Symptomatic relief for oral ulceration in children17 18
| Patient group | Medicament | Instructions |
| Mouthwashes | ||
| Children should only be encouraged to use a mouthwash providing they are able to spit it out Antimicrobial mouthwashes | Saltwater mouthwash: dissolve half a teaspoon of salt in glass of warm water Saline mouthwash Sodium chloride mouthwash Hydrogen peroxide mouthwash 0.2% | Rinse at frequent intervals until the discomfort subsides |
|
Children aged 12+ years
Antimicrobial mouthwash For use in recurrent aphthous stomatitis | Chlorhexidine gluconate: mg/mL (0.2%), to be prescribed alcohol free | Not to be used for longer than a 2 week period as causes staining |
| Doxycycline dispersible tablets: 100 mg (48 tablets) Tablet dissolved in water to make mouthwash | Dissolve in water, four times daily for 3 days | |
| Topical local anaesthetics/anti-inflammatory agents | ||
| Lidocaine ointment, 5% | Rub sparingly onto affected areas Can be used before eating to provide pain relief | |
| Mouthwash for children aged 12+ years Oromucosal spray suitable for under 5 s | Benzydamine hydrochloride mouthwash (0.15%) 300 mL (7 days) Benzydamine oromucosal spray (0.15%) | Spray onto lesion or rinse PRN Can be used before eating to provide pain relief |
| Topical corticosteroids | ||
|
Children aged 12+ years
For treatment of recurrent aphthous stomatitis/severe oral ulceration | Betamethasone soluble tablets: 500 micrograms (100 tablets) | Dissolved in water four times daily |
| Hydrocortisone oromucosal tablets: 2.5 mg (20 tablets) | One tablet dissolved next to tablet four times daily | |
| Over the counter products such as Igloo and Gelclair are also available for symptomatic relief | ||