Find answers to the most common questions about mange, treatment options, shipping,
wildlife safety, recovery expectations, and the Mange By Mail Program.
Whether you’re trying to identify mange, understand treatment options, learn about wildlife safety, or track a fox’s recovery, you’ll find answers to the most commonly asked questions below.
We ship to 49 states – every state except California. The state of California regulates the use of Ivermectin within the state and it cannot be shipped in to the state. We are still more than happy to help you use our protocol in California, but we cannot provide you with the supplies. Simply email us at mange@wildlifehotline.com for instructions. The same advice can be applied for Canadian residents as well.
Yes – Cats! All Mange by Mail participants need to know that all care should be taken to avoid cats getting a hold of this medication. If you have cats coming to your bait station, please do all that you can to keep the medication away from them. Ivermectin is safe for cats, but at a much lower dosage than what we’re using for the treatment of mange. Our best advice is to use hardboiled eggs as bait. First, test your cats by making a few hardboiled eggs without any medication added to them and place them outside near the feeding station. Watch your cats to see if they show any interest in the eggs. Usually cats do not like them. After a couple of nights making sure your cats will not touch the eggs, you will then know it’s safe to use hardboiled eggs as bait for the foxes or coyotes without risk to the cats. If this doesn’t work, you will have to try different foods as bait until you find something that the foxes/coyotes are willing to eat that the cats are not interested in.
We ship packages within 24 hours of receiving your donation, every day of the work week. Orders placed on Sat/Sun will be shipped on Monday. We ship using USPS Priority Mail which takes approximately 3 business days to arrive at your door/mailbox. Orders placed from Hawaii and Alaska arrive in 5-7 business days. Please remember that we cannot ship to California.
You have likely read about the incredible results in mange treatment with products like Bravecto and Nexgard. You're right, both products are showing impressive results in the treatment of sarcoptic mange! We're excited about these results too. However, both of these products are Rx only in the USA. This means that the only LEGAL way to obtain these medications is to have them prescribed by a veterinarian licensed in your state that has PHYSICALLY EXAMINED the fox or coyote with mange. Physical examination of these animals is incredibly difficult, and many veterinarians will not see wildlife patients. If you have a relationship with a state licensed veterinarian who will prescribe these medications for your fox or coyote, by all means, discuss it with them and take their advice. Aside from that option, we are not allowed to ship Rx medications like this, and only federally licensed pharmacies are allowed to ship Rx medications.
No. You cannot legally order these Rx only medications from a USA based reputable pharmacy without a prescription from a licensed veterinarian in your state, and those veterinarians are not allowed to write an Rx for an animal they have not physically examined. However, you will find many pharmacies willing to ship you these medications from overseas. Please be cautious with these pharmacies. Consider how trustworthy a pharmacy is when they are willing to ship Rx only medications ILLEGALLY to a country where they know their packages may be seized by our customs inspectors. Would you trust your local pharmacy if you knew they were filling Rx medications for people who had no legitimate prescription for their medications? We have no way of knowing if these medications are counterfeit, expired, stored properly before shipping, or effective in any way. You are also running the risk of having your package seized by customs enforcement and being fined for trying to import Rx only medications. The good news is that Ivermectin is still incredibly effective and available without an Rx! It works in one dose up to in 98% of mange cases and simply requires a second dose in extreme cases.
We have found that up to 98% of mange cases in the wild recover completely with one dose of Ivermectin. In extreme cases, animals may need a second dose administered 14 days after the first dose. You will not need to dose the animal every day for weeks. It's usually one and done.
Most likely no. If your pet is on ANY kind of flea and tick preventative, that product also kills the mites that cause mange. We strongly recommend that all pets that ever go outdoors are on some kind of flea and tick preventative at all times. Also, the mites that caused mange are not isolated to your yard. Foxes and coyotes pick up these mites the same way an animal picks up fleas or ticks – a few here, a few there, on different days. Normally, the animal’s natural grooming habits controls these parasites from becoming overwhelming. It’s only when some other event occurs that is abnormal in the animal’s life that the parasites get out of control and become overwhelming, causing mange. These events can be an illness, an injury, a particularly rough winter, large litter being born that year, etc. It’s simply difficult for them to recover on their own once the mites have overwhelmed them. Unless your dog or cat is unprotected from flea/tick preventative and sleeping in the den with these mange infected animals every night, they are not at any risk of ‘catching’ mange.
