Snelle antwoord
Tess Oral Paste bevat triamcinolone acetonide 0.1% in an adhesive paste base — a topical corticosteroid that sticks to the oral mucosa and treats inflammatory oral lesions. Typical use: small dab applied to the lesion 2–3 times daily after meals and at bedtime, max 7–14 days. For aphthous (canker sore) ulcers, oral lichen planus, traumatic ulcers and mild oral inflammatory conditions.
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What triamcinolone oral paste does
Triamcinolone acetonide is a moderately potent fluorinated corticosteroid. The 0.1% paste base contains gelatin, pectin and carboxymethylcellulose in Plastibase, which adheres to wet oral mucosa for up to 6 hours. Once in contact with the lesion, triamcinolone suppresses cytokine release, reduces leukocyte infiltration, and eases inflammatory pain — accelerating healing of aphthous ulcers and controlling chronic inflammatory mucosal disease.
Indicaties
- Recurrent aphthous stomatitis (canker sores) — first-line topical therapy. Reduces pain within 24–48 h; speeds resolution by 2–3 days.
- Oral lichen planus (erosive and atrophic) — first-line maintenance. Reduces erythema, erosion and pain.
- Traumatic ulcers from braces, dentures or biting — when the trauma source is removed.
- Pemphigoid and pemphigus oral lesions — adjunct to systemic therapy.
- Inflammatory complications of denture wear — when poor fit is corrected.
Hoe aan te vragen
- Wash hands. Dry the lesion with a clean tissue or cotton bud (paste does not stick to a wet mucosa).
- Press a small dab (about pea-size) onto the lesion using a clean fingertip — do NOT rub it in.
- The paste forms a smooth adhesive film that lasts several hours.
- Avoid eating or drinking for 30 minutes after application; avoid alcohol-containing mouthwash for the duration.
- Apply 2–3 times daily after meals and at bedtime for up to 7–14 days. If lesions persist beyond 2 weeks, see a clinician — persistent oral ulcers may need biopsy.
Do NOT use if
- The lesion is suspected to be infectious — herpetic ulcer (vesicles on a red base), oral candidiasis (creamy white plaques wiping off to leave a red surface), oral tuberculosis
- The patient is allergic to corticosteroids or any paste excipient
- The ulcer has been present for more than 3 weeks without diagnosis — needs biopsy to exclude oral cancer or specific infection
- There is suspected oral varicella-zoster reactivation
Bijwerkingen
- Vaak voorkomend: mild local burning at first application; transient unpleasant taste; occasional drying of the area.
- Minder vaak voorkomend: oral candidiasis (thrush) with prolonged use — present as creamy white plaques. Treat with topical antifungal (clotrimazole troches, nystatin suspension) and stop the paste until clear.
- Rare with extended use: mucosal atrophy, secondary infection.
- Systemic absorption from short courses on small mucosal areas is negligible. Higher exposure is possible with widespread oral lichen planus over weeks; not usually a problem at recommended doses.
Geneesmiddelinteracties
No clinically significant drug interactions at recommended topical doses.
Special populations
- Zwangerschap/borstvoeding — short courses on small areas are generally considered safe; use only when needed.
- Children — over age 6, supervised, short courses for severe aphthous ulcers.
- Diabetes mellitus — monitor for oral candidiasis, especially with prolonged use.
- Immunosuppression (chemotherapy, chronic steroid) — confirm the lesion is not herpetic or candidal first; consult clinician.
Opslag
Store below 25 °C in the original tube. Recap tightly. Do not refrigerate (paste hardens). Discard 6 months after first opening.
Waarom bestellen bij MedsBase
Tess Oral Paste is supplied through a WHO-GMP certified manufacturer with full COA documentation. We ship worldwide in plain, discreet packaging, and every order is covered by our Reshipment Assurance Policy. Your statement descriptor when paying by card shows the regulated payment processor (a regulated card-payment processor), never "MedsBase" or any medication name.
Veelgestelde vragen
How quickly will my mouth ulcer feel better?
Pain typically eases within 24–48 hours. The ulcer surface re-epithelialises 2–3 days faster than no treatment. Apply within 24 hours of the ulcer starting for best effect.
Can I use it for a cold sore on my lip?
No. Cold sores (herpes simplex labialis) are viral and topical steroids can WORSEN them by suppressing the local immune response. Use aciclovir cream for cold sores. Tess paste is for non-infectious inflammatory oral mucosal lesions only.
How is this different from Bonjela or Orajel?
Bonjela contains choline salicylate (mild anti-inflammatory) and Orajel contains benzocaine (local anaesthetic). Both reduce pain temporarily but do not modify inflammation. Triamcinolone paste is a true topical corticosteroid — it suppresses the underlying inflammation and accelerates healing, not just numbness.
Can children use Tess Oral Paste?
Over age 6 with adult supervision, short courses (5–7 days) for severe aphthous ulcers. Younger children — see a paediatrician first to confirm diagnosis.
How long can I use it?
Maximum 7–14 days continuous use without medical review. Oral lichen planus may need longer maintenance under specialist supervision (oral medicine clinic). Chronic use risks oral candidiasis and mucosal atrophy.
Will it cause oral thrush?
Possible with prolonged use, especially in diabetes, immunosuppression or denture wearers. White creamy patches that wipe off to leave a red surface = thrush. Stop the paste, treat with topical antifungal (clotrimazole troches or nystatin), then resume only if needed.
Can I eat after applying?
Wait 30 minutes. The paste needs time to form an adhesive film. Eat soft, non-acidic foods initially; avoid alcohol-containing mouthwash for the duration.
My ulcer has lasted more than 2 weeks — should I keep using it?
No — see a clinician. Any oral ulcer lasting more than 3 weeks needs biopsy to exclude oral cancer, oral tuberculosis, syphilis or autoimmune blistering disease. Topical steroid does not cure these conditions.
Is it safe in pregnancy?
Topical corticosteroid paste applied to small areas for 5–7 days is considered low-risk in pregnancy. Discuss with your obstetrician for chronic oral lichen planus management.
How does it compare to oral steroid mouthwash (e.g. dexamethasone rinse)?
Paste is best for localised single ulcers — it stays in place. Steroid mouthwash (dexamethasone elixir 0.5 mg/5 ml swish-and-spit four times daily) is preferred for widespread oral lichen planus, multiple ulcers and posterior pharynx involvement that paste cannot reach.
Other Topical Corticosteroid & Oral Care Products
- All Anti-Inflammatory & Autoimmune Treatments
- Betnesol Tab (betamethasone) — systemic corticosteroid
- Medrol (methylprednisolone) — systemic corticosteroid
- Clocip (clotrimazole 1%) — for confirmed oral candidiasis
- Tenovate (clobetasol) — high-potency topical steroid (skin only)
Medische Disclaimer
This information is provided for educational purposes only and is not a substitute for medical advice. Always consult a qualified healthcare professional before starting, changing, or stopping any medication.



























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