Prescriptions

Question 1

Topical for herpetic infections (Acyclovir)

Answer 1

Acyclovir 5% cream (Zovirax)
Disp: 3 or 15 gm tube
Sig: Apply to affected area six (6) times a day.

Question 2

Systemic for herpetic infections (Valacyclovir)

Answer 2

Valacyclovir (Valtrex) 500 mg tablets
Disp: 8 tablets
Sig: Take four tablets in prodrome and four tablets 12 hours later

Question 3

Topical for Chronic Aphthous and Lichen Planus (Clobetasol propionate)

Answer 3

Clobetasol propionate .05% gel (Temovate) (ignore external use only)
Disp: 15 or 30 gram tube
Sig: Apply a thin amount to affected area bid.

Question 4

Systemic for Chronic Aphthous and Lichen Planus (Prednisone)

Answer 4

Prednisone 20 mg tablets (Under 130 lbs dispense 30 ten mg tablets and use 40 mg/day in am with food for 3 days followed by 30, 20, & 10 mg in the morning with food for 3 days each.)
Disp: 24 tablets
Sig: Take three tablets (60 mg) in morning with food for four days; Followed by 2 tablets (40 mg) in the morning with food for four days; then one tablet (20 mg) in the morning with food for four days.

Question 5

Systemic for Erythema Multiforme (Prednisone)

Answer 5

Prednisone 20 mg tablets (Under 130 lbs dispense 30 ten mg tablets and use 40 mg/day in am with food for 3 days followed by 30, 20, & 10 mg in the morning with food for 3 days each.)
Disp: 24
Sig: Take three tablets (60 mg) in morning with food for four days; Followed by 2 tablets (40 mg) in the morning with food for four days; then one tablet (20 mg) in the morning with food for four days. (Consider anti-fungal prophalaxis)

Question 6

Topical for Candida infections (Clotrimazole)

Answer 6

Clotrimazole troche (Mycelex) 10 mg
Disp: 70
Sig: One (1) troche five (5) times a day (let dissolve in mouth) x 2 weeks

Question 7

Topical for Angular Cheilitis (Triamcinolone)

Answer 7

Triamcinolone 0.1% and Nystatin 100,000 units/gram cream
(Mycolog II)
Disp: 15 gram tube
Sig: Apply tid until healing occurs.

Question 8

Mouth Rinses (Lidocaine viscous 2%)

Answer 8

Lidocaine (Xylocaine) viscous 2%
Disp 8 oz.
Sig : Either apply to affected area or gargle with one (1) tsp q4h prn pain and expectorate

Magic Mouthwash (1 part viscous lidocaine 2% + 1 part Maalox + 1 part diphenhydramine 12.5 mg per 5 ml elixir)
Disp : 240 ml bottle
Sig : Rinse and expectorate 5 ml prn - up to 4 times/day

Question 9

Systemic for Xerostomia (Cevimeline HCl)

Answer 9

Cevimeline HCL 30mg mg capsules
Disp: 90
Sig: one TID (Do not take with uncontrolled asthma, acute iritis, or narrow angle glaucoma)

Question 10

Systemic for Xerostomia (Pilocarpine)

Answer 10

Pilocarpine (Salagen) 5 mg tablets
Disp: 90 tablets
Sig: one TID

Question 11

Mouth Rinses (Magic Mouthwash)

Answer 11

Magic Mouthwash (1 part viscous lidocaine 2% + 1 part Maalox + 1 part diphenhydramine 12.5 mg per 5 ml elixir)
Disp : 240 ml bottle
Sig : Rinse and expectorate 5 ml prn - up to 4 times/day

Question 12

Topical for Candida infections (Nystatin)

Answer 12

Nystatin (Mycostatin) Oral Suspension (100,000 u/ml)
Disp: 240ml
Sig: Take 5 ml, hold in mouth for 2 minutes and expectorate qid.

Question 13

Topical for Chronic Aphthous and Lichen Planus (Dexamethasone)

Answer 13

Dexamethasone elixir .5 mg/5 ml
Disp: 12-16 oz.
Sig: Rinse with 1 tsp. for 2 minutes bid-qid and expectorate.

Question 14

Topical for Chronic Aphthous and Lichen Planus (Fluocinonide)

Answer 14

Fluocinonide (Lidex) .05% gel
Disp: 15 or 30 gm tube
Sig: Apply a thin amount 2-3 times daily. (ignore external use only)

Question 15

Topical for herpetic infections (Penciclovir)

Answer 15

Penciclovir 1% (Denavir) Cream
Disp: 2 gm tube
Sig: Apply a thin amount to affected area q2h during waking hours for a period of 4 days. Treatment should begin as early as possible (i.e., during prodrome or when lesions appear).