Treatment for paronychia usually includes warm soaks, antibiotics, and narcotic pain medications. A large paronychia may require incision and drainage, which is a procedure that releases the pus from within the paronychia.
Treatment options for paronychia include:
- Warm soaks for paronychia
- Antibiotics for paronychia
- Clindamycin (Cleocin)
- Penicillin VK (Beepen-VK, Betapen-VK, Pen.Vee K, Robicillin VK, V-Cillin K, Veetids)
- Cephalexin (Keflex)
- Nonsteroidal anti-inflammatory medications for pain:
- Ibuprofen (Motrin, Advil, Nuprin, NeoProfen)
- Ketoprofen (Actron, Orudis, Oruvail)
- Naproxen (Anaprox, Naprosyn, Aleve)
- Narcotic pain medication:
- Incision and drainage for paronychia:
- A small incision is made in the skin, in order to allow the pus to drain from the paronychia.
Paronychia Questions For Doctor
The following are some important questions to ask before and after the treatment of paronychia.
Questions to ask before treatment:
- What are my treatment options?
- What are the risks associated with treatment?
- What are the complications I should watch for?
- Do I need medication?
- How long will I be on medication?
- What are the potential side effects of my medication?
- Does my medication interact with nonprescription medicines or supplements?
- Should I take my medication with food?
Questions to ask after treatment:
- Are there any medications or supplements I should avoid?
- When can I resume my normal activities?
- When can I return to work?
- What else can I do to reduce my risk for a paronychia?
- Will I need to see my doctor for a checkup?
Continue to Paronychia Home Care
- Daniel CR 3rd, Daniel MP, Daniel CM, Sullivan S, Ellis G. Chronic paronychia and onycholysis: a thirteen-year experience. Cutis. 1996 Dec;58(6):397-401. 
- Rockwell PG. Acute and chronic paronychia. Am Fam Physician. 2001 Mar 15;63(6):1113-6. 
- Tosti A, Piraccini BM, Ghetti E, Colombo MD. Topical steroids versus systemic antifungals in the treatment of chronic paronychia: an open, randomized double-blind and double dummy study. J Am Acad Dermatol. 2002 Jul;47(1):73-6.