How to treat ich (Ichthyophthirius / Cryptocaryon)

Ich is the parasite hobbyists fear most - white grain-of-salt spots on fish, then fish scratching against rocks, then rapid breathing, then dead fish. Treated correctly with the right protocol, ich is curable. Treated wrong, it wipes the tank.

Saltwater ich (Cryptocaryon irritans)

Gold standard: copper-based treatment with Cupramine or Copper Power in a hospital tank for 14-21 days. Test daily with Hanna copper checker or Salifert. Maintain 0.45-0.50 ppm therapeutic Cupramine, or 2.0-2.5 ppm Copper Power.

Tank Transfer Method (TTM): move fish between two clean tanks every 3 days for 12 days total (4 transfers). Parasites can't reattach. No medications. Works for fish that don't tolerate copper (sharks, rays, some anthias).

Display tank fallow: remove all fish, run the display at 78F+ for 76 days. Parasites die without hosts. This is the only way to clear an established display.

Freshwater ich (Ichthyophthirius multifiliis)

Gold standard: Ich-X at full dose for 7-10 days, with daily 25% water changes between doses.

Heat + salt: raise temp to 86F + add aquarium salt at 1 tbsp per 5 gallons for 10-14 days. Heat speeds the parasite life cycle so the free-swimming stage dies faster. Not safe for some scaleless fish (cories, loaches) - check species first.

Browse aquacultured fish (lower disease risk)

Live vendor inventory shipping overnight to all 50 states. Buyer Protection on every order.

Browse aquacultured fish (lower disease risk) →

Frequently asked questions

Can ich go away on its own?

Sometimes spots disappear, then return weeks later when stress drops fish immunity. Untreated ich becomes chronic and eventually wipes the population. Treat aggressively the first time you see spots.

Why did my reef tank get ich after months of quarantine?

Either (a) quarantine wasn't long enough (76-day fallow is required for full clearance), (b) a coral or rock introduction reintroduced the parasite, or (c) the fish brought a stress-suppressed infection that flared after a parameter change. Quarantine every new addition - including coral with fish-tank water on it - for 76 days.

Can I treat ich in the display tank?

Reef tanks: no. Copper kills inverts + corals. Use a hospital tank. Freshwater planted: Ich-X is reef-safe enough for inverts at half-dose, but plants may melt. Move fish to a hospital tank when possible.

Sources and references

Recommendations on this page cross-checked against the following authoritative references and our internal vendor + breeder database.

Have a photo of How To Treat Ich?
Approved photos go live in 24 hours, with credit (or anonymous - your call).

Deep-dive Q&A on How To Treat Ich

Answers to the questions experienced keepers ask after the basic care guide.

How long does How to Treat Ich - Fast Aquatics Guide take to acclimate to a new tank?

Drip acclimation over 60 to 90 minutes is the safest approach for How to Treat Ich - Fast Aquatics Guide. Match temperature first (15 minute float), then drip 2 to 3 drops per second from the display sump until the bag volume has tripled. Test salinity (or freshwater hardness) at the end - if it is within 0.001 SG (or 2 dGH) of the display, transfer the specimen with a net rather than pouring shipping water in.

What is the best filtration setup for How to Treat Ich - Fast Aquatics Guide?

Aim for biological + mechanical + chemical staging. Canister or sump-driven filtration sized for 5x to 8x display turnover per hour, mechanical floss replaced weekly, and carbon or GAC swapped every 4 to 6 weeks. How to Treat Ich - Fast Aquatics Guide responds well to stable nitrate (under 20 ppm) more than to any specific filter brand - stability beats peak performance.

Does How to Treat Ich - Fast Aquatics Guide need a protein skimmer?

For saltwater specimens, yes - a properly-sized skimmer rated for 1.5x to 2x display volume keeps dissolved organics low and reduces nuisance-algae triggers. Freshwater specimens do not need skimmers; a well-stocked plant grow-out + canister with chemical media achieves the same end. How to Treat Ich - Fast Aquatics Guide kept without adequate organic export tends to show stress within 90 days.

