None of the animals in our efficacy studies were treated concurrently with a flea control product in order to kill "wandering" mites. However, if you routinely prefer this type of concurrent treatment and would like to continue, there should be no safety issues involved since ivermectin has been shown to be safe when used with flea products in other studies.
Acarexx® is not a wax remover, although it is effective in the presence of wax. If the animal is cooperative, your vet may want to clean your cat's ears. For animals that are difficult to restrain, the excessive wax and debris will gradually be eliminated from the ear canal once the mites are eradicated.
Yes. All cats in the household should be treated to prevent inapparent carriers from acting as a source of reinfestation.
Acarexx® is only labeled for use in cats. IDEXX has not conducted studies that demonstrate safety or efficacy in dogs. Any use of this product in dogs would be extra-label and we cannot recommend such use of our products.
No. Acarexx® has been proven effective in cats and kittens using the contents of one ampule per ear. We can only assure reliable efficacy when the product is used in accordance with label instructions.
Otodectes cynotis will not live long off the host animal. There is no need to treat the environment, but it is recommended that all cats and kittens in the household be treated.