Therapeutics in Oral Medicine Flashcards
when would you prescribe non-steroid topical therapy
for inconvenient lesions with discomfort
when would you prescribe steroid topical therapy
for disabling immunologically driven lesions
what medications are used for non-steroid topical treatment of oral mucosal lesions
chlorhexidine mouthwash
benzydamine mouthwash or spray
listerine, igloo, bonjela
what medicines are used for steroid based topical treatment of oral mucosal lesions
hydrocortisone mucoadhesive pellets
betamethasone mouthwash
beclomethasone MDI
what would a tailored PIL for unlicenced medication need to include
dose range and frequency of use
explain hazards of exceeding standard dose
known side effects
special instructions
what is a known side effect of betamethasone mouthwash
candida risk
what is the strength of betnesol tablets used
1mg
what is the dose of betnesol tablets
2 tablets with 10ml of water
what are the directions for using betnesol tablets
2 mins twice daily
refrain from eating/drinking for 30mins after use
what is the strength of beclomethasone MDI for dental use
50mcg
what are the directions for using beclomethasone MDI for dental use
2 puffs 2-4x daily directly over the affected area
dont rinse after use
what is the dose of prednisolone given for systemic treatment
30mg for 5 days
what sort of steroid usage would give higher risk for complications
3 months continuous
gaps of 2 weeks or less between prednisolone pulses
what can systemic steroids risk
adrenal suppression
cushingoid features
osteoporosis risk
peptic ulcer risk
mood/sleep alteration and mania/depression risk
what tests need to be taken to prepare the patient for systemic immunomodulatory treatments
blood borne virus screen
FBC
electrolytes
liver function
thiopurine methyltransferase
zoster antibody screen
EBV
chest x-ray
cervical smear
pregnancy test
