Steriods in the treatment of lichen planus: a review.May 12, Author: A second choice would be systemic steroids for symptom control and possibly more rapid resolution. Many practitioners prefer intramuscular triamcinolone mg every weeks. Oral metronidazole has been lichen planus oral steroid treatment to be an effective therapy for some patients. In a randomized double-blinded study, sulfasalazine at up to clen name. For lichen planus of the oral mucosa, topical steroids are usually lichen planus oral steroid treatment first. Topical and systemic cyclosporin have been tried with some success [ 22 ] ; however, a randomized double-blind study indicated that topical cyclosporin was a less effective but much more costly regimen than clobetasol.
Oral Lichen Planus Medication: Corticosteroids, Immunosuppressants
Oral lichen planus is a chronic condition. There is no cure, so the treatment focuses on helping severe lesions heal and reducing pain or other discomfort. Your doctor will monitor your condition to determine the appropriate treatment or stop treatment as necessary. If you have no pain or discomfort and if only white, lacy lesions are present, you may not need any treatment.
For more severe symptoms, you may need one or more of the options below. Treatments such as topical numbing agents can be used to provide temporary relief for areas that are particularly painful. Corticosteroids may reduce inflammation related to oral lichen planus. One of these forms may be recommended:.
Side effects vary, depending on the method of use. Talk with your doctor to weigh the potential benefits against possible side effects. Medications that suppress or modify your body's immune response may be used to improve more-severe lesions and lessen pain.
They come in these forms:. If your doctor suspects that oral lichen planus may be related to a trigger, such as a drug, an allergen or stress, he or she can recommend how to address the trigger. For example, you may be advised to try another drug instead, to see an allergist or dermatologist for additional testing, or to learn stress management techniques.
In addition to regular medical and dental treatment, self-care measures may help improve your oral lichen planus symptoms or help prevent recurring episodes of severe symptoms:.
You'll likely start by seeing your primary care doctor or dentist. Some people with oral lichen planus also develop lichen planus on their skin. Depending on your symptoms, you may be referred to a specialist in skin diseases dermatologist or a specialist in gum and dental diseases periodontist. Your doctor or dentist is likely to ask you several questions. Be ready to answer them so you can focus on points you want to spend more time on.
Your doctor or dentist may ask:. Mayo Clinic does not endorse companies or products. Advertising revenue supports our not-for-profit mission. This content does not have an English version. This content does not have an Arabic version. Diagnosis Treatment Preparing for your appointment. Diagnosis Your doctor makes a diagnosis of oral lichen planus based on: Discussion of your medical and dental history and the medications you're taking Review of symptoms, including lesions in your mouth and any other places on your body Examination of your mouth, and other areas as appropriate.
Request an Appointment at Mayo Clinic. Merck Manual Professional Version. American Academy of Oral Medicine. Mayo Foundation for Medical Education and Research; British Dental Health Foundation. American Academy of Dermatology. Malignant potential and diagnosis. Au J, et al.
Mirowski GW, et al. Pathogenesis, clinical features, and diagnosis. Gibson LE expert opinion. Mayo Clinic, Rochester, Minn. Mayo Clinic Marketplace Check out these best-sellers and special offers on books and newsletters from Mayo Clinic.