This is a common issue, especially during the spring and summer months when fox kits and coyote pups are still with their parents. Just because one animal in a group has mange does not mean that everyone needs treatment. Please ONLY treat the animal or animals that have visible symptoms of mange. It is very common for a Momma fox to have mange simply because she stopped grooming herself and focused all of her grooming time and effort on the kits, which results in her having mange but the kits being in no danger at all. That being said, it can be tricky to treat one animal when a group comes to your bait station together. This is why we send you multiple doses of medication, because it may take several attempts to get the right one treated. Thankfully, Ivermectin is not harmful to an animal that does not have mange. It will simply kill all of the fleas and ticks that the animal currently has, but it won’t harm them. We ask that you limit your dosage of medication to one dose per 24 hours. This means you put ONE DOSE of medication out on night #1, watch to see who got it, and the next night try again, until you get your intended target. Limiting yourself to one dose per 24 hours removes the risk of any one animal receiving multiple doses of the medication in the same day, which removes the overdose risk for these animals.
No. The dosages required for these larger species are far too harmful to place outdoors and risk another animal gaining access to it. Also, we cannot risk giving medication to an animal that could be eaten by humans without being able to control keeping that animal in captivity for a certain amount of time to allow the drug to work its way out of their system. We’re sorry but this is not an option for deer or bears.
Maybe. It depends on the Ivermectin you have. The syringes of Ivermectin paste for horses will NOT work the same. The pour over “drench” types are not recommended either. We use 1% injectable Ivermectin labeled for cattle and swine. If that is the type of Ivermectin you have on hand, it is exactly the same as what we ship.
Pre-treating is not a great option. We use a medication called ivermectin and it is classified as a parasiticide. It kills external parasites like fleas, ticks, mites (including the ones that cause mange), and internal parasites that live in the gut and intestines as well. However, it kills parasites that are live and on the animal at the moment that the medicine is administered or ingested. It does not continue to kill these parasites for 7 days, 30 days, or any significant amount of time. It's not time delayed or slow released. The reality is that wild animals of all species are born with fleas, ticks, mites and various other internal and external parasites as a normal part of their wild lives. This is one of the main reasons that coyotes, foxes, raccoons, skunks, and many other fuzzy mammals spend more than half of their time each day/night devoted to grooming themselves and each other within their group, family or pack. It's only when the fox or coyote has some other adverse health event that prevents them from doing that normal routine of daily grooming that the mites get overwhelming and out of control that we see the hair loss, weight loss, skin reactions and infections and other effects of a mange infection. Sometimes this adverse health event is simply having a rough winter, a big litter, or even an injury that you can visibly see (like a limp or visible wound), but we're finding out more and more that the most common cause of these numerous, growing numbers of mange cases is due to the adverse effects of foxes and coyotes consuming poisoned prey animals like moles, mice, rats and other rodents. For example: A neighborhood clears a new area for more housing, including some woods, and mice, rats, moles, voles, and other rodents lose their habitat and start invading the space of humans nearby. Those humans start putting rat poison outside and the rodents eat it. They don't die instantly from eating poison. They wander off and get sick and lethargic hours later, when a fox or coyote, or hawk or owl, or even a neighborhood cat spots them. The predator animal sees it as good fortune to happen to find a slow, possibly injured or easy to catch prey animal, and they scoop up the rodent for a dinner to-go. At this point in time all of our native wildlife has become quite accustomed to ingesting rat poison from time to time, to the point that it rarely kills them anymore. However it does make them very ill temporarily, a lot like us when we have food poisoning. They experience extreme vomiting and diarrhea, lethargy, and just feel awful, and the first thing to go is all the time they're supposed to spend grooming themselves every day. Any den mates or family they live with see how sick they are, have no idea how they got sick, but know to keep their distance just in case it's something contagious and don’t help them with grooming. In the next 5-10 days of illness, the animal's normal amount of mites that may have always lived in their skin doubles and triples again and again and by the time they are feeling any better they have such an overwhelming mite infestation that they can't possibly catch up again. These are mites that burrow under the top layer of skin. It's not as easy as picking them off their skin. The itching is intense and they can't sleep or hunt and that slowly leads to starvation and/or hypothermia and eventually, death.
