Take the puppy to a veterinarian for a confirmed diagnosis
Follow the vet-prescribed treatment exactly
Use only medications approved for puppies
Treat all dogs in the household if the vet advises it
Wash bedding, blankets, and soft toys in hot water
Disinfect crates, collars, brushes, and grooming tools
Keep the puppy isolated from other pets until cleared by the vet
Prevent scratching with an e-collar if recommended
Bathe the puppy only with vet-recommended medicated shampoos
Maintain good nutrition and hydration
Monitor for skin redness, hair loss, scabs, and worsening itching
Return to the vet for follow-up exams and skin tests
Do not use over-the-counter mange treatments without veterinary approval
Do not use human medications on the puppy unless instructed by a vet