Drugs in Oral Medicine Flashcards
what is chlorhexidine mouthwash an example of
non-steroidal topical treatment of oral mucosal lesions
what is benzdamine mouthwash an example of
non-steroidal topical treatment of oral mucosal lesions
what is hydrocortisone mucoadhesive pellet
a steroidal based topical treatment of oral mucosal lesions
how does hydrocortisone mucoadhesive pellets work
allow tablet to dissolve over ulcer
what are topical steroidal treatments for oral mucosa lesions
hydrocortisone mucoadhesive pellets
betamethasone mouthwash
beclamethasone metred dose inhaler
why do you have to supply a tailored information leaflet for betamethasone mouthwash and beclamethasone metred dose inhaler
they are unlicensed medicines
what are the steps for using betamethasone mouthwash
2 tablets (2x0.5mg) in 10ml water and rinse for 2 mins twice daily
DO NOT swallow and no eating for 30 min
from what age can betamethasone mouthwash be used
12 years
why must the beclomethasone metred dose inhaler be a pressurised device and not a breath activated device
so the patients doesn’t breathe in the steroid - want it to sit on the mucosa
what systemic treatment can be used to treat oral mucosal lesions
disease modulators
steroids
what is an example of a disease modulator used systemically to treat mucosal lesions
colchicine
what is an example of a steroid used to systemically treat mucosal lesions
prednisolone
why might prednisolone be given for oral lesions
for intermittent troublesome ulcers
high dose short duration prescription of 30mg for 5 days
what are risks of systemic steroids
adrenal suppression
cushingoid features
osteoporosis risk
peptic ulcer risk
mood/ sleep alteration
what are examples of immune suppressants
hydroxychloroquine
azathrioprine
mycophenolate
