Hello im glad that my post was helpful. ive been meaning to make another thread about my entire experience with ringworm and what i used, what vet said, and etc, but havent gotten to it yet because im still monitoring my cats in case it comes back. theyve been cleared for 2 months since being released in August. there are three type of ringworm that they usually tests for pets. by Microsproum, i meant the full term "Microsporum Spp". its not excatly the same as M. canis.
also do not rely on the blue light too much. my cat had an ringworm lesion that shined a lot green under the lamp. even right after she finsihed the treatment, it still shined green, but LESS and WASN'T the lesion wasnt completely healed or gone. i tested my cat's lesion right after the treatment and it came back NEGATIVE shockingly despite it still showing green under the wood lamp and not completely healed.
in conclusion, just because it is still green doesnt mean it is not healing and , it was only AFTER that my cat FINISHED her 5-6 weeks pulse dosing treatment that her lesion finally healed and stopped shining green.
my primary vet said that it has to be a certain type of green arrangement that indicate active infection. a healing ringworm lesion will still possibly shine green, but doenst mean it is active. but i would say less green is a good sign?
since my cats had on and off ringworm infection for about a year, i finally stopped seeing my primary vet for ringworm treatment and started seeing a derm vet. she prescribed my cats Itrafungol 10 mg/kg to be given EVERYDAY for 3 weeks and to continue pulse dosing after the 3 weeks if the lesions did not heal. pretty much told me that there no actual ending date for itrafungol and to pretty much give them it until their lesions disappears. she only does liver function labs every 6 months or if theres symptoms of liver toxicity.
none of my cats had it in the mouth or the nails. my primary vet told me that itrafungol is a systemic antifungal medication so it is actually enough to treat the ringworm by itself. the other topical medication is pretty much give to accelerate the healing process, reduce the chance of it spreading and etc. for your cat with the ringworm lesion in the mouth, i would say that the itrafungol is enough to treat it. do continue putting topical everywhere on his/her body though to help with the treatment better.
for the nails, i heard you gotta dig into the nails (open the paws in and out, etc) to get the topical in it. ringworm could be hiding inside.
when my cats were on pulse dosing method (one week on and one week off), they healed much slowly. wouldn't see improvements until mid or later/ end into the treatment. most other pet owners on pulse dosing method healed very slowly as well. for exmaple, the cat that i mentioned above in the second paragraph^^^ .
when my cats were on the loading dose method ( 2x pulse dose amount given everyday for 3 weeks), they healed a lot faster. probably by the 1.5- 2nd week, i could see improvements. some of my cat's ringworm lesions did get a bit worse in the beginning.
THANK YOU for such a detailed response! I understand now about the woods lamp. It's also really relieving to know the dermatologist is not as concerned about the adverse side effects of Itrafungol and even says to continue it until lesions go away. My vet was really pushing blood work before/during/after Itrafungol therapy but I declined because I felt this would be too stressful (needles in the jugular vein sounds too traumatic even for me, imagine not understanding why it's happening).
I retract my original post. My snowshoe is looking better...his lesion on his mouth is not as red/pink and I feel he's getting better visually (despite still glowing under UV light), however I'm really concerned about my long hair Persian. I found a new lesion in a new area so it seems to have spread...
Originally, his lesion was on his belly and just his belly, so I was doing the MiconaHex+Triz spray alongside Itrafungol. The other day when applying the spray I noticed his leg area is now pretty red with sparse hair so I've been applying it to this new area. Being a long haired cay, the spray really mattes his hair and makes it hard and gunky. So today I decided to give him a medicated antifungal bath instead and I really witnessed how red this new leg area is, and how red is tummy STILL is. When drying him off, I saw a lesion on his leg. I just can't believe it. Three weeks into therapy with isolation and he's worsening. I vacuum daily, wash bedding, clean litterbox daily, used these hydrogen peroxide wipes called Oxivir 1 that kill M. canis
I think I read a post earlier of yours that your dermatologist said the new lesions on your kitty can't be ringworm because they're currently undergoing Itrafungol therapy, but that it's moreso excoriation?
Also, I cannot give them Itrafungol through the oral syringe. My persian FREAKS out and it wasn't getting better, and my snowshoe was actually choking on it where I could hear gurgling in his lungs and rattling when he was breathing. To avoid causing pneumonia and wasting drug, I put the itrafungol on a plate and mix it with their favorite pate treat. They lick their bowls clean...so I know they're getting the doses in.