I have been to the vets in my area . They have taken my money and failed my dog. One about killed my dog. they were giving him Apoquel. Along with his puppy shots. He had a terrible reaction. That vet never addressed the mites. Vet 2 gave him a shot of cytopoint. This one gave him flea meds. I heard about using Nemex. ( the meds for hook worm) In small doses over several days or weeks. Is a effective way to kill the mites. I have changed his diet. I am using home remedies and he is lookin better.