Appendix

Overview of drugs that can lead to the development of oral mucosal diseases, xerostomia or alterations of taste perception

Diseases of the oral mucosaMedications groupActive substance
stomatitis medicamentosa

(drug-induced stomatitis)

antianginal drugsNicorandil
ATBmetronidazole, penicillin, erythromycin, tetracycline
antiepilepticsclonazepam, hydantoins, lamotrigin
antidepressantsimipramine, fluoxetine
antihypertensivescaptopril, enalapril, propranolol
antiretroviroticsritonavir, saquinavir, zidovudine
antimalarialschloroquine
chemotherapeuticscisplatin, cyclosporine, doxorubicin, methotrexate, vincristine
anti-inflammatory drugsibuprofen, salicylic acid, naproxen, indomethacin
immunosuppressantssirolimus
ulcerations and mucositis cardiac drugs (beta blockers, ACE inhibitors) propranolol, captopril
sympathomimetics methyldopa
sedatives barbiturates
anxiolytics meprobamate
ATB sulfonamides, tetracyclines
urological drugs tadalafil
laxatives phenolphtalein
diuretics thiazide derivatives, spironolactone
antidiabetics tolbutamide
bisphosphonates alendronate
NSAIDs salicylates, indomethacin, Au salts, naproxen, phenazone derivatives
antirheumatics penicillamine, phenylbutazone
antiepileptics phenytoin
antineoplastics methotrexate, 5-fluorouracil, doxorubicin, melphalan
chemotherapeutics

imunomodulators

dapsone
antiseptics hydrogen peroxide, phenol, potassium tablets
swellings ATBs penicillin and its derivatives, sulphonamide, cephalosporin
NSAIDs

cardiac drugs (ACE inhibitors)

acetylsalicylic acid
sedatives barbiturates
xerostomia and hyposalivation sympatholytics
sympathomimetics (beta2-agonists)
retinoids
cytotoxic agents
muscle relaxants
decongestants
antihistamines
antihypertensives
diuretics
protease inhibitors
proton pump inhibitors, antacids
antimuscarinic agents, anticholinergics
antidepressants
sedatives
anxiolytics
anti-inflammatory drugs
opioids and cannabinoids
antiparkinsonics
antiepileptics
increased susceptibility to infection (oral candidosis) ATBs
immunosuppressants
corticosteroids
chemotherapeutics
gingival hyperplasia antiepileptics phenytoin, valproate
antihypertensives (calcium channel blockers) nifedipine, amlodipine, diltiazem, verapamil
cardiac drugs (dihydropyridines) bleomycin
chemotherapeutics cyclosporine
immunosuppressants
oestrogens
increased gingival bleeding anticoagulants
NSAIDs acetylsalicylic acid
altered taste perception cardiac drugs (beta blockers, calcium channel blockers)
neurostimulants
ATB metronidazole
others nicotine
pigmentations laxatives phenolphthalein
cardiac drugs (potassium channel blockers) amiodarone
antimalarials chloroquine
oestrogens
sedatives chlorpromazine
antivirotics zidovudine
cytostatics clofazimine
antimycotics ketoconazole
antineoplastics imatinib
chemotherapeutics busulfan
cytostatics cyclophosphamide
ATB tetracycline (minocycline)
OLL anti-alcohol drugs cyanamide
antihyperuricemics allopurinol
antidiarrheals bismuth
antidiabetics chlorpropamide, glipizide, insulin, tolbutamide
antihistaminics cimetidine, cinnarizine, triprolidine
antimycotics amphotericin B, ketoconazole
antiretrovirotics zidovudine
antihypertensives atenolol, beta blockers, captopril, chlorothiazide, enalapril, furosemide, hydrochlorothiazide, methyldopa, metoprolol, oxprenolol, propranolol, spironolacton
antiepileptics carbamazepine, oxacarbazepine, phenytoin, valproate
NSAIDs salicylates, diflunisal, ibuprofen, indomethacin, naproxen, rofecoxib, sulindac
antimalarials quinine derivatives, pyrimethamine
ATB isoniazid, rifampicin, streptomycin, tetracyclines
cardiac drugs (ACE inhibitors, beta blockers, potassium channel blockers) flunarisine
chemotherapeutics dactinomycin, imatinib, palladium
immunomodulators dapsone, Au salts, levamisole, interferon alpha
antirheumatics penicillamine
psychopharmaceuticals (benzodiazepines, tricyclic antidepressants) levomepromazin, lithium, lorazepam, phenothiazines, pyritinol
diuretics furosemide
EEM and Stevens-Johnson syndrome ATB penicillins, sulfonamides, tetracyclines, amoxicillin, clavulanic acid
antimalarials
antihyperuricemics allopurinol
psychopharmaceuticals barbiturates
protease inhibitors
NSAIDs
antiepileptics phenytoin, lamotrigin
pemphigus NSAIDs ibuprofen, piroxicam, Au salts
antirheumatics phenylbutazone, penicillamine
antidiabetics glibenclamide
antitubercular drugs ethambutol
diuretics theobromine
cardiac drugs (beta blockers) propranolol, captopril, practolol
psychopharmaceuticals barbiturates (phenobarbital), pyritinol, heroin
ATB ampicillin, cephalexin, rifampicin
others thiopyridoxine, mercaptopropionyl glycine
pemphigoid ATB penicillins, sulfonamides
antirheumatics, NSAIDs penicillamine, ibuprofen, phenacetin
cardiac drugs furosemide, captopril, clonidine
LE-like reactions ATB streptomycin
antirheumatics penicillamine
NSAIDs Au salts
psychopharmaceuticals lithium, chlorpromazine
sympathomimetics methyldopa
antimalarials quinine derivatives
antiepileptics carbamazepine, ethosuximide, hydantoins, primidone, trimethadion
antimitotics griseofulvin
antitubercular drugs isoniazid
antiarrhytmics procainamide
antihypertensives reserpine
vazodilatints hydralazine
others thiouracil