Clobetasol propionate ointment11/22/2023 Your doctor may refer you to a mental health specialist who can help you identify stressors, develop stress management strategies or address other mental health concerns. Because stress may complicate symptoms or trigger symptom recurrence, you may need to develop skills to avoid or manage stress. Performing gentle oral cleaning and choosing foods that are soft may help limit the discomfort associated with oral lichen planus. If a dental device is a suspected allergen, you may need to see your dentist to have dental materials removed and replaced. You may need to see a dermatologist or an allergist for additional testing, such as allergy skin patch testing. If tests suggest that an allergen may be a potential trigger, you'll be advised to avoid the allergen. You'll likely be referred to a specialist in infectious diseases or a specialist in liver disease (hepatologist) for further diagnostic evaluation and disease management.Īllergen. This may require discussion with the doctor who originally prescribed your medication. Your doctor may ask you to stop taking a drug that can be a trigger or to try another drug instead. If your doctor suspects that oral lichen planus may be related to a drug you take, or to a hepatitis C infection, an allergen or stress, he or she will recommend how to address the trigger. However, these are seldom used for oral lichen planus unless other parts of the body also are affected. Examples of these topical medications include tacrolimus (Protopic) and pimecrolimus (Elidel).įor severe cases where oral lichen planus also involves other areas - such as the scalp, genitalia or esophagus - systemic medications that suppress the immune system may be used. However, packaging for these medications carries a Food and Drug Administration (FDA) warning because of an unclear association with cancer. These treatments appear to be effective for the treatment of oral lichen planus. Treatments that suppress immune system abnormalities may improve more severe lesions and lessen pain.įor example, several reports have shown the effectiveness of topical medications, called calcineurin inhibitors, which are closely related to or identical to oral medications used to prevent rejection of transplanted organs. Medications that suppress or modify your body's immune response may be used as ointments, gels or oral medication. Your doctor can advise you on necessary precautions. Topical treatment may irritate the mucous membranes of your mouth.īecause both topical and oral retinoids can cause birth defects, the drug shouldn't be used by women who are pregnant or planning to become pregnant in the near future. Retinoids are synthetic versions of vitamin A that can be applied as a topical ointment or taken orally, but they're not commonly used to treat oral lichen planus. Talk with your doctor to weigh the potential benefits against possible side effects. Topical is the preferred method for corticosteroid use with oral lichen planus. Side effects vary, depending on whether corticosteroids are used as a mouthwash, ointment or gel applied directly to the mucous membrane (topical), given as an injection directly into the lesion, or taken as a pill (oral). Treatments such as topical numbing agents can be used to provide temporary relief for areas that are particularly painful.Ĭorticosteroids may reduce inflammation related to oral lichen planus. For more severe symptoms, you may need one or more of the options below. If you have no pain or discomfort and if only white, lacy lesions are present, you may not need any treatment. Your doctor will monitor your condition to increase or decrease dosages, change medications or stop treatment as necessary. Oral lichen planus is a chronic condition, so the treatment goals focus on helping severe lesions heal and reducing pain or other discomfort. Nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen (Advil, Motrin IB, others) and naproxen (Aleve, others)Ĭertain medications for heart disease, high blood pressure or arthritis. Hepatitis C infection and other types of liver diseaseĪllergy-causing agents (allergens), such as foods, dental materials or other substances However, in some people, certain factors, such as those below, may trigger an inflammatory disorder: Symptoms can usually be managed, but people who have oral lichen planus need regular monitoring because they may be at risk of developing mouth cancer in the affected areas.
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