.5 or 1 mg tabs

DISP - 12 wk supply

LABEL - start taking .5 mg once a day for 1-3 days, then 2x/day for 4-7 days, then 1 mg 2x day there after

ask about RENAL FXN and PSYCHIATRIC ISSUES (suicidal)

Buproprion SR

150 mg tabs

DISP - 7-12 week supply

LABEL - start taking 1-2 wks before quit date

150 mg/morning for 3 days

150 mg / 2x day

*ask about seizure disorder, whether taking antidepressants/MAO inhibitors

valacyclovir 1g tabs

doconosol 10% cream/lip balm

penciclovir 1% cream (denavir)

valacyclovir 500 mg tabs

DISP - 60 tabs (1 mos supply)

LABEL - 1 tab BID (can reduce dose after re-eval)

1 g tabs

DISP - 4 tabs

SIG - 2 tabs stat, then 2 tabs 12 hrs later

*ask pt about kidney disease

DISP 1 tube/stick

LABEL - apply 5x day

DISP - 1 tube

SIG - apply every 1-2hrs

1- ask if sleep w/ it and how often clean it

2- clean it - via denture brush and soak in 1 tsp bleach soln in 1 cup water for 30 min then rinse (weekly)

3- recomment sleep w/o denture

...if does not work

clotrimazole troche

- suck on 1 5x day w.o denture until finished

antifungal cream 

- inside denture 2-3 x/day (clotrimazole/nystatin)

promote high lys:arg diet

avoid sun exposure via wearing spf 15

otc topical anesthetic/mucosal coating agent

- diphenylhydramine elixir (childs bnadryl) 12.5 mg/ml

DISP - 4 oz bottle

LABEL - rinse w/ 5 ml for 2 min every 2 hours and spit

Rx topical anesthetic

- lidocaine 2% viscous soln

DISP - 100 ml bottle

LABEL - rinse w/ 10 ml for 2 min and spit out

*may diminish gag reflex (suited for older pts)

otc analgesic 

acetaminophen/ibuprophen

rx antivirals

- acyclovir suspension/tabs 200 mg for b/w

(only for immunocompromised)

buccal mucosa

tongue

floor of mouth

clotrimazole vag cream 1% OTC

nystatin-triamcinolone acetonide ointment

kenalog in orabase

clotrimazole cream

nystatin cream

both come in 15 mg tube

miconazole - 50 mg (mucoadhesive patch)

DISP - 14 disks

LABEL - apply to canine fossa 1/day until finished

*dissolves in saliva, pt can eat and drink while disk in place

nystatin suspension - topical

for angular cheilitis /denture stomatitis

DISP 100,000 units/ml

SIG - wipe lesion w/ gauze, then hold 1 tsp in mouth for 5 min QID

- expectorate/swallow

do not rinse after - need topical application

clotrimazole cream/mycelex troches

10 mg troches- topical

for angular cheilitis /denture stomatitis

DISP - 60-70 troches

SIG - 1 troche slowly dissolve in mouth 5x/day for 10-14 days

adv rxns - nausea, increase in LFT

compliance sucks

systemic

2 tabs (200 mg) on day 1

1 tb (100 mg) for 1-2 weeks

doe not require acid environment and no liver toxicity

debacterol - fda approved

1 time application for 5-10 sec, requires them to come back

sulfonated phenols sulfuric acid soln

intermediat epot

kenalog orabase - triamcinolone acetonide .1%

DISP 5g tube

SIG apply thin film over ulcer BID

intermediate pot

intra/sublesional triamcinolone

inject .5-1 ml (20-40 m) & 2% lido w/ or w/o epi

50:50 soln

potent

lidix gel/ointment (flucocinonide .05%)

(same precription as temovate ointment)

DISP 15 g tube

SIG - apply thin film over ulcer BID

do not use > 2 weeks

potent 

decadron elixir (dexamethasone .5mg/5ml)

DISP 100 ml or 250 ml

SIG - rinse w/ 5 ml for 5 min QID and spit

*indicated for multiple hard to reach lesions

ultrapotent

temovate ointment - clobetosol .05%

DISP 15 g tube

SIG apply thin film over ulcer BID

*do not use>2 weeks

prednisone

glucocorticoid and immunosuppressant

DOSE - initially .5-1mg/kg /day for 1-2 weeks + monitor

if no response, increase dose by .25 mg/kg increments /day

decresaes inflammation by suppressing pmn chemotaxes

decreases capillary permeability + lymphocytic activity

for PV - 1-2mg/kg (>60mg)

for LP - .5-1 mg/kg (40mg)

prodrug

converts to 6 mercaptopurine - inhibits purine synthesis and may decrease RNA/DNA synthesis

side effects -

1- bone marrow aplasia - decreases wbc

2- significant hepatotoxicity

DOSE - 50-200 mg/day

inhhibits guanosine nucleotide synthesis

safer than azathioprine

dose - 2-3 g/day

topical calcinuerin inhibitor 

shut down t cell mediated response

will not have a problem with developing fungal infx

black box warning - malignancy

tacrolimis - OLP/lichenoid mucositis

ointment/rinse .03% or .1%

DAPSONE

...for pemphigoid

sulfa abx + antiinflammatory activity

antimalarial agent

DOSE - 125-150 mg/day

start them slowly, see how they do and then build over time

monitor G6PD levels for hemolytic anemia