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This medication requires a prescription from your doctor.
Triamcinolone Acetonide 0.1% or 0.5% Oral Rinse
Triamcinolone acetonide is a steroidal drug that can be made into an oral rinse by a compounding pharmacy. A triamcinolone acetonide oral rinse is used for treating oral lichen planus, burning mouth syndrome, and various types of ulcers. While this drug is available commercially in other formulations for topical or intranasal use, it is not available in the form of an oral rinse.
The cause of oral lichen planus is not known, but its development is connected to an abnormal immune response. The symptoms include white striae and ulcers throughout the mouth that can be painful, sometimes making it hard to talk or eat. Corticosteroids are often prescribed for treating conditions related to an inflammatory or immune system response. They are usually the first-line treatment for oral lichen planus. In most cases, a topical treatment is sufficient to alleviate symptoms. However in more severe or resistant cases a systemic steroid may be used.
In general patients prefer an oral rinse to a triamcinolone acetonide paste. The stickiness and texture of the paste is less palatable than an oral rinse. Long-term use of steroidal oral rinses is discouraged, as it can potentially lead to the overgrowth of candida resulting in a fungal infection. However shorter treatment courses have been shown to be an effective and well-tolerated treatment for a variety of oral conditions.