Partially, this is simply due to awareness. Now that you know foxes and coyotes are around your area, you are more apt to notice them in the woodline, and as you notice them more, you see more mange cases. In addition, you’re seeing more mange cases due to the usual human expansion that is always occurring everywhere. As more warehouses are built, housing, businesses, etc. the more these animals are pushed out of their own habitats and into ours. Sadly, every time a new construction site goes up they are surrounded by little black boxes of rat poison to control the rodent population for the humans planning to use that space. Recent studies show that the most common cause of these numerous, growing numbers of mange cases is due to the adverse effects of foxes and coyotes consuming poisoned prey animals like moles, mice, rats and other rodents. For example: A neighborhood clears a new area for more housing, including some woods, and mice, rats, moles, voles, and other rodents lose their habitat and start invading the space of humans nearby. Those humans start putting rat poison outside and the rodents eat it. They don't die instantly from eating poison. They wander off and get sick and lethargic hours later, when a fox or coyote, or hawk or owl, or even a neighborhood cat spots them. The predator animal sees it as good fortune to happen to find a slow, possibly injured or easy to catch prey animal, and they scoop up the rodent for dinner to-go. At this point in time all our native wildlife has become quite accustomed to ingesting rat poison from time to time, to the point that it rarely kills them anymore. However, it does make them very ill temporarily, a lot like us when we have food poisoning. They experience extreme vomiting and diarrhea, lethargy, and just feel awful, and the first thing to go is all the time they're supposed to spend grooming themselves every day. Any den mates or family they live with see how sick they are, have no idea how they got sick, but know how to keep their distance just in case it's something contagious. They don't help with grooming either. In the next 5-10 days of illness, the animal's normal amount of mites that may have always lived in their skin doubles and triples repeatedly and by the time they are feeling any better they have such an overwhelming mite infestation that they can't possibly catch up again. These are mites that burrow under the top layer of skin. It's not as easy as picking them off their skin. The itching is intense and they can't sleep or hunt because of it. Before long they are losing weight, losing fur, and dying.
Typically, we do NOT recommend the Mange by Mail Program for species other than foxes and coyotes. You can certainly order a Mange by Mail kit from us to treat a raccoon or squirrel that has mange. The only difference is the dosing schedule. However, you should know that it's not nearly as simple to diagnose a raccoon or squirrel with mange from afar as it is with a fox or coyote. When you see a fox or coyote in the wild losing hair, losing weight, and scratching constantly, it's nearly 100% of the time a mange infection. With a raccoon or squirrel, the same symptoms can mean a parasitic, fungal, or bacterial infection, or even a nutritional or congenital deficiency. It's also much easier to trap a raccoon or squirrel that is ill and bring it to a local rehabber for treatment. You can find a local rehabber near you by going to www.ahnow.org. Foxes and coyotes don't tolerate being held in captivity nearly as well, and they're nearly impossible to trap in the first place, which is why our Mange by Mail program exists for them specifically. If you don't have a local rehabber nearby who can help you trap and treat this animal, we are more than happy to help out by sending you a mange by mail kit, as long as you recognize that this is an exclusionary treatment - meaning that we are treating this animal for mange to rule it out as being the cause of the hair loss/weight loss/ illness that you are witnessing. If the treatment does not work, that simply means that this particular animal has some other cause for their symptoms and there are many possibilities. If the treatment doesn't work you will only have the option to trap them to get them tested to find out the cause and treat them after diagnosis. We simply want to avoid misleading anyone to think that ordering from us is a 'sure-thing' and will always work for these species. If you're comfortable with that, you are welcome to order a kit from us at any time. Please email us at mange@wildlifehotline.com for dosing instructions for these species.
