• Topical therapy (compounded rinses) • Option 1
– Diphenhydramine 200 mg, viscous lidocaine 90 mL, Maalox suspension 90 mL, distilled water 180 mL
– Swish 5 mL for 2 min and expectorate 3–4 times/d. • Option 2
– Diphenhydramine 200 mg, viscous lidocaine 90 mL, Maalox suspension 90 mL, distilled water 180 mL
– Swish 5 mL for 2 min and expectorate 3–4 times/d. • Option 2
– Dexamethasone 100 mg, viscous lidocaine 60 mL, diphen hydramine 200 mg, sorbitol 15 mL, Maalox suspension to 275 mL
– Swish 5 mL for 2 min and expectorate 3–4 times/d.
• Systemic therapy: prednisone 5 mg tablets #80 • Take each morning with breakfast for 16 d as 8/d × 4 d,
6/d × 4 d, 4/d × 4 d, 2/d × 4 d, stop • Will reduce disease activity as topical corticosteroids or
systemic NSAIDs are started
6/d × 4 d, 4/d × 4 d, 2/d × 4 d, stop • Will reduce disease activity as topical corticosteroids or
systemic NSAIDs are started