Conventional Treatments for Angular Cheilitis
Cheilitis is a painful condition which can cause discomfort on many levels. First, there is the pain causes by the sores and lesions. Needless to say you want to get rid of it as fast possible. The second factor which we simply cannot ignore is of course that this condition can be quite embarrassing which just adds to the problems.
Here is a list of conventional Angular Cheilitis Treatments. As always, make sure to consult your doctor or physician before any such treatment is attempted.
- To treat the visible signs of cheilitis (sores and cracks on the lips and mouth) you can use lip balm or medicated creams and ointments on the chapped lips and affected regions.
1. Ketoconazole based medication. Ketoconazole is an antifungal which you can get at drug stores. Common brand names are Nizoral, Mycelex and Monista. Ketoconazole works by altering the cell wall of the fungus effectively destroying the fungus. The fungus which is responsible for Angular Cheilitis will eventually disappear.
2. Antibiotics like Nystatin. Brand names Mycolog, Mycostatin, and Nilstat. The antibiotic also works by attacking the fungus. This medication is relatively mild and is usually given orally. The patient can take this three to five days a day. This medication is available in tablet or liquid form. It is best to ask your doctor what is best for you.
3. Triazole like Fluconazole and Itraconazole. Those are taken over a longer period of time, usually several months. Fluconazole is also available in tablet or liquid form and is taken for a few weeks until the symptoms disappear
4. Amophotericin B – Adria, Fungizone, and Apothecon. A very strong drug whose purpose is to kill all the fungi causing the condition. Caution is advised with this one.
It is important to know that by simply prescribing an antibiotic or antimycotic/antifungal medication we still have to look at the root cause for angular cheilitis. There is no point in treating if the actual cause for the condition is not being looked at and solved.
Your dentist or doctor needs to investigate the reason what led to the disorder in the first place, rather than using a knee-jerk band-aid approach by simply treating the symptoms and not the cause. Otherwise any treatment will rather be temporary and the cheilitis is bound to return sooner or later.
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I get Angular Cheilitis occasionally. My cause is that my allergies cause me to sleep with my mouth open. I’ve used neosporin, chapstick, monostat and L-Lysine. They can make it worse or not work at all.
Your best bet is if they are small sores and cracks, leave them alone completely. If they are moderate to severe, use Carmex lip balm and make sure not to touch the affected part of your mouth directly to the tube.