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BNSSG Adult Joint Formulary

16.5 Mouthcare- Palliative Care

Last edited: 11-01-2024

First line drugs Second line drugs Specialist drugs Secondary care drugs


Treatment of Dry Mouth

Recommended: (TLS Green)

Salivary substitutes

Recommended Salivary stimulants: (TLS Green)

Pilocarpine tablets


Oral Candidosis

Recommended: (TLS Green)

Nystatin oral suspension

Alternative: (TLS Blue)

Fluconazole capsules/oral suspension

Specific indication: (TLS Blue)

Itraconazole capsules/oral liquid

  • Resistant fungal disease after discussion with microbiologist


Painful Mouth

Treat infections

Recommended Aphthous ulcers: (TLS Green)

Betamethasone tablets

Recommended Chemotherapy induced ulcers: (TLS Green)

Chlorhexidine gluconate mouthwash

Alternatives: (TLS Blue)

Gelclair® gel

Sucralfate suspension


Excess Salivary Secretions

To reduce excess salivary secretions in neurological conditions

Recommended: (TLS Green)

Hyoscine hydrobromide transdermal as Scopoderm TTS® Patch


Alternative: (TLS Blue)

Glycopyrronium bromide 


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