I'll admit to not opening the esha pdf, but it would be very unusual to remove biomedia during treatment, whereas it's standard to recommend removal of carbon or purigen or other "binding" type media
Seachem does have expiry date & lot # on their product so you can easily confirm product status with Seachem
You might also check with local vets to see what might be available there (also local chemists that stock livestock supplies)
Depending on fish, it may be possible to net fish (look for a brine shrimp net as the fabric is soft & "dense" & will help protect fish skin/scales from handling damage), immobilize in the net, lightly coat lesion with a topical antibiotic cream such as Debride (you can likely substitute a Neosporin type cream)
This article is koi focused but worth reading
Note that the fish capture/hold/treatment process should be calm & quick so as to limit stress to fish (your local vet might be able to supply a fish anaesthetic but this needs to be used with care - research thoroughly before attempting): if you don't observe daily progress over the first few days, discontinue.
You can also remove fish to an alternate container for strong short term "bath" treatments (it's recommended to add aeration even for short term baths)
In case you've not done the math yet, its usually much cheaper to just euthanize & buy a replacement fish
(I tend to give up only after the fish in question has given up, but it's not the most practical choice )
Seachem does have expiry date & lot # on their product so you can easily confirm product status with Seachem
You might also check with local vets to see what might be available there (also local chemists that stock livestock supplies)
Depending on fish, it may be possible to net fish (look for a brine shrimp net as the fabric is soft & "dense" & will help protect fish skin/scales from handling damage), immobilize in the net, lightly coat lesion with a topical antibiotic cream such as Debride (you can likely substitute a Neosporin type cream)
This article is koi focused but worth reading
Note that the fish capture/hold/treatment process should be calm & quick so as to limit stress to fish (your local vet might be able to supply a fish anaesthetic but this needs to be used with care - research thoroughly before attempting): if you don't observe daily progress over the first few days, discontinue.
You can also remove fish to an alternate container for strong short term "bath" treatments (it's recommended to add aeration even for short term baths)
In case you've not done the math yet, its usually much cheaper to just euthanize & buy a replacement fish
(I tend to give up only after the fish in question has given up, but it's not the most practical choice )