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Hello, JACustomer. I have been a Veterinary Nurse for over 15 years and would be happy to help you today. I'm reviewing your question right now.
1) Is he indoors only? 2) Take any regular medication? 3) What is being used for flea prevention? How often is it applied? 4) Do you have clear pictures to share of these concerning areas? 5) What brand of food are you feeding? 6) Have any skin tests been performed? biopsies?
My very first impression is that, without a doubt, you need to be working with a dermatologist. Hands down. Symptomatically, he looks like a cat with severe food allergies. Here's an example of another cat with food allergies and similar appearance: http://www.ahmontgomery.com/uploads/1/9/7/7/1977536/7927384_orig.jpgAs this is going to be quite difficult to locate in Africa, we need to analyze as many areas as we can in his life. So, let's start with the name of the flea prevention you're using and list ALL foods you're giving.
If you uploaded a picture, it didn't come through. The only pictures I see are of your companion. I also don't see a 'bars' online, can you share a link or post pictures of the active ingredients?Do you regularly rotate foods?Have you performed any diet trials with him over the course of 16+ weeks without adding any additional foods or treats aside from the food?
Are these marketed for cats in your area? The links show only dogs. Is there an English translation for the active ingredients? I apologize but it appears there will be some difficulty between languages here.Diet trials work in such a manner as to remove all "high risk" items form the diet that might cause allergies. Common problem protein and carbohydrate sources that cause issues include corn, wheat, soy, chicken, fish and beef. We aim to find a food that has a protein source that has not been used, and a carbohydrate source that has not been used. An example would be rabbit and green pea, as neither of these were mentioned in your list of common treats. To do a diet trial, this means your companion would receive ONLY this food and his water. No treats, no table scraps, no human food. We need to know if these protein and carb sources are 'safe' and will alleviate symptoms.
The name of the medication is in English, but the active ingredients are not. Thankfully the pictures you have shared show that fipronil is the active ingredient.Has your vet provided any diagnostics or treatment thus far? A skin scrape? tape test? Any shots such as steroids? Have any oral meds been tried?I think your best bet is going to be a diet trial as recommended above. If this is not due to food (ideally we can work that down to being one of the last options with diagnostics) you will probably need to speak with your vet about using some variety of immune-suppressing medication like atopica.For now I would use the cone and I would trip and buff down his back claws so that he cannot do more damage to his skin.