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- Oct 1, 2023
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Hey everyone
— I’ve been building my koi first-aid kit over the years, one “lesson learned the hard way” at a time.
Some things have been total lifesavers (like Dimilin + Defender finally fixing what Prazi couldn’t). I try to start with the most gentle approach possible—but I also want to be ready when something serious hits.
Now I’m restocking a few things (Koizyme, Defender) and thinking about switching to Aqua MedZyme, so I’d love your feedback. What’s in your koi medicine cabinet that you won’t go without?
I always go as natural and gentle as possible but I have had some instances where that wasn't working and I'd like to be prepared. No judgements or rude comments please.
I have a lot of redundancy. And yes I am aware.
Water & Neutralizers
Prime • Stress Coat • Ammo Lock
S.A.F.E. powder • Sodium Thiosulfate
Potassium Permanganate (for dips/paste)
Hydrogen Peroxide (for ulcers + cleaning)
5x Boogie Blue filters (4 hoses + auto-fill)
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Bio & Probiotics
Koizyme (running low — refill or switch to MedZyme?)
Defender (AquaMeds) — huge success paired with Dimilin
Pond Perfect (TLC) • Nite-Out II (leftover)
Considering FritzZyme & Microbe-Lift PL
-----------------
Meds & Topicals
Melafix • Dimilin-X • ProForm-C (stains but works!)
Iodine • NT Labs Ulcer Swab • Propolis (short-lived seal)
Morton’s Salt (40 lb bags) • Clove Oil
Montmorillonite Clay — Cindy’s miracle fix for pea soup water

------------------
Injectables & Tools
Baytril (Enrofloxacin) — saved one of my big girls
(thank you @fly4koi and Rich)
Sterile syringes & needles
Medical kit (gloves, gauze, scissors, scalpel, etc)
Still deciding if suturing is worth learning
----------------------
Next Adds
Aqua MedZyme • Dexamethasone • Tricide-Neo
Silver Sulfadiazine • MS-222 (sedation)
Microscope (i have a great new one but practice needed
)
Still trying to ID which Microbe-Lift spray that pond guy used for ulcers and tail rot—it was magic!
----------------------
Looking for Feedback
What are your must-haves for emergencies?
Sutures — overkill or essential?
Anyone tried Dex for shock?
Longest-lasting sealant you’ve found?
Tips for microscope slides or parasite ID?
What of these should I get rid of so I don't have so much stuff and have my clear go toys for emergencies.
Let’s compare notes — what’s actually saved your fish, and what wasn’t worth keeping stocked?

— Tanya
Some things have been total lifesavers (like Dimilin + Defender finally fixing what Prazi couldn’t). I try to start with the most gentle approach possible—but I also want to be ready when something serious hits.
Now I’m restocking a few things (Koizyme, Defender) and thinking about switching to Aqua MedZyme, so I’d love your feedback. What’s in your koi medicine cabinet that you won’t go without?
I always go as natural and gentle as possible but I have had some instances where that wasn't working and I'd like to be prepared. No judgements or rude comments please.
I have a lot of redundancy. And yes I am aware.
Prime • Stress Coat • Ammo Lock
S.A.F.E. powder • Sodium Thiosulfate
Potassium Permanganate (for dips/paste)
Hydrogen Peroxide (for ulcers + cleaning)
5x Boogie Blue filters (4 hoses + auto-fill)
------------
Koizyme (running low — refill or switch to MedZyme?)
Defender (AquaMeds) — huge success paired with Dimilin
Pond Perfect (TLC) • Nite-Out II (leftover)
Considering FritzZyme & Microbe-Lift PL
-----------------
Melafix • Dimilin-X • ProForm-C (stains but works!)
Iodine • NT Labs Ulcer Swab • Propolis (short-lived seal)
Morton’s Salt (40 lb bags) • Clove Oil
Montmorillonite Clay — Cindy’s miracle fix for pea soup water
------------------
Baytril (Enrofloxacin) — saved one of my big girls
Sterile syringes & needles
Medical kit (gloves, gauze, scissors, scalpel, etc)
Still deciding if suturing is worth learning
----------------------
Aqua MedZyme • Dexamethasone • Tricide-Neo
Silver Sulfadiazine • MS-222 (sedation)
Microscope (i have a great new one but practice needed
Still trying to ID which Microbe-Lift spray that pond guy used for ulcers and tail rot—it was magic!
----------------------
What are your must-haves for emergencies?
Sutures — overkill or essential?
Anyone tried Dex for shock?
Longest-lasting sealant you’ve found?
Tips for microscope slides or parasite ID?
What of these should I get rid of so I don't have so much stuff and have my clear go toys for emergencies.
Let’s compare notes — what’s actually saved your fish, and what wasn’t worth keeping stocked?
— Tanya