From the Guidelines
Lichen planus can be effectively managed with natural treatments, but it is crucial to prioritize medical treatment, especially for severe cases, as recommended by the NCCN guidelines 1. When considering natural treatments for lichen planus, it's essential to focus on reducing inflammation, soothing irritated tissue, and supporting the body's healing processes. Some natural approaches that may provide relief include:
- Aloe vera gel applied directly to affected areas 2-3 times daily to reduce inflammation and promote healing
- Cold compresses to relieve itching and discomfort when applied for 15-20 minutes several times a day
- Oatmeal baths using colloidal oatmeal in lukewarm water for 15-20 minutes to soothe irritated skin
- Turmeric supplements (400-600mg three times daily) due to their anti-inflammatory properties
- Essential oils like tea tree or chamomile diluted (5-10 drops in 1 ounce of carrier oil) and applied topically However, it's vital to note that these natural treatments should complement rather than replace medical treatment, especially for severe cases. According to the NCCN guidelines, high-potency topical steroids or tacrolimus are recommended for all grades of lichen planus and lichenoid diseases 1. Additionally, oral antihistamines, prednisone, and narrow-band UVB phototherapy may also be recommended. Another study highlights the use of various treatments, including topical steroids, oral steroids, acitretin, and narrow-band UVB phototherapy, for managing ICI-related lichenoid eruptions 2.
Given the potential severity of lichen planus and its impact on quality of life, it is essential to prioritize medical treatment under the guidance of a healthcare professional, while also incorporating natural treatments to support the healing process. Maintaining good oral hygiene and avoiding harsh chemicals or irritants on the skin are also important supportive measures. Stress reduction techniques, such as meditation, yoga, or deep breathing exercises, can help manage stress, which can trigger or worsen flare-ups. Avoiding spicy foods, alcohol, and tobacco may also help prevent irritation. By combining medical treatment with natural approaches, individuals with lichen planus can better manage their symptoms and improve their overall quality of life.
From the Research
Lichen Planus Natural Treatment
- There are limited studies on natural treatments for lichen planus, but some evidence suggests that aloe vera may be effective in treating the condition 3.
- A study published in The New York state dental journal found that a 38-year-old male patient with lichen planus of the skin and oral mucosa was cured of the condition after using aloe vera juice and gel application for two months 3.
- However, it is essential to note that this is a single case study, and more research is needed to confirm the effectiveness of aloe vera as a natural treatment for lichen planus.
Standard Treatment Options
- High-potency topical corticosteroids are often used as a first-line treatment for lichen planus, including cutaneous, genital, and mucosal erosive lesions 4.
- Systemic corticosteroids may be considered for severe, widespread lichen planus involving oral, cutaneous, or genital sites 4.
- Other treatment options include phototherapy, calcineurin inhibitors, and systemic retinoids 5.
Emerging Therapies
- New emerging systemic therapies, such as methotrexate and hydroxychloroquine, may be effective in treating lichen planus, especially in cases that are resistant to standard treatments 5, 6.
- A study published in Dermatologic therapy found that intramuscular triamcinolone, hydroxychloroquine, and methotrexate were effective in treating severe and recalcitrant lichen planus 6.