Mouth/Lip
Preparations
Topical Agents |
|
| Canker
sores / ulcers
[Top] |
amlexanox
Aphthasol ® | Aphthous ulcers: apply 1/4" paste
four times daily.
Supplied: [paste 5%] |
| Benzocaine
Orabase-B ®, Hurricaine ® etc. | Apply as directed
(3-4 times daily as needed). Limit therapy to 2 days.
Supplied: [
Aerosol
(oral spray): Hurricaine® 20%; Gel (oral): Anbesol®
6.3%, Orajel® 7.5%, Anbesol/Orajel Maximum strength-20%, Orabase-B
20%. Zilactin-B 10%;
Oral Liquid: Anbesol (6.3%), Orasol,
Hurricaine (20%). Dental protective paste -
Apply 3-4 times daily as needed. ] |
|
carbamide peroxide Gly-Oxide ® | Canker sores: apply several drops
up to four times/day (after meals and at bedtime). |
| Kenalog in
Orabase ®
(triamcinolone 0.1%
) | Indications: Treatment of steroid
responsive disorders of the oral mucosa, including inflammatory and
ulcerative lesions. Dosage: Coat the lesion
with a thin film, preferably at bedtime. Do not rub in. It may be
necessary to apply the preparation 2 or 3 times a day, preferably
after meals. Prolonged and intensive treatment may cause atrophic
changes in the skin, such loss of elasticity, thinning, dilation of
superficial blood vessels, telangiectasis, ecchymosis and purpura
particularly when occlusive dressings are used. Note: Should be used for short courses only. |
| Phenol
Chloroseptic ® spray | Apply as needed for sore throat/mouth
irritation (q2-4h as needed) |
| chlorhexidine gluconate
Peridex ® | Gingivitis:
15 ml oral rinse 0.12% - swish for 30 seconds then expectorate -
repeat twice daily.
Skin disinfection: 4% solution
applied for 2 minutes, dry and repeat for 2 minutes.
Administration: Do
not swallow oral rinse. Keep out of eyes/ears. Oral rinse should
be used after toothbrushing - do not rinse with water, mouthwash, or
eat immediately after using. |
| Candidiasis
[Top] |
| clotrimazole
Mycelex ® | Candidiasis
- oropharyngeal: dissolve 1 troche in mouth 5 times/day for 2 weeks.
Candidiasis- oropharyngeal, prophylaxis: dissolve 1 troche in
mouth 3 times/day during chemotherapy or until corticosteroids are
reduced to maintenance levels.
[Supplied: 10 mg troche] |
Nystatin
Mycostatin ® | Thrush: 5 ml
(one teaspoonful) swish & swallow four times daily. |
| Cold
Sores
[Top] |
Penciclovir
Denavir ® | herpes
labialis (cold sores): apply cream every 2 hours while awake x 4 days. |
| docosanol
Abreva ® | Adult (usual) Herpes labialis: apply topically to lesions 5 times a day until lesions have healed.
Begin treatment at the first
symptom or signs of an episode.
[Supplied: 10% cream - 2 grams.] |
| Mucositis
[Top] |
Gelclair
®:
(maltodextrin
+ propylene glycol)
Bioadherent oral gel that provides rapid and
durable oral pain relief. | Oral mucositis
- Directions for use: Pour the entire contents of the single-dose
packet into a glass and add 40 ml or 3 tablespoonfuls of
water. Stir mixture well and use at once. Rinse around the mouth for
at least one minute or as long as possible to coat tongue, palate,
throat, inside of cheeks and all oral tissue thoroughly. Gargle and
spit out. If swallowed accidentally, no adverse effects
are anticipated.
Use at least 3 times a day or as needed. Do not eat
or drink for at least one hour following treatment. In the unlikely
event that water is not available, the product may be used undiluted.
If the desired pain relief is not achieved when diluted,
you may try diluting with less water or undiluted.
[Supplied: Gelclair Dose Pack: 21 single-dose, 15 ml
packets.] |
lidocaine viscous
Xylocaine ®
2% topical solution | Indications:
production of topical anesthesia of irritated or
inflamed mucous membranes of the mouth and pharynx. It is also useful
in reducing the gag reflex when taking oral x-rays or dental
impressions.
Dosage: the maximum recommended single dose for
healthy patients should be such that the dose does not exceed 4.5
mg/kg of body weight and does not in any case exceed a total of 300mg.
Symtomatic treatment of irritated or inflammed mucous membranes of the mouth
and pharynx: Usual adult dose: 15 ml undiluted. Mouth: swish around then spit out.
Pharynx: gargle then may
swallow. Do not give at smaller intervals than every 3
hours. Max 8 doses/day.
Supplied: 2% topical solution (20 mg/ml) |
| BMX Cocktail
(Benadryl +
Lidocaine viscous + Maalox)
| BMX cocktail (Benadryl : Maalox :
Lidocaine) (1:1:1) // Lidocaine: 6.7 mg/ml ; Benadryl: 0.83 mg/ml.
SHAKE WELL BEFORE USING. Note: the most significant drug-induced
adverse reactions are attributable to lidocaine. The lowest dosage
that results in effective anesthesia should be used to avoid high
plasma concentrations. Indications: Topical anesthesia of irritated or
inflamed mucous membranes. Commonly used for radiation mucositis or
chemotherapy-induced stomatitis. The mixture may be swallowed,
however, if the inflammation is limited to the oral cavity the mixture
should be swished around the mouth then expectorated.
Dosing:
(Guidelines based on maximum single dose of lidocaine 4.5 mg/kg- not to
exceed 300 mg/dose. Max of 8 doses/day).
Patient weight
(45kg): 5 to
30 ml q3-6h prn (max 8 doses/day).
Patient weight (50 to 55kg): 5 to 35
ml q3-6h as needed (max 8 doses/day).
Patient weight (60kg): 5 to 40
ml q3-6h as needed (max 8 doses/day).
Patient weight (65kg and above):
5 to 45 ml q3-6h as needed (max 8 doses/day). |
|
| Xerostomia
(Dry Mouth)
[Top] |
Pilocarpine
Salagen ® |
Cholinergic agonist.
Xerostomia: following head and neck cancer: 5
mg orally 3 times per day. Titration up to 10 mg 3 times/day may be considered for
patients who have not responded adequately. Do not exceed 2 tablets per dose
Sjogren's syndrome: 5 mg 4
times/day
Supplied:
5 mg tablet.
|
Artificial saliva
Moi-Stir ®
Salivart ®
Saliva Substitute
|
Xerostomia: Use orally as needed.
|
