (CP) at 40 mg/L in a darkened tank. CP is equally effective against velvet and is less stressful on fish than copper. Many experienced aquarists prefer CP specifically for velvet because it hits both the free-swimming and trophont stages.

Freshwater dip (emergency first aid): While preparing the QT, a pH-matched and temperature-matched freshwater dip (5–10 minutes) can knock off some external parasites and buy time. This is NOT a cure — it is emergency triage only.

Brooklynella hostilis (Clownfish Disease)

EMERGENCYExtremely aggressive. Can kill clownfish within 24 hours of symptom onset.

Brooklynella is a ciliate protozoan parasite that primarily affects clownfish (Amphiprion species) but can infect any marine fish. It is often called "clownfish disease" because clownfish are disproportionately vulnerable, and it is extremely common in wild-caught clownfish. Captive-bred clownfish from reputable breeders rarely carry it, which is one of many reasons to buy captive-bred.

Symptoms

  • Thick white/gray slime — The hallmark symptom. The fish produces an excessive mucus coating, especially on the body and gills. The slime is heavier and thicker than the thin coating seen with ich or velvet. It may peel off in sheets.
  • Respiratory distress — Rapid, heavy breathing as parasites clog the gills. Similar to velvet, gill involvement is early and severe.
  • Skin lesions — Raw, reddened patches where the mucus has sloughed off, exposing damaged skin underneath.
  • Lethargy and appetite loss — The fish becomes listless, often lying on the bottom or wedging itself into a corner. Stops eating entirely.
  • Rapid progression — A clownfish can go from showing first symptoms to dead in 12–24 hours. This disease does not give you time to "wait and see."

Treatment Protocol

Formalin bath (primary treatment): A formalin dip at 1 mL per gallon of tank water for 45–60 minutes with heavy aeration is the most effective treatment. Watch the fish constantly during the dip — if it rolls on its side, shows extreme distress, or stops gill movement, remove it immediately.

Freshwater dips (adjunct): pH-matched, temperature-matched freshwater dips for 5–10 minutes daily can provide relief between formalin baths. The osmotic shock of fresh water dislodges some of the parasites from the gills and skin.

Protocol: Formalin bath on Day 1, then daily freshwater dips for 5–7 days. Some aquarists do formalin baths every other day for 3 treatments total. Keep the fish in clean QT water between treatments with daily water changes.

Copper does NOT work: Unlike ich and velvet, Brooklynella does not respond well to copper treatment. Formalin is the drug of choice. Do not waste time with copper if you suspect Brooklynella — the fish will die before copper achieves any effect.

Prevention: Buy captive-bred clownfish from reputable breeders (ORA, Sea & Reef, Sustainable Aquatics). Captive-bred clownfish are raised in parasite-free facilities and almost never carry Brooklynella. Wild-caught clownfish from wholesalers are the primary source of this disease in the hobby.

Flukes & Internal Parasites

MODERATE URGENCYNot immediately life-threatening, but chronic and debilitating if untreated.

Flukes (monogenean trematodes) and internal parasites are incredibly common in wild-caught marine fish. Almost every fish arriving from a wholesaler carries some level of fluke infestation. The good news: they are easy to treat with PraziPro, which is one of the safest medications available.

Gill & Skin Flukes

Symptoms
  • Scratching / flashing against rocks and substrate
  • Rapid breathing (gill flukes reduce oxygen absorption)
  • Excessive mucus production on body and gills
  • Faded coloration and lethargy
  • No visible spots — unlike ich, flukes are microscopic
Treatment

PraziPro at 1 tsp per 20 gallons. A single dose kills most adult flukes. For complete eradication (including eggs that are resistant to the first dose): dose PraziPro, wait 5–7 days, perform a 25% water change, then re-dose. This "double tap" ensures any flukes hatching from eggs after the first dose are killed.

Internal Parasites

Symptoms
  • White, stringy feces (a classic sign of internal parasites)
  • Sunken belly despite eating (the parasites consume the nutrition)
  • Weight loss over weeks, even with regular feeding
  • Spitting out food or reduced appetite
  • Sometimes bloating or abdominal distension
Treatment

MetroPlex + Focus mixed into food. 1 scoop MetroPlex + 1 scoop Focus per 1 tablespoon of food. Feed medicated food as the exclusive diet for 3 weeks. MetroPlex is most effective when ingested — dosing in the water column is far less effective for internal parasites because the fish needs to absorb it through its gut, not its skin.

Prophylactic tip: Many experienced aquarists include PraziPro as a standard part of every quarantine protocol alongside copper. Copper kills protozoan parasites (ich, velvet). PraziPro kills worm parasites (flukes, tapeworms). Together they cover the two major parasite groups. Dosing PraziPro alongside copper is safe — they do not interact.

