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My vet suggested cream for cat ringworm, but it's not working. Help!

Updated On September 23rd, 2025

Pet's info: Cat | Domestic Shorthair | Female | spayed | 4 months and 21 days old | 3 lbs

My vet recommended only OTC cream (Lotrimin AF) to treat my cats ringworm. He said he could prescribe oral anti-fungal (ITRAFUNGOL ORAL SOLUTION) if I wanted but that it is expensive. He also said I could do lime sulfur dips but they aren't that important. I have just been using the cream for a week and her spots are worse. Is this cream harmful (it's for people)? I want to ask for the oral medicine and go ahead an do the Lime Sulfur Dips ASAP. Is my vet not taking this seriously?

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4 Answers

Most Helpful Answer

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Answered By Dr. Melanie, BVSc MS

Veterinarian

Published on September 12th, 2020

The cream isn't harmful but I have never come across a topical medication that has been effective for treating ringworm in cats aside from prescription-based lime sulfur dips. The concern is that the Microsporum canis (fungal organism causing ringworm) is spread diffusely throughout a cat's entire hair coat, such that an isolated topical spray will not cover all surfaces of every hair, and lead to frequent recurrence. Since the topical treatment isn't working and Nova's spots are worse, I would go back to the vet to get an oral treatment. I hope that all goes well!

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    Answered By Dr. Melanie, BVSc MS

    Veterinarian

    Published on May 4th, 2020

    Thank you for contacting Petco Pet Education Center, formerly Petcoach with your question about Shadow. It could be ringworm, but I can't say for certain without seeing him in person. I have never come across a topical medication that has been effective for treating ringworm in cats aside from prescription-based lime sulfur dips. The concern is that the Microsporum canis (fungal organism causing ringworm) is spread diffusely throughout a cat's entire hair coat, such that an isolated topical spray will not cover all surfaces of every hair, and lead to frequent recurrence. If you are concerned that he may have ringworm, he should go to his vet for confirmation and will need to be started on oral antifungal medication. I hope that all goes well!

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    1Pet Parents found this answer helpful

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    Answered By Dr. Melanie, BVSc MS

    Veterinarian

    Published on January 9th, 2020

    I have never come across a topical medication that has been effective for treating ringworm in cats aside from prescription-based lime sulfur dips. The concern is that the Microsporum canis (fungal organism causing ringworm) is spread diffusely throughout a cat's entire hair coat, such that an isolated topical spray will not cover all surfaces of every hair, and lead to frequent recurrence. If you are concerned that Baby may have ringworm, she should go to his vet for confirmation and will need to be started on oral antifungal medication. I hope that all goes well!

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    1Pet Parents found this answer helpful

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    Answered By Anna M., DVM

    Veterinarian

    Published on February 14th, 2021

    Poor Tuki! With that degree of hair loss, if ringworm has already been diagnosed as the cause, I would agree with the first vet that a systemic (oral) antifungal such as Sporanox, in addition to a medicated topical treatment is necessary for this degree of hair loss. All anti-fungal medications have risks in cats, but we need to weight the pros & cons, and with a serious fungal infection the treatment is often necessary. I do not recommend using a scalpel to remove ringworm lesions - however, there is a test called a "skin scrape" where we use a scalpel blade to gently scrape (not cut) the very top layer of skin onto a microscope slide, in order to look for skin mites as a cause of hair loss. This would be done as a diagnostic test, not as a treatment. I wonder if this is the test that second vet was recommending, in order to make sure there isn't something else causing Tuki's hair loss. And in that case, I would also agree with this second vet. If Tuki is getting worse despite treatment, then it's worth making sure there isn't something else requiring an adjustment in Tuki's treatment plan. Hope this helps!

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