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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