Most likely, yes. Your fox looks like 99% of the foxes when they first get mange, with a bald opossum like tail. The itching is so bad that the hair loss begins where they can most easily reach to scratch, and the tail is usually the first spot. They don't have owners to scold them to stop scratching when they start to damage themselves so they cause their own wounds and hair loss at first from the scratching. In time, the hair loss and skin damage will spread and be caused more by the mites and the damage they do rather than the fox themselves. Sometimes it spreads quickly to the face from the tail scratching and this can impact their eyesight and impair their ability to hunt. Other times it simply moves up the body and begins causing more widespread hair loss, which causes even more itching and the cycle continues. Regardless, the tail being the major impact right now is a good sign. It means that we're still at the general beginning of the damage that mange causes and hopefully we can get him treated before he has to suffer through the more tortuous advanced symptoms. As long as you can get him to eat the bait food that you put out it will be easy to slip the medicine into the food. We will warn you, it is possible that you won't be able to get this fox to eat the food you put out right away. Our advice is to start trying to feed him before even worrying about the meds. That way you can figure out what he's willing to eat, and what times of day he looks for food at your place. Start with raw chicken or turkey and if he doesn't go for that, switch to hard boiled eggs with the shell cracked some to allow him to smell it and find it. (If there are cats around just stick to eggs) If he doesn't eat the food, it just means he isn't desperate enough to overcome his suspicion of us yet. Sadly, he will get worse and at some point his desperation will outweigh his fear. However, in the meantime it can be maddening to be forced to watch a fox come by every day, looking worse and worse, while you literally have the cure in your hand but you can't get him to eat it! Just keep trying once a week or so and in time he will go for it. The medicine we send is good for 2+ years and we send enough for about 10 doses, just in case.
Mange by Mail only works in specific scenarios where you see a mange infected animal near your home. It doesn't work if you saw him in the park or driving by somewhere unless you're willing to go back to that place and can get away with putting food out and waiting and watching to see if the fox/coyote comes back to get it, which would be tedious in most cases. Every once in a while there's an animal so miserable that you can literally drive past it and slow down and the animal will sit right there and stare at you, miserable, and allow you to throw some food right to it. In those cases, treatment is easy. One dose, one throw, and done. In other cases where the mangy animal is on private land, at your workplace, a public park, you'd have to find a place to hide food and somehow stake out the spot to see if the fox got it, over the course of days, then add meds to it days later and stake out the spot again. It's a lot. In those cases, you just have to hope that the animal is visiting someone nearby who lives there and that they know about our program and the options they have. Normally these are not opportunistic feeder animals who raid trash cans like raccoons, opossums and skunks. But when they have mange they're desperate for food and they will get much closer to humans to find it. Chances are good that the animal has found humans nearby and is being seen by those humans regularly. You could be proactive and check sites/apps like NextDoor, Neighbors by Ring doorbell, Citizen, Zingr, or even Facebook Groups that are called "YourCity" community pages. Just Google your town or neighborhood name or the town or neighborhood name near where you spotted the sick animal and look for a post about a sick animal, or an animal that people are asking to identify because they don't know what the heck it is, and share our info. We'll take it from there.
The fox got the meds, last night or yesterday*. Within 24 hours every flea, tick, and mite on their body will die. The mites that cause mange burrow little tunnels under the top layer of skin. Imagine it as having ants in your pants except the ants are under a layer of cling wrap, constantly moving, to where you itch constantly and feel something moving constantly but can't quite reach the itch to scratch it. In this first 24 hours, those mites die - which means they finally stop moving! Usually this leads to a very sleepy fox who needs to sleep in all day to recover all of the sleep he's lost over the last weeks and months of misery.
*If you are unsure if the fox got the meds, it is perfectly safe to give another dose the next day, as long as it is 24 hours after your first try. A fox will not overdose on this medication unless given multiple doses in one 24 hour period. If you're unsure, give it again, and try to really watch to make sure it's him that gets it. That's the only way to know.
Many foxes do not return to the bait station the day after treatment because they are sleeping. This is perfectly normal. Don't be alarmed.
Foxes who didn't come to eat the day before now return to the bait station and behave as though they haven't eaten in a month. They still look awful. You should see decreased scratching, but there will still be some.
