Firstly before treatment with any medication you need to ensure that you are treating for the correct ailment.  It is also important to note that some of the treatments and medications used are still in their testing stages and no guarantees are offered for 100% survival.

This particular treatment could be used for internal GBD, I have personally not had a case of internal GBD to test the medication out.  I am interested to hear the results of any such treatments.

Acetazolmide is also used, but this time as a bath.  It is important to release the air from any bubbles, being extremely careful not to puncture the skin or in the case of pop-eye, puncture the eye.

Using a fine sterile needle, pierce the bubbles entering from the side, gently apply a small amount of pressure to release any air/fluid build up in these bubbles.

Prepare an isolation/hospital tank and add 30 litres (8 gal) of seawater, ensure the temp is the same as the tank the horse has come from.  Add an airline and hitching posts and heater to maintain a stable temp.

Using the tablet form of acetazolamide (250mg) crush the required amount to a fine powder and mix in with some seawater.  There will be a slight residue that will not dissolve.  Add this to your isolation tank.

Place your seahorse into the isolation tank and leave for 24 hours.  Perform 100% water change on the tank and repeat the treatment.  After a further 24 hours, perform another 100% water change and repeat until a total of three treatments have been given.  The medication will lose its effectiveness after 24 hours.

One of the side affects is loss of appetite, so keep tempting with favourite foods, as it is critical to keep them eating during the treatment.

After treatment they can be returned to the main tank where they will be most comfortable and have the best chance of recovery.