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Dr Basu
Dr Basu, Experienced Specialist
Category: Medical
Satisfied Customers: 29265
Experience:  MD
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Treatment for Nicorandil induced ulcers which has now progressed

Customer Question

Treatment for Nicorandil induced ulcers which has now progressed to Burning Mouth Syndrome?
Submitted: 3 years ago.
Category: Medical
Expert:  Dr Basu replied 3 years ago.

Dr. D.J. :

The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.

Dr. D.J. :

Hi there,


This is Dr. D.J., experienced Internal Medicine Specialist.


I am here to address your concerns and provide great service.

Dr. D.J. :

I am sorry to hear about your problem.

Dr. D.J. :

Nicorandil can indeed cause sores and burning mouth syndrome in some individuals.

Dr. D.J. :

THis is very challenging condition to treat.

Dr. D.J. :

However, the first line of treatment will be to use a steroid.

Dr. D.J. :

We recommend using triamcinolone acetonide in orabase paste form.

Dr. D.J. :

This is compounded by the compounding pharmacy an requires prescription.

Dr. D.J. :

The triamcinolone acetonide paste should be applied two times daily over the sores for at least 3 to 4 weeks.

Dr. D.J. :

Also vitamin B2 supplement 100 mg daily, and zinc supplement 30 mg daily will help with the healing.

Dr. D.J. :

Central pain modulating medications will provide relief to your symptoms.




Following medications should be considered either alone or in combination to achieve control of your symproms:




1. Amitriptyline 25 to 50 mg at bedtime daily.




2. Clonazepam 2 to 4 mg daily




3. gabapentin 900 to 2400 mg daily




4. Pramipexole 0.25 mg daily initially then increasing the dose upto 4.5 mg daily.


Dr. D.J. :

Best wishes,

Expert:  Dr Basu replied 3 years ago.
Dr. D.J. : The views expressed by me are for educational purposes only and do not establish a doctor patient relationship.
Dr. D.J. : Hi there,
This is Dr. D.J., experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
Dr. D.J. : I am sorry to hear about your problem.
Dr. D.J. : Nicorandil can indeed cause sores and burning mouth syndrome in some individuals.
Dr. D.J. : THis is very challenging condition to treat.
Dr. D.J. : However, the first line of treatment will be to use a steroid.
Dr. D.J. : We recommend using triamcinolone acetonide in orabase paste form.
Dr. D.J. : This is compounded by the compounding pharmacy an requires prescription.
Dr. D.J. : The triamcinolone acetonide paste should be applied two times daily over the sores for at least 3 toXXXXX D.J. : Also vitamin B2 supplement 100 mg daily, and zinc supplement 30 mg daily will help with the healing.
Dr. D.J. :

Central pain modulating medications will provide relief to your symptoms.


Following medications should be considered either alone or in combination to achieve control of your symproms:


1. Amitriptyline 25 to 50 mg at bedtime daily.


2. Clonazepam 2 to 4 mg daily


3. gabapentin 900 to 2400 mg daily


4. Pramipexole 0.25 mg daily initially then increasing the dose upto 4.5 mg daily.
Dr. D.J. : Best wishes