Help for Toby

Hi there, I come to you all looking for help with my 2 year old Himalayan cat named Toby.

About a year ago, he was constantly scratching his ears and had the coffee-ground substance in his ears. They found ear mites and "one demodex mite" and perscribed him Tresaderm. After about a week of treatment, his ears looked normal.

Back around April, Toby was scratching again. He also had some crusty stuff under his chin. The vet perscribed more tresaderm along with some medicated fluid to clean up his chin (feline acne) and also some steroid solution because they think the scratching might be allergy related. The scratching subsided a little bit. But now, things have gotten much worse...

A month ago, the coffee-ground substance was in his ears again. His feline acne under his chin is nearly gone, but now he is scratching his entire face REALLY bad, to the point where he is bleeding between his eyes and ears and around his whiskers. I took him back to the same vet as before. They did not find ear mites but perscribed me an ear cleaner solution to get all the gunk out. They also gave me the same steroid solution because they still feel the itchiness is due to an allergic reaction. They gave me new hypoallergenic food (Natural Balance Green Pea and Duck) and told me to feed him that instead of his Science Diet hairball control.

I'm extremely concerned about Toby. I have a cone on him to prevent him from scratching but he is finding clever positions to get around the cone and get to his eyes.

The first question I have...does Tresaderm treat for all mites (Demodex, burrowing, and Cheyletiella mites) or just the standard ear mites?

Thanks for reading...any help would be appreciated!!
Brad

The treatment for the steroids was 1ml for 4 days, then 1/2ml for 4, then 1/2ml every other day for 8 days. On day 7, he vomited about an hour after I gave him his dose. On day 8 and 9, the same thing happened. I haven't done it since.

Every day I take the cone off just so Toby gets some time to relax. But the second I take my eyes off him he is going to town on his face with his claws. It's really sad to see

The last time I was in, they did not see an infection at all. They said, "you got him in here in time." He's had an infection before and knocked that out with some Tresaderm, so that did its job. But the skin irritation remains...

I'm definitely not an expert...but after reading a ton on the subject, I think he might be one of those rare cases of demodex mites or mange. I think I might take him to a new vet to see what they say.

I'm still up for opinions though. Thanks for the help so far!

Update:

Took him to a new vet today. The first thing the doctor said was that he looked like he had a secondary They put his head under a black light and his head GLOWED. They are 99.9% sure it is a fungal infection, so they gave him a shot of anti-fungal medicine. They did a scraping to confirm and will have those results in a few days. They also gave me oral Cefadroxil and novasan scrub for the affected areas of skin.