Table 5.
Systemic | Topical |
---|---|
1. Pain management | Diluting agentsb: Saline, bicarbonate rinses, frequent water rinses, dilute hydrogen peroxide rinses |
• Analgesics: WHO ladder | Topical anaestheticsb: Dyclonine HCl, xylocaine HCl, benzocaine HCl, diphenhydramine HCl |
• Adjuncts: Relaxation, imagery, biofeedback, hypnosis and transcutaneous electrical nerve stimulation | |
Analgesic agentsb: Benzydamine HCl | |
• Beta-carotene | |
Coating agentsc: Kaolin-pectin, aluminium chloride, aluminium hydroxide, magnesium hydroxide, hydroxypropyl cellulose, sucralfate | |
2. Radioprotectorsa | |
Lip Lubricantsc: Water-based lubricants, lanolin | |
• Amifostine: Scavenge free radicals | |
3. Biologic Response Modifiersa | |
• G-CSF, GM-CSF, Keratinocyte Growth Factor |
aMore relevant in Bone Marrow Transplant cases and not crucial in radiotherapy patients
bMost practiced and accepted form of topical therapy
cThough mentioned in-frequently in literature and case discussions, they have failed to generate sufficient impact in routine practice