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I like Praziquantel and Metronidazole ("General Cure" in USA). The first is a fluke killer and a killer of some worms. The second is a Hexamita killer. Neither will hurt the fish.
female Cacs (and most female Apistos) have bright BLACK chest fins... males can have some color in the chest fins, but it's usually translucent grey or blue
rams all have a black wide mark in the middle of the body ... with females there is usually shiny blue inside that middle black mark ... mature males are easy to tell because of the large fin extensions