Good afternoon.My wife age 64 has been diagnosed with lichen plan us which has also spread to her mouth.Doctor has prescribed prednisilone for five weeks 30mg daily first week with taper to 5mg last week. some local cream has also been prescribed. I have one fear. She is bp patient and takes amlodipine 2.5 mg wit other diet restrictions. Her bp is managed around 150/90. Since lp is spreading in her mouth and also on other parts of her body, will it be safe for her to take prednisilone for over one month. I am worried. Please help. Rosin India N
Hello, Welcome to Chat Doctor, Lichen Plans is an autoimmune disease, most of the time it dose not require any treatment it will regress by itself. Short course of prednisolone can help when lichen plans lasts a long time with painful sores. As she is on antihypertensive Chat Doctor.  Short course of oral prednisolone with this symptoms may help to regress the lesions in the oral mucosa. I would have suggested in addition to the above1. Oral antihistamines2. Topical corticosteroid 3. Maintain good oral hygiene. Thank you.