Recurrent oral ulcerations

PRODIGY Quick Reference Guide


Aphthous ulcers


Prescription details


Topical treatments to aid healing

 

Drug

Age

Dose

Quantity

© Triamcinolone oral paste

5 years onwards

Apply a thin layer to the affected area 2-4 times a day for 5 days

10 grams

© Hydrocortisone 2.5 mg lozenges

7 years onwards

Place one lozenge over the affected area and allow it to dissolve slowly 4 times a day for 5 days

20 lozenges

© Chlorhexidine 0.2% aqueous mouthwash

7 years onwards

Rinse the mouth with 10 ml for about 1 minute twice a day for 7 days

300ml

Local analgesia

 

 

 

Drug

Age

Dose

Quantity

© Choline salicylate oral gel

5 to 1 1 years

Gently massage % inch of gel onto the affected area when required for pain relief. Maximum of 6 applications in 24 hours.

15 grams

12 years onwards

Gently massage 7-i inch of gel onto the affected area when required for pain relief. Maximum of 6 applications in 24 hours.

15 grams

© Benzydamine 0.15% mouthwash

13 years onwards

Rinse the mouth with 15 ml every 3 hours when required for pain relief. Increase to every VA hours .if required.

300ml

© Benzydamine 0.15% spray

6 to 1 2 years

Spray 4 times onto the affected area every 3 hours when required for pain relief. Increase to every 11/2 hours if required.

30ml

13 years onwards

Spray 4-8 times onto the affected area every 3 hours when required for pain relief. Increase to every 11/2 hours if required.

30ml

© Lidocaine 5% ointment

12 years onwards

Apply a small amount of ointment to the affected area when required for pain relief.

1 5 grams

©Lidocaine 10% spray

12 years onwards

Spray one puff into the mouth when required for pain relief.*

One 50 ml spray

*Do not use this product for half an hour before eating and drinking. (It can numb the throat leading to choking on food or drink.)

© Independent nurse prescribers who have trained to prescribe from the extended formulary are able to prescribe these drugs for the treatment of aphthous ulcer.

For information on contraindications, cautions, drug interactions and adverse effects see the British National Formulary fwww.bnf.org) or the Medicines Compendium (www.medicines.org.uk).

For more information see the full text at: www.prodigy.nhs.uk/quidance.asp7gt = Aphthous ulcer Patient information leaflets (PILs) are available at: www.prodiqy.nhs.uk/PILs/index.asp

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