Bacterial Infections

Bacterial infections in marine fish are almost always secondary — they occur because the fish's immune system was already compromised by stress, poor water quality, physical injury, or another disease. The bacteria (Vibrio, Aeromonas, Pseudomonas, Mycobacterium) are present in every aquarium. They only cause disease when the fish is weakened. The first step in treating any bacterial infection is identifying and correcting the underlying stressor.

Fin Rot

MODERATE
Symptoms

Ragged, dissolving, or disintegrating fin edges. May progress from translucent edges to bloody, receding fin tissue. In severe cases, fin rot reaches the body.

Causes

Poor water quality (high ammonia/nitrite), stress, aggression from tank mates causing fin damage that becomes infected, overcrowding.

Treatment

Mild cases: Improve water quality with large water changes. Severe cases: KanaPlex in food (with Focus) for 7–14 days. Extremely advanced cases may need a combination of KanaPlex + Furan-2.

Popeye (Exophthalmia)

MODERATE
Symptoms

One or both eyes bulge outward, sometimes dramatically. The eye may appear cloudy. Unilateral (one eye) popeye is usually injury; bilateral (both eyes) suggests systemic infection.

Causes

Unilateral: physical injury (hitting rock, aggression). Bilateral: bacterial infection, poor water quality, gas supersaturation.

Treatment

Unilateral: Clean water and Epsom salt baths (1 tbsp per gallon for 15 min). Bilateral: KanaPlex in food with Focus for 14 days + pristine water quality. Recovery is slow — the swelling takes 1–3 weeks to resolve even after the infection clears.

Body Ulcers / Open Sores

HIGH
Symptoms

Red, open wounds on the body. May have white fuzzy edges (secondary fungal infection). Fish may stop eating and become lethargic.

Causes

Bacterial infection from Vibrio or Aeromonas species, often secondary to a wound from aggression or sharp rock. Stress and poor water quality allow opportunistic bacteria to invade.

Treatment

Isolate immediately. KanaPlex in food with Focus. For severe ulcers, combine with Furan-2 in the water column. Maintain pristine water quality in QT. Recovery takes 2–4 weeks for tissue regeneration.

Septicemia (Blood Poisoning)

EMERGENCY
Symptoms

Red streaks in fins and body, bloody patches under the skin, lethargy, loss of appetite, rapid breathing. This is a systemic blood infection — the fish is critically ill.

Causes

Advanced bacterial infection that has entered the bloodstream. Often the progression of untreated fin rot, ulcers, or wounds.

Treatment

Aggressive antibiotic therapy: KanaPlex in food + Furan-2 in water column simultaneously. This is a last-resort combination. Prognosis is poor if the fish has stopped eating entirely.

Dropsy (Pinecone Disease)

EMERGENCY
Symptoms

Scales protrude outward like a pinecone when viewed from above. Severe abdominal swelling. Lethargy, loss of appetite.

Causes

Internal bacterial infection causing kidney failure and fluid retention. By the time scales are pineconing, organ damage is typically severe and irreversible.

Treatment

KanaPlex + MetroPlex in food with Focus. Epsom salt bath (1 tbsp per gallon) to reduce fluid retention. Honest prognosis: dropsy has an extremely low survival rate. If the fish is not eating, euthanasia should be considered.

WARNING

Antibiotics in the water column affect biological filtration. KanaPlex and other antibiotics do not distinguish between pathogenic bacteria and the beneficial nitrifying bacteria in your sponge filter. When dosing antibiotics in the water, monitor ammonia daily and be prepared to dose Seachem Prime and do extra water changes. This is another reason to use medicated food (with Focus) whenever possible — it delivers the antibiotic to the fish without nuking your biofilter.

The Tank Transfer Method (TTM)

The Tank Transfer Method is a medication-free approach to eliminating marine ich (Cryptocaryon irritans). It works by exploiting the parasite's life cycle: trophonts drop off the fish and encyst on surfaces. By transferring the fish to a new, sterile container every 72 hours, you leave the cysts behind. After 4 transfers, the fish has been separated from all parasites.

Why 72 Hours?

After a trophont drops off the fish, it encysts within hours. The encysted tomont begins dividing and produces theronts (free-swimmers) that hatch and seek a host within 24–48 hours. If no host is present, theronts die. By moving the fish every 72 hours, any trophonts that dropped off in the previous container have encysted, hatched, and died — all without a host. The fish arrives in a clean container free of viable parasites.

Transfer Schedule

1
Day 0

Place new fish in Container A (clean saltwater, temperature and salinity matched, with heater and air stone).

