Best you take her to the vet for a proper and full check-up. She could also have a thyroid problem which will cause weight loss with a ravenous appetite. Don't just assume it's only worms - even if you see worms.
Cats that age often have thyroid problems, but if she is indeed 20, it's likely too late to do a great deal.
Outdoor cats should always be dewormed 3-6 months (depending on the wormer).
Why take a risk with an elderly pet ? when there is a very big chance that she has thyroid problems ?
By too late I mean they generally remove an overactive thyroid but it's a very invasive surgery and very difficult to recover from. At that age it's unlikely that they would even put her through surgery because chances are that she might die under anaesthetic
However there is medication available.
If in doubt - take her to the vet.
Best of luck
Good luck at the vet's; I hope you can get her there soon, it is never good to wait on elderly animals with health problems.
I should like to mention that OTC wormers are NOT always safe or effective. It it best to talk to your vet prior to buying them. This way, if you can't afford a vet-perscribed dewormer, they're better than nothing. Using a more valid dewormer perscribed by a vet, however, is best. Honestly, I wouldn't trust OTC products on older animals, since they often times have sensitive digestive tracts as it is.
It is very dangerous to self-diagnose your animals. Cats at that age are likely candidates for thyroid problems, diabetes, and other conditions that could be eased with medications. However, because geriatric animals are so very delicate, it is of vital importance that health conditions be treated promptly and properly. Even kidney failure, the number one killer of cats, can be slowed and made less unpleasant for the cat with fluids and modified diet.
Question - is you cat on any preventatives? Tapeworm is often spread by external parasites, as is heartworm. Your cat should be on something like Revolution all year 'round to prevent fleas, ticks, heartworm, and some internal parasites, and if she is allowed outdoors, she should be dewormed regularly. Free-roaming outdoor cats need much more protection in the form of vaccines, preventatives, and deworming, since they are being expose to a much more dangerous and disease ridden environment than the house, or even an enclosure. Every bird and mouse they chomp on is full of worms. Every cat they fight with is full of diseases. Every brushy field they walk through is loaded with ticks. So, if your old gal isn't on preventatives, and turns out to have something easily treatable, I'd talk to your vet about them so she doesn't get ill again.
Still enough to pick up just about any and all feline disease going around.well to be onist the furthest she walks is to the bottom of the garden 2 times a day (the gardens about15 meteres long so it is not the big feild you talk about and she hasn't got any teeth to chomp birds and she scared of them to!!!
cant make it to the vets till jan!!!!!!! he closes in 2 weeks then opens on new years day and been as we have not got transport we cant take her any where else
Still enough to pick up just about any and all feline disease going around.well to be onist the furthest she walks is to the bottom of the garden 2 times a day (the gardens about15 meteres long so it is not the big feild you talk about and she hasn't got any teeth to chomp birds and she scared of them to!!!
cant make it to the vets till jan!!!!!!! he closes in 2 weeks then opens on new years day and been as we have not got transport we cant take her any where else
Self diagnosis is not the way to go. But if you can have a guilt free conscience is something does go wrong with your geriatric feline friend, then that fine