Ulceration And Inflammation

Question 1

Prescription for benzydamine mouthwash?

Special instructions?

Answer 1

0.15%

Rinse or gargle with 15ml every 1 and a 1/2 hours as required

Spit it out after rinsing

Can be diluted with water if it stings

No longer than 7 days

Question 2

Prescription for lidocaine ointment?

Special instructions?

Answer 2

Lidocaine ointment 5%

Send 15g

Rub sparingly and gently on affected areas

• avoid anaesthesia of the pharynx before eating as can lead to choking

Question 3

What is clenil modulite?

Answer 3

Beclomethasone MDI

Question 4

Prescription for beclomethasone MDI?

Special instructions?

Answer 4

50mcg / puff

2 puffs, 2-4 times per day with vent directed at ulcers

Do not rinse afterwards

Small risk of candida infection

Question 5

Prescription for betamethasone?

Special Instructions?

Answer 5

0.5mg tablets

1 tablet dissolved in 10ml water as mouthwash
4 times per day

Spit out after use and do not swallow

Question 6

Prescription for hydrocortisone oromucosal tablets?

Answer 6

Tablets are 2.5mg

1 tablet dissolved next to lesion 4 times per day

Question 7

Mechanism of action of betamethasone/beclomethasone?

Answer 7

Binds to intracellular glucocorticoid receptors

Alters gene expression leading to inhibited transcription of inflammatory mediators such as cytokines

Inhibits activity of immune cells