How to treat ear mites in cats, which medications to use?

How to treat ear mites in cats, which medications to use? - briefly

Topical acaricides—selamectin, moxidectin, or a lime‑sulfur dip—effectively eradicate ear mites in felines when applied according to label directions. Veterinary confirmation of diagnosis and follow‑up examinations ensure complete resolution and prevent reinfestation.

How to treat ear mites in cats, which medications to use? - in detail

Ear mites (Otodectes cynotis) infest the external ear canal of felines, causing inflammation, itching, and dark debris. Prompt identification and treatment prevent secondary infections and discomfort.

Initial assessment involves otoscopic examination to confirm the presence of live mites or characteristic cerumen. A sample of ear debris can be examined under a microscope for definitive diagnosis.

Effective pharmacological options include:

  • Topical acaricides
    • Selamectin – applied once, 6 mg/kg, directly onto the skin at the base of the skull; provides systemic control of ear mites and other parasites.
    • Moxidectin – 1 mg/kg, spot‑on formulation; active against mites for up to four weeks.
    • Ivermectin – 0.2 mg/kg, ear drops; repeated after one week to ensure eradication.

  • Topical otic solutions
    • Milbemycin oxime – 0.5 mg/kg, ear drops; administered once daily for three consecutive days.
    • Toltrazuril – 20 mg/kg, ear wash; applied twice, 48 hours apart.

  • Combination products
    • Imidacloprid + moxidectin – 1 mg/kg, spot‑on; covers mites, fleas, and heartworm vectors.
    • Selamectin + praziquantel – 6 mg/kg, spot‑on; treats ear mites and intestinal parasites simultaneously.

Cleaning the ear canal before medication enhances drug penetration. Use a veterinarian‑approved ear cleaner, gently flush with lukewarm saline, and dry with gauze. Avoid cotton swabs that may damage the tympanic membrane.

After treatment, re‑examine the ears after 7‑10 days. Absence of live mites and reduction of debris indicate success. If residual signs persist, repeat the chosen acaricide according to the product’s label or switch to an alternative class.

Preventive measures include:

  • Routine application of long‑acting spot‑on preventatives every month.
  • Regular ear inspection during veterinary visits.
  • Isolation of newly introduced cats until a full ectoparasite screening is completed.

Adherence to dosage guidelines, proper administration technique, and follow‑up examinations ensures complete resolution of ear mite infestations and minimizes the risk of recurrence.