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21 Cards in this Set

  • Front
  • Back

Acyclovir (Zovirax)

HERPES.


5% cream


Disp: 3 or 15 gram tube


Sig: Apply to area 6x/day

Valacyclovir (Valtrex)

HERPES


500mg tablets


Disp: 8 tabs


Sig: Take 4 tabs in prodrome and 4 tablets 12 hours later

Clobetasol propionate

CHRONIC Vesicular and Ulcerative Disease (Chronic Apthous Ulcer/Lichen Planus)


.05% gel (Temovate) IGNORE External use only


Disp: 15 or 30 gram tube


Sig: Apply a thin amoutnt to affected area bid

Dexamethasone

Chronic Apthous Ulcer/Lichen Planus

Elixir .5mg/5ml

Sig: Rinse with 1 tsp. for 2 mins. bid-qid and


expectorate



Flucocinonide

Chronic Apthous or Lichen Planus


.05% gel


Disp: 15 or 30 mg tub


Sig: Apply a thin amount to area 2-3x/daily


(ignore external use only)



Prednisone - under 130 lbs

Chronic Apthous or Lichen Planus or Erythema Multiforme


10 mg tabs


Disp: 30 tabs


Sig: Take 40 mg/day in AM with food for 3 days, followed by 30, 20, and 10 mg i nthe morning with food for 3 days EACH



Prednisone Over 130 lbs

Chronic Apthous or Lichen Planus pr Erythema Multiform


20 mg tabs


Disp: 24 tabs


Sig: Take 3 tablets (60 mg) in AM with food for 4 days, followed by 2 tablets (40 mg) in AM with food for four days, then one tablet (20 mg) in AM with food for four days.

Clotrimazole

Candida Infection


Troche (Mycelex) 10mg


Disp: 70


Sig: Take 1 (troche) five times/day, let dissolved in mouth for two weeks



Nystatin

Candida Infection


(Mycostatin) Oral suspension (100,000u/ml)


Disp: 240 mL


Sig: Take 5ml, hold in mouth for 2 mins and expectorate quid



Mycolog II

Angular Chelitis


Triamcinolone .1% and Nystatin 100,000 units/gram CREAM


Disp: 15 g tube


Sig: Apply tid until healing occurs



Lidocaine

Xylocaine Mouth rinse viscous 2%


Disp: 8oz


Sign: Either apply to affect area or gargle with one tsp q4h prn pain and expectorate

Magic Mouthwash

1 part viscous lidocaine 2%, 1 part Maalox, and 1 part diphenhydramine


12. mg per 5mL elixir


Disp: 240 ml bottle


Sig: rinse and expectorate 5ml prn up to 4x/day

Cevimeline HCL

30 mg caps


Xerostomia


Disp: 90


Sig: One TID (Do not take with uncontrolled asthma, acute iritis, or narrow angle glaucoma)



Pilocarpine (Salagen)

Xerostomia


5mg tabs


Disp: 90 tabs


Sig: One tid

Drugs that cause hyperplasia

Dilantin,Cyclosporin or calcium channel blockers such as Nifedipine


PemphigusVulgaris


Autoimmune


Intraepithelialblister formations, which rapidly break down the oral cavity to appear aswidespread ulcerations.


+NikolskySign


Presenttreatment regimens in addition to steroids include steroid sparing drugs suchas Azothioprine.



BenignMucous Membrane Pemphigoid


Autoimmune.


Subepithelialblister formations due to antibodies directed against the basement membranes


Beware - Ocular involvement


Topical and systemic steroids, immunosuppressive agents such ascyclophosphamide and azathioprine, antibiotics with niacinamide and sulfones(dapsone).



ErythemaMultiforme


Asevere variant of erythema multiforme is termed erythema multiforme major(Stevens-Johnson Syndrome) consists of mucosal, cutaneous, ocular and genitallesions. Symptoms of erythema multiformevary from mild discomfort to severe pain and the treatment ranges fromsupportive therapy to systemic steroids.


NecrotizingSialometaplasia


Looks like malignancy. Inflammatoryprocess of minor salivary gland origin that mimics malignancy and is primarilyfound in the posterior hard palate.


Followingbiopsy the disease is usually self limiting and heals spontaneously within sixto twelve weeks.


Pleomorphicadenoma


(benignmixed tumor) is the most common salivary gland tumor


slow-growing,firm, nodular, elevated mass


Thehard palate followed by the upper lip and cheeks


Themost common malignant intaoral salivary gland tumors


adenoidcystic carcinoma (perineural invasion)


mucoepidermoid carcinoma


polymorphouslow-grade adenocarcinoma.


Halfof all intra-oral salivary gland tumors are benign and half are malignant. Inthe parotid gland, 80% of salivary gland tumors are benign and 20% malignant;in the submandibular gland, 50% are benign and 50% malignant; and in the sublingual gland 20% are benignand 80% malignant.