The tunnels where the mites burrowed under the fox's skin have now been empty and unmoving/unused long enough for that skin to dry up and peel off, very much like we humans peel after a terrible sunburn. You may see flakes flying off of the fox when the wind blows, much larger than dandruff, and honestly kind of gross, more like very thin corn flakes. 🤢 This is evidence of how bad the infestation was and won't be evident in every fox. It's a good sign even though it's disgusting. 😁 The medicine you gave him also killed any internal, intestinal worms that he had. (Probably since birth) If the fox poops on your patio or driveway or in your yard, do what you can to hose it down because it will look gross, but the parasites will be dead and won't pose any threat to your pets. It's always good to have an annual fecal sample examined by your vet if you have a yard frequented by wildlife, because who knows if he was leaving droppings in the yard before you medicated him, not to mention other critters, but that's your choice. You should be seeing much less scratching by now. Any scabs on their body are starting to heal and the skin will just look healthier in general.
If you know this fox pretty well before you treated him, you should notice a fairly obvious shift in the way he moves and carries himself by this point. We tend to refer to it as "getting their bounce back". Foxes don't really walk or run, they sort of bounce from place to place as though they have springs in their feet. They're extremely light on their feet and normally very skittish and jumpy about every noise, light, smells, etc. (Although some foxes have become very used to motion lights in populated neighborhoods, light doesn't mean humans anymore.) Often, foxes with mange have a more heavy, downtrodden, almost slow motion way of walking, and they appear very sad to most of us onlookers. It's not just their skin and coat condition that is sad. It's a general attitude and sort of black cloud over their heads. By the time a week has passed since treatment, you'll notice this drastically change. His bounce will come back. He will appear more spry and light on his feet, more aware of his surroundings and jumpy. Sometimes foxes will start to be more greedy about the food, and grab the food more aggressively while sort of showing any humans around that he's not here to play games. Other foxes stay fairly docile towards you specifically as they work to put on weight and recover fully. This is just their survival instincts returning, and it's a good thing. It's possible that when you first met this fox he had given up, knew he couldn't win a fight if one presented itself, and knew he was dying. By now, he knows he has a chance at surviving and he's becoming more willing to fight for his life again. All good things.
If the fox is still coming to eat any bait food you put out now is the time to dose him again, if he will allow it. Over 90% of foxes are not still coming for food at this point, or they're being picky about the food and it's impossible to get more meds in them, and that's ok. That's a sign that they're already recovering fine on their own and they don't need another dose. You shouldn't be seeing any major scratching anymore. Foxes spend up to 50% of their day grooming themselves, and that's normal, but you shouldn't be seeing them laying out in the sun like they're trying to get a tan, or rubbing themselves on trees, asphalt, concrete, grass, scratching all the time. Their skin will be completely healed by this point, if you can still see it where he's bald. You should start to see peach fuzz red hair growth start to cover those bald patches as well. Any spots on his face that were swollen and making him squint should be healed now, and he should have clear vision again. This will make it possible for him to hunt again. If it hasn't happened yet, very soon he will stop coming to your spot to look for food. If your fox was extremely emaciated this may take longer, but most foxes choose to hunt instead of eating human food as soon as they possibly can. He may still come around from time to time to see what's on offer but it's far less regular and he will become much pickier about what he's willing to eat. Many foxes benefit from a fresh water dish more than food at this stage. K&H makes a great heated outdoor water dish for year round use and Farm Innovators make very sturdy ground level heated bird baths as well. Both brands are available at farm and home stores and Amazon, as well as other online retailers. They're pricey, so shop around.
You should be seeing very little of your fox by now. He should appear fully furred and maybe not entirely fluffy yet, but have no visible bald spots. As winter nears, his coat will fluff out more and he will be beautiful again. However, by this time you'll only see him in flashes through the trees or randomly if you happen to be looking out the right window at the right moment. If you have trail cameras set, you have a better chance of seeing his full recovery and please, if you get good before and after shots, please share them with us! ❤️ He's probably not interested in any of your food anymore, and he's not coming as close to you and your yard / house / driveway as he used to. He may pass by, but always in a rush, with one foot out the door, ready to run away. This is perfectly normal. We have to get our sense of gratitude from his appearance and survival. He will never say thank you. But we know. 🥰 That's it! You did it! Congrats!! Great job!! ❤️
If you’re unsure whether the fox, coyote, or other wildlife you’re seeing has mange, send us photos or videos and our team will be happy to review them.