Comparing Treatments for Angular Cheilitis: Hydrophilic Ointment vs. Soothing Cream - Dermatology

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Cheilitis has persisted for a period of time?


Previously, I visited a doctor for angular cheilitis, and the doctor prescribed Gandeson hydrophilic ointment, advising me to apply it 3 to 4 times.
He mentioned that since it is applied on the face, could it be related to steroids? After applying it 4 times, there is still a red spot, and it has recurred with cracks and bleeding.
Later, I consulted another family medicine doctor who prescribed Soothe Cream.
Which of these two ointments is more suitable for treating angular cheilitis?

Niming, 20~29 year old female. Ask Date: 2020/02/01

Dr. Li Yufen reply Dermatology


Hello: Among the two ointments mentioned, Ganderson is more suitable for the treatment of angular cheilitis.
For recurrent angular cheilitis, it is recommended to supplement with B vitamins and vitamin C, and to avoid consuming excessively hot, acidic, salty, or spicy foods that may irritate the condition.
After applying a thin layer of the ointment, you can apply an additional layer of petroleum jelly to enhance the healing effect and prevent cracking.
If the skin symptoms do not improve or worsen, it is advisable to consult a dermatologist for diagnosis and treatment.
Thank you!

Reply Date: 2020/02/01

More Info


When comparing treatments for angular cheilitis, specifically Hydrophilic Ointment and Soothing Cream, it is essential to understand the underlying causes of this condition and the properties of each treatment option.

Angular cheilitis, characterized by inflammation and cracking at the corners of the mouth, can be caused by various factors, including fungal or bacterial infections, nutritional deficiencies (such as vitamin B2, B3, or iron), and irritants. The choice of treatment often depends on the specific cause and the severity of the symptoms.

Hydrophilic Ointment: This ointment is often used for its moisturizing properties. It typically contains ingredients that help to retain moisture in the skin, which can be beneficial for healing cracked skin. However, if the ointment contains a corticosteroid component (like Mometasone Furoate), it may help reduce inflammation and itching. While corticosteroids can be effective in managing inflammation, they should be used cautiously, especially on sensitive areas like the lips, as prolonged use can lead to skin thinning and other side effects.

In your case, if you have been using the hydrophilic ointment and still notice persistent redness and cracking, it may indicate that the ointment is not adequately addressing the underlying cause of your angular cheilitis. This could be due to an infection or a need for additional treatment, such as antifungal or antibacterial agents, depending on the diagnosis.

Soothing Cream: On the other hand, soothing creams are generally formulated to provide relief from irritation and can contain ingredients like aloe vera, chamomile, or other anti-inflammatory agents. These creams are often more suitable for sensitive skin and can help in reducing redness and promoting healing without the potential side effects associated with corticosteroids. If the soothing cream you received is free from steroids, it may be a safer long-term option for managing your symptoms, especially if you are experiencing recurrent episodes of angular cheilitis.

In conclusion, if you are experiencing persistent symptoms despite using the hydrophilic ointment, it may be beneficial to switch to the soothing cream, especially if it is designed to be gentle and hydrating. Additionally, consider consulting with a healthcare provider to explore the possibility of underlying causes, such as nutritional deficiencies or infections, which may require specific treatments beyond topical applications.

For optimal management of angular cheilitis, it is also advisable to maintain good oral hygiene, avoid licking the lips (which can exacerbate dryness), and ensure adequate hydration. If symptoms persist or worsen, further evaluation by a dermatologist or healthcare provider may be necessary to determine the most appropriate treatment plan tailored to your specific needs.

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