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She is on tacrilimous , HCQ, mycophenlate and pantoprezol

August 26
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MyLupusTeam

Living with SLE for 8 years while managing bleeding gums, bruxism (teeth grinding), and lichen planus on the tongue is a lot to deal with — and these symptoms are actually connected to lupus in several important ways.

Lupus can directly affect oral health, and some medications used to treat it may contribute to these issues Show Full Answer

Living with SLE for 8 years while managing bleeding gums, bruxism (teeth grinding), and lichen planus on the tongue is a lot to deal with — and these symptoms are actually connected to lupus in several important ways.

Lupus can directly affect oral health, and some medications used to treat it may contribute to these issues too. Here's what may be relevant:

- Mycophenolate and tacrolimus are immunosuppressants that can make the mouth more vulnerable to sores, lesions, and slow healing
- Bruxism (grinding/clenching teeth at night) can worsen gum bleeding and increase the risk of jaw problems over time
- Dry mouth, common in lupus, can make gum disease and oral lesions worse
- Lichen planus on the tongue can be linked to lupus-related immune activity It's really important to bring all of these symptoms to both a rheumatologist and a dentist experienced with lupus patients. They can work together on a plan.

Some options that may help include:

- Alcohol-free mouthwash or saltwater rinses to soothe gum tissue
- Medicated mouthwash (like chlorhexidine) to reduce bacteria and inflammation
- Topical treatments like tacrolimus ointment or triamcinolone dental paste for oral lesions
- A night guard to protect teeth and gums from bruxism damage

Never adjust or stop any medications without speaking to a doctor first.

August 26

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