Start the clock. The fish begins in a parasite-free environment.

2
Day 3 (72 hours)

Transfer fish to Container B (fresh clean saltwater). Discard water from Container A. Sterilize Container A with bleach, rinse, and refill with fresh saltwater.

Any tomonts (cysts) that fell off the fish in Container A are left behind. The 72-hour window is chosen because theronts hatch and die without a host in this period.

3
Day 6 (72 hours)

Transfer fish to sterilized Container A. Discard water from Container B. Sterilize Container B.

Second transfer. Parasites that dropped off during the Container B stay are again left behind.

4
Day 9 (72 hours)

Transfer fish to sterilized Container B. Discard water from Container A. Sterilize Container A.

Third transfer. By now, the vast majority of parasites have been eliminated through successive transfers.

5
Day 12 (72 hours)

Transfer fish to sterilized Container A. This is the 4th and final transfer. Observe for 2 additional weeks.

After 4 transfers (12 days), the fish has been moved through clean water 4 times. Any remaining parasites have been left behind in discarded water. The 2-week observation confirms success.

Advantages

  • No medications — safe for ALL fish, including copper-sensitive species
  • No risk of copper toxicity or dosing errors
  • Effective against marine ich specifically
  • Simple equipment: just two containers, heaters, and air stones

Limitations

  • Only effective against ich — does NOT treat velvet, brooklynella, flukes, or bacterial infections
  • Very stressful for the fish (4 transfers in 12 days)
  • Requires meticulous sterilization between transfers
  • Must be done with EVERY fish individually or in same-tank groups
  • Any contamination (shared nets, splashed water) voids the process

When to use TTM: The Tank Transfer Method is best suited for copper-sensitive fish like mandarins, dragonets, pipefish, and seahorses where copper treatment carries unacceptable risk. For standard fish (clownfish, tangs, wrasses, gobies), copper + PraziPro is simpler, more comprehensive, and less stressful overall.

Essential Medications to Stock

These are the medications every marine aquarist should have on hand before they need them. Diseases do not wait for Amazon delivery. When a fish shows symptoms of velvet at 10 PM on a Saturday night, having the right medication already in your cabinet is the difference between saving the fish and finding it dead by morning.

Copper Power (ionic copper)

ESSENTIAL
Purpose

Marine ich, marine velvet

Dosing

Raise to 2.0 ppm over 48 hours. Maintain at 2.0 ppm for 30 days minimum. Test copper level DAILY with a Hanna Checker.

Warnings

LETHAL to all invertebrates — snails, shrimp, corals, starfish. Never use in a display tank with inverts. Copper is absorbed by silicone, rock, and sand — this is why QT tanks must be bare bottom.

PraziPro (praziquantel)

ESSENTIAL
Purpose

Gill flukes, skin flukes, internal worms, tapeworms

Dosing

1 tsp per 20 gallons. Single dose treats most flukes. For stubborn infestations: dose, wait 5–7 days, 25% water change, re-dose.

Warnings

Very safe medication. Reef-safe and invertebrate-safe. Can be used in display tanks if necessary. May cause temporary cloudiness. Remove carbon before dosing.

Seachem MetroPlex (metronidazole)

ESSENTIAL
Purpose

Internal parasites, hexamita, head and lateral line erosion (HLLE), some bacterial infections

Dosing

In food: Mix 1 scoop with 1 tbsp food + Seachem Focus as a binder. Feed medicated food for 3 weeks. In water: 1 scoop per 10 gallons every 48 hours for 3 treatments.

Warnings

Best absorbed through food, not water. Always use Focus as a binding agent. Remove carbon during treatment. Safe for invertebrates when used in water column.

Seachem Focus

ESSENTIAL
Purpose

Binding agent — makes medications stick to food so fish ingest them instead of leaching into water

Dosing

Mix with MetroPlex or KanaPlex and food. 1 scoop Focus per 1 scoop medication per 1 tbsp food.

Warnings

Not a medication by itself. Essential companion to MetroPlex and KanaPlex for treating internal issues. Without Focus, medicated food dissolves before fish eat it.

Seachem KanaPlex (kanamycin)

ESSENTIAL
Purpose

Bacterial infections: fin rot, popeye, body ulcers, septicemia, dropsy

Dosing

In food (preferred): 1 scoop KanaPlex + 1 scoop Focus per 1 tbsp food. Feed for 7–14 days. In water: 1 scoop per 5 gallons every 48 hours for 3 doses.

Warnings

Antibiotic — may impact biological filtration when dosed in water. Monitor ammonia closely. Absorbed better through food with Focus. Do not combine with other antibiotics without research.

