Comparative effect of tacrolimus 0.1% ointment and clobetasol 0.05% ointment in patients with oral lichen planus

J Clin Periodontol. 2008 Mar;35(3):244-9. doi: 10.1111/j.1600-051X.2007.01191.x.

Abstract

Background: Oral lichen planus (OLP) is considered to be an autoimmune disease of unknown aetiology that affects the mucosae, especially the oral cavity.

Objective: We compared tacrolimus 0.1% ointment and clobetasol 0.05% ointment for the treatment of OLP.

Patients and methods: A total of 32 patients (20 females and 12 males; all white, Italian origin, mean age of 43.6+/-18.4 years; 16 patients per treatment group) were treated with tacrolimus or clobetasol ointment for 4 weeks in a randomized, double-blind, clinical trial. Pain severity, burning sensation, and mucosal lesion extension were assessed using a four-point scale.

Results: At the end of the treatment period, symptom scores were significantly lower in the tacrolimus group than in the clobetasol group.

Conclusion: The results of this study suggest that tacrolimus 0.1% ointment is more effective than clobetasol propionate 0.05% ointment in the treatment of OLP. However, other studies are needed to confirm the effectiveness of this treatment before it can be recommended for use in clinical practice.

Publication types

  • Comparative Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Anti-Inflammatory Agents / therapeutic use*
  • Clobetasol / administration & dosage
  • Clobetasol / adverse effects*
  • Epidemiologic Methods
  • Facial Pain / drug therapy
  • Facial Pain / etiology
  • Female
  • Humans
  • Immunosuppressive Agents / administration & dosage
  • Immunosuppressive Agents / adverse effects*
  • Lichen Planus, Oral / complications
  • Lichen Planus, Oral / drug therapy*
  • Male
  • Ointment Bases
  • Saliva / microbiology
  • Tacrolimus / administration & dosage
  • Tacrolimus / adverse effects*

Substances

  • Anti-Inflammatory Agents
  • Immunosuppressive Agents
  • Ointment Bases
  • Clobetasol
  • Tacrolimus