Best Flea and Ear Mite Treatment for Cats (2025 Review)

Dr. Priya K. Nambiar

Published by Sep 08, 2025 at 8:02 AM EDT

10 min read ·

If your cat constantly scratches, shakes its head, or shows dark debris in its ears while also biting or licking its fur, it may be suffering from fleas and ear mites at the same time. These two parasites are among the most common in cats, and they often appear together. Left untreated, fleas can cause skin irritation and anemia, while ear mites can lead to painful infections and even hearing loss. The good news? With the right flea and ear mite treatment for cats, you can restore your cat’s comfort and prevent long-term health problems.

Flea and Ear Mite Medicine for Cats

Types of Medicines

There are several options available for flea and ear mite medicine for cats:

• Topical spot-on treatments – Containing ingredients like selamectin or moxidectin, which work against fleas and ear mites simultaneously.

• Oral medications – Effective for fleas but usually less reliable against ear mites.

• Ear drops – Often containing ivermectin or milbemycin, specifically designed to eliminate ear mites directly in the ear canal.

How to Choose Safely

Always match the treatment to your cat’s age, weight, and health condition. Cats with pre-existing liver or kidney problems should only receive medications approved by a veterinarian. Avoid mixing multiple products unless instructed by a professional, as overdosing can be toxic.

Can Flea Treatment Kill Ear Mites?

Dual-Action Products

Some products are specifically designed so that flea treatment kills ear mites as well. Popular veterinary-approved examples include:

• Revolution (selamectin) – Targets fleas, ear mites, and certain internal parasites.

• Advantage Multi (moxidectin + imidacloprid) – Broad coverage, especially helpful for outdoor cats exposed to multiple parasites.

Advantages and Limitations

Spot On Mite Treatment for Cats

How to Apply

To use spot on mite treatment for cats, part the fur at the back of the neck and apply directly onto the skin. This prevents your cat from licking it off. Avoid bathing your cat for at least 24 hours after application.

Benefits

• Long-lasting protection, usually up to one month

• Simple application without forcing pills

• Covers fleas, mites, and sometimes internal parasites

Ear Care While Treating Parasites

Cleaning Tips

Use a veterinarian-recommended ear cleaner. Never push cotton swabs deep into the ear canal; instead, use cotton pads to gently wipe visible debris. Regular ear cleaning supports the effectiveness of any flea and ear mite treatment for cats.

When to Combine Treatments

If ear mite infestations are severe, your vet may recommend combining spot-on medication with ear drops for faster recovery. Avoid using alcohol or harsh chemicals inside the ears.

Signs of Recovery

• Less head shaking and scratching

• Reduced ear debris and wax

• Calmer behavior and restored comfort

Prevention and Home Care

Environmental Control

Wash bedding, blankets, and toys in hot water. Vacuum regularly to remove flea eggs and larvae. Pet-safe sprays can also help reduce infestations in the home.

Multi-Cat Homes

All cats in the household should receive preventive treatment at the same time. Quarantine and treat new cats before introducing them to the group to prevent reinfection.

Routine Prevention

Even if you don’t see fleas or mites, monthly preventive treatment is highly recommended. Parasites are easier to prevent than eliminate once established.

Possible Complications

Flea-Related Problems

• Flea allergy dermatitis

• Anemia in severe infestations

• Tapeworm transmission

Everything Our Vets Recommend

Revolution Topical Solution for Cats, 15.1-22 lbs, (Taupe Box), 3 Doses (3-mos. supply)

$104.48

$139.99

4.6

★★★★★

1625

Shop on Chewy

Credelio Chewable Tablets for Cats, 2-4 lbs, (Purple Box), 1 Chewable Tablet (1-mo. supply)

$20.58

$39.99

4.8

★★★★★

28

Shop on Chewy

Revolution Plus Topical Solution for Cats, 5.6-11 lbs, (Orange Box), 3 Doses (3-mos. supply)

$85.71

$99.88

4.8

★★★★★

4525

Shop on Chewy

Revolution Plus Topical Solution for Cats, 2.8-5.5 lbs, (Gold Box), 3 Doses (3-mos. supply)

$85.71

$95.88

4.8

★★★★★

562

Shop on Chewy

Ear Mite Risks

• Chronic ear infections

• Ear canal narrowing or scarring

• Hearing loss in severe cases

Flea and Ear Mite Treatment for Cats FAQs

Does flea treatment kill ear mites too?

Yes, certain treatments like selamectin or moxidectin target both fleas and ear mites. For advanced infections, extra ear drops may be needed.

How often should I use spot on mite treatment for cats?

Most are applied every 4 weeks, but always check the product label or follow your veterinarian’s advice for accurate dosing.

Is flea and ear mite medicine for cats safe for kittens?

Many treatments are only safe for kittens over 8 weeks old. Always consult your vet before using any product on young kittens.

Extended Considerations

Treatment for Pregnant or Nursing Cats

Not all medications are safe during pregnancy or lactation. Choose vet-approved products specifically tested for use in breeding or nursing cats.

Can fleas or ear mites affect humans?

Ear mites generally don’t transfer to people, but fleas can bite humans. Maintaining a clean home environment is crucial for everyone’s comfort.

Final Thoughts

A consistent flea and ear mite treatment for cats plan keeps your pet comfortable and healthy. Whether you choose spot-on, oral, or ear-specific medication, always consult your vet for the safest choice. Prevention, regular cleaning, and early treatment are the keys to protecting your feline friend. Start today and make parasite control part of your cat’s monthly routine!

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