Seachem Prime

ESSENTIAL
Purpose

Emergency ammonia/nitrite detoxifier, water conditioner, dechlorinator

Dosing

1 mL per 10 gallons for standard conditioning. Up to 5x dose for emergency ammonia/nitrite detoxification. Detoxifies ammonia for 24–48 hours.

Warnings

NOT a long-term ammonia solution — it temporarily converts toxic ammonia to non-toxic ammonium. You still need water changes. Can give false positive on some ammonia test kits. Use Seachem ammonia alert badge for accurate readings during Prime use.

Chloroquine Phosphate (CP)

Purpose

Marine velvet (Amyloodinium), marine ich — alternative to copper for sensitive fish

Dosing

40 mg/L (approximately 150 mg per gallon). Single dose in darkened tank (CP is photosensitive). Maintain for 30 days. Re-dose after any water change.

Warnings

Prescription-only in some regions. Degrades in light — keep QT lights off or very dim during treatment. Less stressful than copper for fish, but harder to source and dose accurately. Do NOT combine with copper.

Formalin (37% formaldehyde)

Purpose

Brooklynella, velvet (dip treatment), external parasites, fungal infections

Dosing

Bath: 1 mL per gallon for 45–60 minutes with heavy aeration. Dip: 1 mL per gallon for 30–45 minutes. Watch the fish constantly — remove immediately if distress occurs.

Warnings

TOXIC to humans — use gloves, work in ventilated area. Depletes oxygen rapidly — heavy aeration is mandatory during treatment. Never use in display tanks. Overdose is lethal. This is a harsh medication reserved for serious infections.

Minimum emergency kit: At bare minimum, stock Copper Power, a copper test kit, PraziPro, MetroPlex, Focus, KanaPlex, and Prime. This covers protozoan parasites (ich/velvet), worm parasites (flukes), internal parasites, bacterial infections, and emergency ammonia detoxification. Total cost for all medications: approximately $60–80. Keep them in a cool, dry cabinet — most have a shelf life of 3+ years unopened.

When to Euthanize

This is the hardest topic in the hobby, and most guides avoid it. But responsible fishkeeping means knowing when treatment is no longer in the fish's interest — when continued intervention only prolongs suffering without a realistic chance of recovery.

Signs That Euthanasia Should Be Considered

  • The fish has stopped eating for 7+ days despite treatment
  • The fish can no longer swim upright or maintain buoyancy
  • Open wounds are progressing despite antibiotic treatment
  • The fish is gasping at the surface with no improvement after treatment
  • Dropsy with full pinecone scales — organ failure is almost certainly irreversible
  • The fish shows no response to stimuli (lying on the bottom, not reacting to movement)
  • Quality of life has clearly deteriorated — the fish is suffering with no realistic path to recovery

Humane Method: Clove Oil

Clove oil (eugenol) is the most widely recommended humane euthanasia method for aquarium fish. It acts as an anesthetic that first sedates the fish, then painlessly stops gill and heart function. The fish falls asleep and does not wake up.

  1. 1
    Prepare a container

    Fill a small container (1–2 quarts) with tank water. This is the euthanasia container — separate from your QT.

  2. 2
    Mix the clove oil

    Add 5–10 drops of pure clove oil (available at pharmacies and health food stores) to a small cup of warm tank water. Shake or stir vigorously until the oil emulsifies into a milky mixture. Clove oil does not mix with water easily — you must emulsify it first.

  3. 3
    Add to the container slowly

    Pour the clove oil mixture into the container with the fish. Within 1–3 minutes, the fish will become sedated — gill movement slows, the fish loses balance, and eventually lies still on its side.

  4. 4
    Add more clove oil

    Once the fish is fully sedated and motionless (approximately 5 minutes), add another 10–15 drops of emulsified clove oil. This ensures a lethal dose that stops gill and cardiac function.

  5. 5
    Wait 30 minutes

    Leave the fish in the clove oil solution for a minimum of 30 minutes after all movement has ceased. This confirms the fish has passed and is not merely deeply sedated.

  6. 6
    Confirm and dispose respectfully

    After 30 minutes with no gill movement whatsoever, the fish has passed. Dispose of it wrapped in paper in household waste. Do NOT flush — even dead fish can carry pathogens into waterways.

IMPORTANT

Methods to NEVER use: Flushing a live fish (it does not die instantly — it suffers in treated water), freezing (ice crystal formation is painful), blunt force without prior sedation, or leaving the fish to "pass naturally" when it is clearly suffering. Clove oil is inexpensive, accessible, and the most humane option available to home aquarists.

New to the Hobby?

This quarantine guide is one part of a comprehensive series for marine aquarium beginners. Start with our beginner guide for the full picture — from choosing your first tank to stocking your first fish.