With respect to and in addition to what Ursus Sapien talked about, I have experienced and learnt that ich break out if your fish are stressed in which there is something wrong with the aquarium environment.
Before going ahead and wasting money in medication, it's always beat to assess the tank conditions and ask yourself what could be stressing the fish. When you catch the ich, there's already a highly likelihood that the infected fish may not survive.
I found that if you have the right conditions for your fish, then they will I overcome most common ailments simply with more frequent water changes but in small percentages of 10% or so every day or two. Almond leaves have helped improved the health and well being of the fish in my tank.
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