Medications and other therapies may be used to alleviate itching, relieve pain, and improve healing in lichen planus. Therapy can be difficult. Consult your doctor to assess the potential advantages against any treatment adverse effects.
- Corticosteroids: Prescription corticosteroid cream or ointment is usually the first line of treatment for lichen planus. If it doesn't work and your disease is serious or spreading, your doctor may advise you to take a corticosteroid pill or get an injection.
- Skin irritation or thinning in which the cream is administered and oral thrush are common consequences of topical corticosteroids. When used as indicated and for a short period of time, corticosteroids are considered safe.
- Anti-infection medications used orally: Other oral medications used to treat this illness include the antimalarial hydroxychloroquine and the antibiotic metronidazole.
- Immune response drugs: Severe signs and symptoms may necessitate the use of prescription medications that inhibit or change your immune systems, such as azathioprine, mycophenolate, cyclosporine.
- Antihistamines: Lichen planus itching may be relieved by taking an antihistamine by mouth.
- Phototherapy: Light therapy can help clear up skin lichen planus. The most commonly used phototherapy for lichen planus is UVB light, which only penetrates the upper layer of skin (epidermis). Light therapy normally necessitates two to three sessions each week for a few weeks. This therapy is not indicated for those with dark skin, who are at a higher risk of their skin remaining slightly darker even after the rash has cleared up.
- Retinoids: If corticosteroids or light therapy are ineffective, your doctor may prescribe an oral retinoid medicine like as acitretin (Soriatane).
Because retinoids might cause birth abnormalities, they are not recommended for pregnant or planning to become pregnant women. If you are pregnant or nursing, your doctor may decide to postpone or change your topical retinoid therapy.
Purplish, flat pimples, usually on the inner forearm, wrist, or ankle, but often on the genitals,Itching,Blisters that rupture and develop scabs or crusts,Lacy white areas around the mouth, lips, or tongue,Sores in the mouth or vaginal area that are painful,Loss of hair,Color shift in the scalp,Damage or loss of nails