Can How to Treat Ich - Fast Aquatics Guide be kept in a planted tank?

Compatibility with planted tanks depends on the species behavior + water chemistry overlap. Plant-safe specimens leave foliage alone; some pick at soft-tissue plants like vallisneria or anubias. Check the species page profile + the planted-tank compatibility note before stocking How to Treat Ich - Fast Aquatics Guide in a high-tech CO2-injected setup with valuable cultivars.

What is the ideal lighting for How to Treat Ich - Fast Aquatics Guide?

For freshwater specimens with no plant requirements, a basic LED at 30 to 50 PAR at substrate is sufficient and reduces algae. For saltwater + reef specimens, target 100 to 250 PAR depending on photo-tolerance, with a sunrise/sunset ramp + a 8 to 10 hour photoperiod. How to Treat Ich - Fast Aquatics Guide tolerates a wider lighting band than most keepers expect; consistency matters more than peak intensity.

Does How to Treat Ich - Fast Aquatics Guide prefer high or low water flow?

Most aquarium species evolved in moderate flow with localized turbulence rather than uniform high flow. Aim for 20x to 40x display turnover for reef specimens, 4x to 6x for community freshwater. How to Treat Ich - Fast Aquatics Guide shows stress fins (clamped, frayed) when flow is mismatched - dial back if you see this within 14 days of introduction.

What temperature shift will stress How to Treat Ich - Fast Aquatics Guide?

Sustained drift above +/- 2 F from target is the threshold most keepers miss. How to Treat Ich - Fast Aquatics Guide tolerates day-night swings of 1 to 2 F without issue but a 4 F shift over 2 hours triggers ich + bacterial bloom risk. Use a controller-driven heater (not the built-in dial) and a backup thermometer at the opposite end of the tank.

What are the top 3 diseases that hit How to Treat Ich - Fast Aquatics Guide the most?

For freshwater fish: ich, columnaris, and fin rot are the top three; quarantine + UV sterilizer prevents the majority. For marine fish: ich (Cryptocaryon), velvet (Amyloodinium), and bacterial infections; tank-transfer method or copper QT during the 30-day acclimation cycle prevents nearly all outbreaks. For inverts + corals: tissue necrosis, parasitic isopods, and protozoan blooms.

Can How to Treat Ich - Fast Aquatics Guide be bred in captivity?

Captive breeding success varies enormously by species - some breed readily in community tanks (livebearers, cherry shrimp, clownfish) while others have never been captive-bred (most reef fish + most marine inverts). Check the species-specific care guide for the breeding-method note + larval-rearing protocol. How to Treat Ich - Fast Aquatics Guide kept in pairs or small groups often spawns even without intent if conditions are right.

What are the best tankmates to avoid for How to Treat Ich - Fast Aquatics Guide?

Avoid same-species rivals (especially male-male pairings for territorial species), known fin-nippers (tiger barbs, certain pufferfish), and anything that out-competes for food or out-grows the tank. How to Treat Ich - Fast Aquatics Guide also struggles with hyper-aggressive cichlids in freshwater and damselfish in saltwater - both will hold territory at the expense of every other tankmate.

Is How to Treat Ich - Fast Aquatics Guide safe to keep with cleaner shrimp or cleaner wrasses?

Most ornamental specimens accept cleaner shrimp + cleaner gobies; cleaner wrasses (Labroides) often die in captivity and are not recommended. How to Treat Ich - Fast Aquatics Guide kept with cleaner pairs typically benefits from parasite control + stress reduction, but verify the cleaner does not get eaten by checking the species size + temperament chart.

What is the realistic lifespan of How to Treat Ich - Fast Aquatics Guide with proper care?

Captive lifespan tracks closely to wild lifespan when water chemistry, diet, and tankmate stress are managed. Most aquarium fish live 5 to 12 years; long-lived species (large cichlids, pufferfish, some tangs) reach 15+ years. How to Treat Ich - Fast Aquatics Guide kept in a stable, properly-sized system should live within 80% to 100% of the species lifespan ceiling - early death usually traces back to chronic-stress causes (parameters, tankmates, diet) rather than disease.