A message from Egypt

[marwa nawawy]

Hello everyone,
I'm pleased to be a new member of this forum, i'm a resident doctor in Dentistry school, Cairo university, Oral Medicine department.
We have been facing a problem with prescribing topical corticosteroids orally for the treatment of some autoimmune diseases and other dermatologic diseases with oral presentation such as Lichen planus, Erythema multiform.etc... we used to prescribe Kenalog in orabase, but now it is not available anymore.... insteed we go for systemic adminstration or grinding a taplet of Prednisone in 1/4 of water and use it as a mouth bath which of course is not that effective...

I will really appreciate any suggestion for any alternatives that could be used efficiently on the oral mucosa....and accept my aplogies if my message was legthy....

[johnep]

Thought I had replied to this already, perhaps another forum. Corlan pellets of prednisolone used for mouth ulcers, as you are from Egypt, should be familiar with gum acacia. A stiff gel of this, sterculia or tragacanth could perhaps be used as a vehicle. We regularly get posts from Egyptian pharmacy students, could be an exercise for them.
johnep