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Acute mucositis: prevention

Mouthwash with saline solution and bicarbonate

Drug

Recommendation

B d i *

Y

A ti i fl

t

enzy am ne

es

n - n amma ory

Analgesic and anesthesic

Antimicrobial

Chlorhexidine

No

Oral care protocol

Anti-fungal agents

?

Anti-microbial agents

?

* Similar activity mouthwash (nystatin, diphenhydramine and dexamethassone) + sucralfate (ASCO 2011)

Saunders et al Support care cancer 2013

Kuk et al. ASCO 2011

McGuire et al Support care cancer 2013

Nicolatou-Galtis et al Support care cancer 2013