Page 115 - Community pharmcy practice E-book 2025

02/11/2025, 00:29

Cold Sores & Canker Sores

Canker Sore/Mouth Ulcers

Painful small ulcers of the non-keratinized buccal mucosa Round with
inflamed outer margin and yellowish gray floor Unknown cause
Self limiting in 7 days, usually recurrent
Triggers
Oral trauma Stress
Hormonal changes
Smoking cessation Food
(Spicy food) Helicobacter
pylori

OTC Treatment

1. Local Anesthetic (OTC)
Oracure® oral gel (lidocaine, cetylpyridinium)

2. Topical Analgesic (OTC)
Choline salicylate + cetalkonium chloride (Mundisal® gel)

3. Topical Analgesic/Anesthetic Combination (OTC)
Benzydamine HCl + Benzocaine 1.5% + Cetylpyridinium HCl (BBC® spray)

Warning: FDA recommends that parents and caregivers not use benzocaine
products for children younger than 2 years to decrease the risk of
methemoglobinemia/Asyphixia

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