Amlexanox is as effective as dexamethasone in topical treatment of erosive oral lichen planus: a short-term pilot study

Oral Surg Oral Med Oral Pathol Oral Radiol. 2012 May;113(5):638-43. doi: 10.1016/j.oooo.2011.10.013. Epub 2012 Mar 3.

Abstract

Objective: The objective of this study was to evaluate the efficacy and safety of short-term and topical application of amlexanox paste in the treatment of erosive oral lichen planus (EOLP).

Study design: A randomized, positive-controlled clinical trial was conducted from September 1 to December 31, 2009. Thirty-eight patients with EOLP received amlexanox paste (n = 20) or dexamethasone paste (n = 18) for 7 days. Outcome measures included size of erosive area and visual analog scale (VAS) scores.

Results: After 7 days of treatment, both groups showed significant reduction in erosive area and VAS scores (P < .001). There was no difference between groups in the reduction of erosive area (P = .937) and VAS scores (P = .161). None of the patients had severe adverse reactions.

Conclusions: Topical application of amlexanox appeared as effective as dexamethasone in the treatment of EOLP and no serious side effects were found in this pilot study.

Publication types

  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Topical
  • Adult
  • Aged
  • Aminopyridines / therapeutic use*
  • Anti-Allergic Agents / administration & dosage*
  • Anti-Inflammatory Agents / administration & dosage*
  • Dexamethasone / therapeutic use*
  • Female
  • Humans
  • Lichen Planus, Oral / drug therapy*
  • Male
  • Middle Aged
  • Pilot Projects
  • Prospective Studies
  • Statistics, Nonparametric
  • Treatment Outcome
  • Young Adult

Substances

  • Aminopyridines
  • Anti-Allergic Agents
  • Anti-Inflammatory Agents
  • Dexamethasone
  • amlexanox