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The Best Ways to Treat Ear Mites in Dogs and Cats

Is your cat or dog constantly scratching at its ears or shaking its head?  Do the ears contain a dark brown to black crusty discharge that resembles coffee grounds, yet has a waxy consistency?   Does your pet have a hot spot below one of its ears?   Then your cat or dog could be suffering from an infestation secondary to an infectious mite called Otodectes cynotis, more commonly referred to as ear mites.

O. cynotis is a large white mite, approximately 0.3 to 0.5 mm long that moves about freely on the surface of the skin in the ear canal.  This particular mite does not burrow into the various skin layers but feeds on sloughed surface skin cells, debris, and available inflammatory exudates present on the surface of the ear canal and skin.  Although these mites prefer the ear canal environment, they can infest any part of the body.  These mites have been known to colonize the hair on the side of a pet’s face near the ear or may find themselves on the rump and tail area when the pet curls up to sleep.  The colonization of additional body areas other than the ear canal is especially common when inflammation becomes so severe that the ear canal itself is no longer conducive to mite survival.

Ear mites have eight legs.  Male mites have cup-shaped suckers and their legs extend in length beyond the outer margin of their body.  Female mites have only one pair of legs containing these cup-shaped suckers while the fourth pair of legs is rudimentary (smaller in size).  Ear mites can easily be seen on an otoscopic examination or on a smear of ear exudate viewed under a light microscope. 

These mites are highly contagious to others through direct content with an infested cat or dog.  They are a potential zoonotic pathogen (capable of infecting people).

Ear mites are quite hardy and may survive off the host for at least 12 days.  The entire life cycle of the parasite takes place in the ear canal or on the hair coat of the infected individual.  The infection is also termed “ear canker” or “otoacariasis.”  The life span of an individual mite is 2 months.  

Symptoms of an ear mite infection include:  shaking of the head, itchiness (puritis), ear canal inflammation, and the presence of a dark, nearly black discharge within the ear canal.  A positive pinnal-pedal reflex (a reaction the pet has upon being scratched behind the ear, in which he or she will mimic a scratching motion with the rear leg on the same side of the body) may be seen in cats but not in dogs.  The intense puritis is often due to a hypersensitivity to various antigenic (protein) components in the mite’s saliva.  Ear mite antigens may cause cross-reactivity to house dust when allergy testing a dog for atopy (allergies) or asthma.  This cross-reactivity may cause a pet to be incorrectly diagnosed as allergic to dust mites.

There are a variety of products available for the treatment of ear mites, from medications applied into the ears to those that are applied topically to the coat, which kill or prevent other parasites in addition to ear mites. Prescription products are available from Bayer, Pfizer, Novartis and Merial.  It is always advantageous to have the correct etiology for a particular ear infection before proceeding with treatment.  For confirmation of an ear mite infection see your veterinarian before treatment for ear mites is begun, otherwise you may be treating a yeast infection incorrectly, believing it to be an ear mite infestation.

An example of a topical prescription treatment is MilbeMite, a 0.1% milbemycin oxime otic (ear) suspension produced by Novartis.  Approved for use in cats and kittens four weeks of age and older. Best results are obtained when the ears are thoroughly cleaned before applying and when the dose is repeated once at a three-week interval.

Tresaderm®, is an otic solution manufactured by Merial.  Tresaderm contains thiabendazole, dexamethasone, and neomycin sulfate in solution. This product controls the ear mites and the secondary infections associated with the infestation as well as the resulting inflammation.  Available by prescription only it is furnished in 7.5 and 15 ml sizes for direct ear administration.

Several products that are available as heartworm and flea preventatives in cats are also very effective in the control of ear mites.  Two such products are Advantage Multi®, available from Bayer Animal Health, and Revolution®, marketed by Pfizer.  Each product is applied topically at the back of the head after parting the hair and applied directly to the skin.  The back of the head is the preferred site of application, thereby preventing the cat from licking the medication off.  Two to three applications may be necessary at two week intervals for complete resolution of the problem. 


  • Blagburn, Byron. “Canine and Feline Otoacariasis – Ear Mites Revisited.”  Veterinary Forum.  April 2009.  Pp. 33-36.
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