Triamcinolone Acetonide Oral Paste Application Frequency
Apply triamcinolone acetonide 0.1% oral paste 2-4 times daily, specifically after meals and at bedtime, directly to dried oral ulcers. 1
Application Technique
Preparation Steps
- Thoroughly dry the oral mucosa before application to ensure proper adhesion of the paste to the lesion 1
- Apply a thin layer directly to the isolated erosion or ulcer, avoiding large areas of normal mucosa 1
- Press the paste gently onto the dried surface to promote adhesion 1
Optimal Timing
- Apply after meals and at bedtime for maximum contact time with the lesion 1
- Avoid eating or drinking for at least 30 minutes after application to allow the paste to adhere and work effectively 1
Treatment Duration and Monitoring
- Continue application until the lesion heals or as directed by your healthcare provider 1
- If no improvement occurs within 2 weeks, reassess the diagnosis and consider alternative therapies 1
- Research supports that patients typically experience prompt healing of ulcers with this regimen, with 34 out of 40 patients (85%) reporting marked improvement when using topical triamcinolone for aphthous stomatitis 2
Important Safety Considerations
Contraindications
- Never apply to sites of active infection (herpes simplex, impetigo) as corticosteroids can worsen infectious processes 1
- Do not use if you have known hypersensitivity to triamcinolone 1
Monitoring for Complications
- Watch for signs of secondary candidiasis (oral thrush), which occurred in approximately 10% of patients in long-term studies and should be treated promptly 1, 2
- Monitor for mucosal atrophy, though this is rare with appropriate use 1
When Triamcinolone Paste Is NOT Appropriate
- For multiple or hard-to-reach oral ulcers, a dexamethasone mouth rinse is preferred over triamcinolone paste 1
- For extensive oral lesions involving numerous sites, consider alternative systemic therapies 1