Suggest Remedies For An Apthous Ulcer On The Tongue
Got a apthous ulcer in tongue and cavity....past 2-3 year, so far used vermisol 150mg ( levamisole)...
attached the photo also...Pls help
regards XXXXXXX
Needs oral steroid therapy
Detailed Answer:
Hello XXXXXXX
Thanks for asking to healthcaremagic.
I have seen the pictures.
You seem to have recurrent aphthous ulcers,for which the cause is not specific most of the times..Stress,anxiety seems to provoke or be the reason for recurrence.
Nutrient deficiency(zinc,B12,folate)also can be a reason.
For evaluating,it would be better if you do the following tests like CBC,ESR,Serum ferritin level,folate,B12 level..
I would recommend a week tapering course of oral steroids(empirical treatment)like prednisone 40 mg for first two days, 30 mg for next two days,20mg for 2 days and last day 10 mg under your treating doctor's supervision.Condition may be reassessed and treatment to be decided accordingly.
Also I suggest amlenox 5% paste for local application which help heal the ulcers fast.
Further queries are welcome.
Take care.
amlenox 5% paste...not getting this stock...any alternative s
Lexanox 5% oral paste
Detailed Answer:
Hello again
Find brand name ---Lexanox 5% oral paste from Macleod's pharmaceuticals.
Take care
Tablet 1 per day, after dinner.
Hope this is right Sir.
Regards XXXXXXX
Hope you mean Prednisone tablet
Detailed Answer:
Hello XXXXXXX
Thanks for writing back
There are different doses available like 2.5mg,5mg,10mg,20mg,40mg of oral prednisone
So you can buy 20mg prednisone tablets and take twice a day for first 2 days
Next 2 days ---one in morning and half tablet at night
Next 2 days --- half tablet in morning and half at night
Last day you can take half tablet...
Whichever the formulation,dose has to be tapered as I have mentioned..
PS : Get clearance from your family doctor before starting the therapy as serious side effects may occur.
Also you need to take Pantocid tablet 40 mg once or twice a day before food to prevent steroid induced gastritis..
If any doubts,feel free to ask or else please close this discussion with your feedback
Take care