What should be used to treat cats' ears for mites?

What should be used to treat cats' ears for mites? - briefly

A veterinarian‑prescribed otic medication containing selamectin, milbemycin or ivermectin is the standard treatment for ear mite infection in cats. Apply it according to the label instructions and repeat the dose as recommended.

What should be used to treat cats' ears for mites? - in detail

Ear mite infestations in felines require prompt, targeted therapy to eliminate the parasites and prevent secondary infection. Diagnosis is confirmed by otoscopic examination or microscopic identification of Otodectes cynotis, the most common culprit.

Effective treatment options include:

  • Prescription topical acaricides – products containing selamectin, moxidectin, or milbemycin oxime applied to the skin at the base of the skull. These agents circulate systemically and eradicate mites within a few days.
  • Ear‑drop formulations – ivermectin‑based or selamectin‑based drops (e.g., Revolution®, Stronghold®) administered directly into the ear canal. Typical regimens involve a single dose followed by a repeat after 7–14 days.
  • Lime‑sulfur dips – a 1–2 % solution applied to the ear canal every 2–3 days for 2 weeks. Effective against resistant populations but may cause temporary discoloration of fur.
  • Combination therapy – a topical acaricide paired with an antiseptic ear cleanser (e.g., chlorhexidine‑based solution) to remove debris and reduce bacterial overgrowth.

Key administration points:

  1. Clean the ear canal gently with a veterinarian‑approved cleanser before applying medication.
  2. Follow the exact dosage schedule; under‑dosing allows mites to survive, while over‑dosing can cause toxicity.
  3. Monitor the cat for adverse reactions such as erythema, excessive scratching, or lethargy; report any concerns to a veterinarian promptly.
  4. Re‑examine the ears 7–10 days after treatment completion to confirm eradication; a second dose may be required if mites persist.

Veterinary oversight is essential because some agents (e.g., ivermectin) carry breed‑specific risks, and accurate dosing depends on the animal’s weight. Selecting a licensed product, adhering to the prescribed schedule, and maintaining ear hygiene together provide the most reliable resolution of feline ear mite problems.