The proper treatment for an ear infection in a cat depends on diagnosing the cause of the ear infection. Ear mites are the most common cause of infections. However, other diseases can cause similar symptoms that will not respond to treatment for ear mites.
Treatment for Ear Mites in Cats
If it is determined that your cat has ear mites, there are several effective treatments available. Some of the monthly medications for fleas, such as Revolution® and Advantage Multi for Cats®, will effectively kill and control ear mites. Acarexx® is a suspension that is applied directly to our cat's ears for the treatment of ear mites and is also very effective.
Your veterinarian may also advise cleaning your cat's ears to rid him of the debris that is commonly found with ear mites. Ear drops or ointment to soothe your cat's ears may or may not be recommended, depending on how inflamed and painful the ears are.
Treatment of Other Feline Ear Infections
Treatment must generally be aimed at the specific cause of the ear infection. If the ear infection is secondary to another cause, the initiating cause will need to be resolved in order to "cure" the ear infection.
- Periodic cleaning of the ears with an otic preparation made specifically for the ears is generally a good idea and can help keep your cat's ears clean and free of debris and wax. Some otic cleaning solutions are better suited for specific ear conditions than others. Your veterinarian can help you choose an appropriate ear cleanser.
- Bacterial ear infections are frequently treated with antibiotic ointments applied directly to the ears.
- Yeast and fungal infections may be treated with anti-fungal medications applied to the ears.
- Cortisone and other anti-inflammatory preparations may be used to reduce redness and inflammation within the ears and are usually applied topically as well.
- In severe cases, antibiotics, antifungal medications and/or anti-inflammatory medications may need to be given orally in addition to topically.
- If fleas are present, an effective flea medication must be administered. This is particularly true if a flea allergy dermatitis is responsible for your cat's ear and/or skin disease. A flea preventive program should be instituted for all of the animals in your household.
- A hypoallergenic diet (one that is unlikely to elicit an allergic response) may be required if your cat suffers from a food allergy as food allergies can affect the ears also.
- Atopy, if present, may need to be addressed either through the use of anti-inflammatory medications or hyposensitization therapy ("allergy shots").
- Masses and polyps located inside of your cat's ear canal may need to be removed surgically if they are causing problems for your cat.
- Foreign bodies (e.g. a foxtail) lodged within your cat's ear will need to be removed manually.
Learn more: Ear Infections in Dogs and Cats