As a periodontist i have contact with patient with Burning Mouth Syndrome. I have started with topically use of clonazepam 4 times daily in total daily dose of 2 mg. For now, my results show that 70% of patient fell much better
Dear Kiro
previously we have used 0,5 mg in the morning sometimes topically and sometimes patients swallowed dissolved tablet. Some felt better some not.
Lately we tried 0,5 mg in the morning and 0,5 mg in the evening for two weeks an patients were free of all symptoms.
also it can be used as an alternative, capsaicin 0,025% gel application in patients with burning mouth syndrome. but often it causes burning as a side effect. regards
Yes, I've used with excellent results. Using suspension of 1 mg / 10 ml for 3 min mouthwashes twice daily for a month. The patient should be instructed not to eat or drink or even brush the teeth up to 45 min after rinsing
I recommend use whenever start burning sensation. Usually, the patient reports improvement in symptoms for about 3 hours, then returns use the medication topically . However it varies greatly from one to another
Topical clonazepan has been my first line of treatment for some years. It seems to be an interesting alternative for the management of BMS, the patiets has to keep 1mg in the mouth for 1-2 min tid. At least a partial response (30-50% symptom reduction) is expected. I also ask for the patient to swallow the night topical dose when only mild response was observed.
Yes, i have used it with some success under "the rule of the three": mouthwashes 1mg/10 ml for three minutes, three times every day for at least 3 months. At night i recommend to swallow the solution after rinsing.
Did any one check salivary function or checked for allergy (contact mucositis) in patients with burning mouth?
Dear doctor, Kindly refer S. A possible etiology and new treatment of Burning Mouth syndromes and allied conditions. Heighpubs J. E N T Disord 2017: 1: 001 – 005 4.
BMS, Leucoplakia oris which were diseases of unknown etiology (DUO) are now curable. Other many diseases like progressive nerve deafness, tinnitus, vertigo, dental neuralgia (doctors go on pulling out tooth after tooth but no relief), & many others which are not treatable can be cured now I have many publications in medical journals of India, UK, Rg -Germany & USA. Kindly refer
Yes, I recommend to my patients topical use of 0.5mg clonazepam tablet, three times a day, with clinical evaluation 7 days, and if there is improvement of symptoms, use for 1 month. Always taking advantage of other oral symptoms such as xerostomia, digeusia and burning.
Associated, and when there is hyposalivation, I also prescribe, internal oral use, Jaborandi extract 1% aqueous solution, 3 times a day.
I have also had good results with low intensity laser .
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