How JustAnswer Works:
  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site. Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.
Ask Dr. Michael Salkin Your Own Question
Dr. Michael Salkin
Dr. Michael Salkin, Veterinarian
Category: Cat
Satisfied Customers: 33267
Experience:  University of California at Davis graduate veterinarian with 45 years of experience.
Type Your Cat Question Here...
Dr. Michael Salkin is online now

My newly adopted stray cat has ear mites, I have been

This answer was rated:

My newly adopted stray cat has ear mites, I have been treating them with Surolan as prescribed by her vet. I have been cleaning her ears then putting two drops in each ear for three weeks. The left ear seems much cleaner, however the right ear still looks waxy. The wax now looks brown rather than black, however she is still a little troubled by them she often shakes her head and will scratch them if I touch them.
Have the mites cleared if the wax is now brown? If not can I continue with Surolan? What other treatment options are available?

Aloha! You're speaking with Dr. Michael Salkin
It sounds as if mites are still present although the only manner in which to confirm their presence is to examine a bit of the ear discharge microscopically. Surolan is quite a high-powered ear ointment but there are much simpler and more reliable therapies for ear mites in cats. For example:

Milbemite - a milbemycin solution instilled into each ear once - it's safe and effective.
Acarexx - an ivermectin topical solution instilled into each ear once - it's safe and effective
Revolution - a selamectin spot-on applied topically once or twice 1 month apart
Ivermectin injectable every 10-14 days for 3 treatments
Frontline - a 10% fipronil solution 2 drops into each ear once or twice, 2-4 weeks apart

It's important to note that when any otic treatment is used, it should be combined with whole body treatments with an acaricide (mite killer) such as fipronil in order to eliminate any ectopic mites - mites outside the ear. Fipronil spray or spot-on can be used 2-3 times 2 weeks apart.

Please respond with further questions or concerns if you wish.

Customer: replied 3 years ago.
I have been using Advocate (the spot on treatment) every month, can I ask which of the treatments above you recommend to accompany this?
Also would it be a prescription item? I don't really want to go back to the vet as I have taken her to the vets so many times (for different things) and she gets very nervous
Advocate contains moxidectin which has been approved for the control of ear mites. For a more thorough treatment, you can also apply an over the counter fipronil-containing spot-on such as Frontline (and many generics) as your whole body treatment and place 2 drops of the same product into each ear once or twice, 2-4 weeks apart. Fipronil-containing products are readily available in pet shops and agricultural merchants. (All the rest on the list need a prescription.)

Please continue our conversation if you wish.
Customer: replied 3 years ago.
I used frontline spot on in the past (for years) for my other cat to prevent fleas, but the vet then changed us over to Advocate as I was told this was more effective.
So to clarify, I can continue to use Advocate spot on as well as frontline as a spot on and in her ears? Or Advocate spot on and frontline only in her ears?

We are seeing flea resistance to Frontline but I haven't seen reports of ear mites becoming resistant. While the two products are compatible, I prefer to use as few drugs in cats as possible. I'd skip the Advocate for a month and, instead, use the Frontline in her ears and on her body for that month.

Dr. Michael Salkin and other Cat Specialists are ready to help you
Customer: replied 3 years ago.
Thank you
It's my pleasure.

I'm going to check back with you in a few weeks for an update. Feel free to return to our conversation - even after rating - prior to my contacting you if you wish.

Please disregard the info request.
Thank you for your kind accept. I appreciate it.

I'll speak to you soon.