![]() Pentoxifylline (especially for aphthous ulcers) ![]() Intralesional steroid injection with triamcinoloneĥ–10 mg of triamcinolone per square centimeter of ulcerationĠ.75–1.0 mg/kg for 7–10 days with a rapid taper over 2–3 wk, or a slow taper depending on the severity of disease short-term side effects include restlessness, insomnia, increased appetite, hyperlipidemia, hypertension, and hyperglycemia Nasal spray such as fluticasone, betamethasone, and budesonide may be used orallyġ–2 puffs onto affected sites 2–3 times daily Swish 5 mL (dexamethasone, tacrolimus, cyclosporine, or budesonide), or 15 mL of prednisolone for 3–5 min (timed) and spit out, 3–4 times a day no food or drink for 20 min afterĭispense 300 mL swish 5–15 mL for 3 min (timed) and spit out, 3–4 times a day no food or drink for 20 min after Note: Use only the class V or lower steroid on the vermilion, if expecting long-term use the other steroids may cause irreversible atrophy of the vermilion and skin tacrolimus and pimecrolimus may be used on the vermilionīudesonide (3-mg capsule contents dissolved in 5 mL of water) Place gel in gingival stent and wear for 20–30 min, 2–3 times a day Saturate a strip of gauze with the gel and apply to affected site for 20–30 min, 2–3 times a day Triamcinolone 0.1% dental paste a (not appropriate for diffuse lesions)ĭry area, apply to affected site 3–4 times a day no food or drink for 20 min after ![]() Topical Immunosuppressive Agents (gels or creams are the most useful preparations with the same concentration of drug vary in strength, depending on the preparation) ![]()
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