Two organisms, similar disease
Freshwater ich: Ichthyophthirius multifiliis - protozoan parasite, embedded in fish tissue under a blister, falls off and reproduces in substrate.
Saltwater ich: Cryptocaryon irritans - functionally similar life cycle but a different organism. Treatment differs.
Both produce small white spots (1-2mm) on fish body and fins, flashing/scratching behavior, rapid breathing if gills affected. Untreated, mortality is high - especially in saltwater.
Life cycle (the critical knowledge)
- Trophont stage: parasite embedded in fish tissue, visible as white spot. Cannot be killed by medication while in this phase
- Tomont stage: parasite drops off fish, falls to substrate, encysts
- Tomite stage: tomont divides into hundreds of swimming theronts that hunt new fish hosts
- Theront infects new fish: cycle repeats
The full cycle is 14-28 days at 78F (faster at higher temps). Treatment must outlast the cycle to break it.
Freshwater ich treatment
Heat method (preferred)
- Raise tank temperature to 86F (slowly, over 24 hours)
- Maintain 86F for 14 days
- Increase aeration (heated water holds less oxygen)
- Heat speeds the parasite life cycle so the trophont detaches faster, then dies during free-swimming stage when out of host
Salt + heat (more aggressive)
Add aquarium salt at 1 tablespoon per 5 gallons + raise temp to 86F. Effective for most freshwater fish. Note: salt-sensitive species (Corydoras, scaleless catfish, plants) tolerate this poorly.
Medication (worst case)
API Super Ick Cure, Kordon Rid Ich+, or formalin/malachite green products. Effective but harsh on biofilter and inverts.
Saltwater ich treatment
Marine ich is harder to eradicate than freshwater. Three proven methods:
Copper (Cupramine, Coppersafe)
- Move fish to a fishless QT tank (no substrate, no live rock - copper kills inverts and bacteria)
- Dose copper to therapeutic level (0.5 ppm Cupramine, 1.5-2.0 ppm Coppersafe)
- Maintain copper level for 14-21 days, testing daily
- Display tank goes fallow (no fish) for 76 days minimum to ensure all parasites die without hosts
- Return fish to display after fallow period
Copper is the most reliable saltwater ich treatment. Limitations: kills coral, inverts, snails, shrimp - cannot use in display.
Tank-transfer method (TTM)
For copper-sensitive fish (angels, mandarins, butterflies):
- Two QT tanks fully cycled, one in use
- Move fish to fresh QT every 72 hours, restart drained one
- 3 transfers (Day 1, 4, 7, 10, 13) breaks the cycle
- Trophonts detach in transfer tank, fish moves on, tomonts can't reach a host
Hyposalinity
- Reduce salinity in QT to 1.009 SG over 48-72 hours (slowly)
- Maintain hyposalinity for 4 weeks
- Slowly raise back to 1.024-1.026 over 7 days
Effective on Cryptocaryon. Easier on fish than copper but harder to maintain stable salinity.
What does NOT work
- Garlic in food: appetite booster only, no parasiticidal effect
- UV sterilizers: kill some free-swimming theronts but don't break cycle alone
- "Reef-safe" ich treatments: mostly ineffective; if it doesn't kill inverts, it doesn't kill ich at therapeutic dose
- Cleaner shrimp / cleaner gobies: they don't actually cure ich
- "Ride it out" for healthy fish: ich in a reef tank is forever; healthy-looking fish are still infected and contagious
Prevention is the answer
The vast majority of ich outbreaks trace to a single new fish added without quarantine. Quarantine every new saltwater fish for 30 days minimum with prophylactic copper. The 30 days you wait save you 76+ days of fallow display tank later.