Ich looks as though salt has been sprinkled over the fish.
If it really is ich, the best treatment is heat not medication. All ich meds are rough on fish.
Do a large water change and substrate clean to remove as many of the parasites as possible. Refill the tank with water warmer than usual and turn the heater up to get the temperature to 86deg F/30 deg C. Leave the temperature at that level for 2 weeks. When you do a water change, heat the new water to the same temperature before adding it to the tank.
After 2 weeks or a week after the last spot disappears whichever is later, turn the heater back down to its usual setting and let the water cool.
With this method, you don't need to remove carbon. However, other diseases do need medication so if the fish get sick with something else you will need to remove the carbon. The best thing would to remove it before medication is needed as you can do it bit by bit rather than all at once.
The thing on the left in your photo looks like a carbon cartridge - a bag of carbon granules in a frame. The thing on the right looks like a piece of sponge held in a frame. That's not carbon.
Cut a slit in the bag of the carbon cartridge and empty out some of the carbon. Then get some more sponge, any make, just cut it down to the same shape as the cartridge. Then hold it against the cartridge and slip them together into the filter. In a couple of weeks, empty some more carbon, then again in another couple of weeks till it's all gone. Now you'll have just the new sponge and the empty bag, both of which can be washed in old tak water and can be left in the filter it you ever do need to medicate the tank.