Recurrent aphthous stomatitis Pharmacotherapy By: Dr Maryam Baharvand

Special Mouth Wash Components Aluminium Mg (Aluminium and Magnesium Hydroxide) Sus: (225mg/ml Al(OH)2 + 200mg/5ml MG(OH)2) Sus (10ml/Sachet): (225mg/ml Al(OH)2 + 200mg/5ml MG(OH)2) Diphenhydramine HCL Elix: 12.5mg/5 ml Guafenesin Syr: 100 mg/100 ml Lidocaine Viscous Solution: 2% Tetracycline Cap: 250 mg Nystatin Sus Drop: 100.000 unit/ml

Topical corticosteroids

Chemical cautery Aftagel (Aaftin gel) Apply once on the pre-dried mucosa for 20 seconds Rinse with water

Corticosteroids Ultra high potency Clobetasol Propionate Cream 0.05% - Oint: 0.05% (100,200g) – Lotion : 0.05% High potency Topical Dexamethasone Elix: 0.5mg/5ml Betamethasone Lotion , Cream , Oint : 0.1% Systemic Tab: 0.5 mg - INJ: 4mg/ml - Long . Acting : INJ: 3 mg/ml Tab: 0.5 mg - INJ: 8mg/2ml Moderate potency Fluocinolone Acetonide Cream , Oint: 0.025% Triamcinolone Acetonide Cream , Oint , Oral paste (Teriadent – Adcortyl) , Gel: 0.1% Triamcinolone N.N Topical Oint & Cream (Triamcinolone Acetonide 1mg/g + Neomycin 2.5mg/g + Nystatin 100.000 unit/g) Beclomethasone Dipropionate Nasal / Oral inhaler: 10mg/ container - Spray oral: 50 , 100 µg/dose - Aerosol: 250µg/dose Prednisone Tab: 1 , 50 mg Prednisolone Tab: 5 mg - Scored Tab: 50 mg Methylprednosolone Acetate (Depo-Medrol) INJ (Suspension): 40 mg/ml Methylprednosolone (As sodium Succinate) INJ: 500mg / Vial Low potency Hydrocortisone Acetate Cream , Oint , Ophthalmic Oint : 1% systemic Hydrocortisone INJ: 100mg/2ml