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Ketoconazole for Cat

Cat · Felis catus · typical adult weight 2.50–7.00 kg

Ketoconazole is used in cat for Dermatophytosis, Dermatophytosis / Malassezia dermatitis. Routes documented in cat: PO. A typical adult cat weighs 2.50–7.00 kg. ExoticRx lists 2 cited dose rules for Ketoconazole in cat, drawn from published veterinary references. Verify against current literature before clinical use.

Trade names: Nizoral

Dose ranges

RouteDoseFrequencyDurationIndicationEvidenceSource
PO5–10 mg/kgq12-24h4-8 weeksDermatophytosisModeratePlumb's Veterinary Drug Handbook, 9th Ed
PO5–10 mg/kgq12-24h4-8 weeksDermatophytosis / Malassezia dermatitisModeratePlumb's Veterinary Drug Handbook, 9th Ed

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These ranges are per kg. Enter your cat's weight to get the precise dose and draw-up volume — unit and concentration math done for you.

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Mechanism of action

Inhibits lanosterol 14-alpha-demethylase (CYP51), blocking ergosterol synthesis in fungal membranes. At high doses, inhibits adrenal and gonadal steroidogenesis.

Side effects & warnings

Hepatotoxic — monitor liver enzymes. Strong CYP inhibitor (many drug interactions). Requires gastric acid for absorption (do not give with antacids). Also used for Cushing's disease (adrenal steroidogenesis inhibition).

Species-specific contraindications and adverse-reaction reports for cat may differ from canine / feline reference data — consult the primary citations listed with each rule.

Other Antifungal drugs with cat dosing

Ketoconazole dosing in other species

Why a species-specific page? Ketoconazole pharmacokinetics differ across species: dose ranges, intervals, and route preferences are not interchangeable. Cross-extrapolation from canine doses is unsafe in cat — the rules above are the citations specific to this species, not generic recommendations.

Sourced from published veterinary references; awaiting credentialed clinical reviewer. See our editorial process. Reference only — not veterinary advice.