An analgesic, such as codeine 30 mg po q 4 h, is usually necessary for the first 24 to 48 h. If cellulitis is present and extends beyond the ear canal, penicillin V 500 mg po q 6 h for 7 days is indicated. If the patient is allergic to penicillin, erythromycin in the same dose can be used. Furuncles should be allowed to drain spontaneously, because incision may lead to spreading perichondritis of the pinna. Oral antistaphylococcal antibiotics are used.
Topical antibiotics are ineffective .
Analgesics, such as codeine 30 mg po q 4 h, are necessary to relieve the pain. Dry heat also helps relieve pain and hastens resolution. All rights reserved.