Effect of atorvastatin 1% mouthwash in the prevention of radiotherapy induced mucositis: A pilot study

Link to article at PubMed

Caspian J Intern Med. 2022 Fall;13(4):800-804. doi: 10.22088/cjim.13.4.800.

ABSTRACT

BACKGROUND: Oral mucositis is a troublesome symptom for people who receive radiotherapy and chemotherapy and it is a dose-dependent factor. Atorvastatin is a HMG-CoA reductase inhibitors and various studies have proven its anti-inflammatory effects. The goal of this study was to evaluate atorvastatin 1% mouthwash effects in prevention of radiotherapy-induced mucositis.

METHODS: Atorvastatin 1% suspension was prepared for mouthwash in this randomized, double-blind clinical trial. Thirty patients randomly received atorvastatin or placebo mouthwash. They had to gargle 5cc of mouthwash, 3 times per day during radiotherapy. The severity and pain of mucositis was evaluated every week, during their treatment.

RESULTS: The severity of mucositis between the two study groups was significant every four weeks (p<0.05) and the percentage of patients with more severe mucositis was less in the atorvastatin group. It is found that the pain intensity was lower after 3 and 4 weeks in atorvastatin group.

CONCLUSION: These findings indicated that atorvastatin mouthwash showed a significant activity in relieving of radiotherapy-induced oral mucositis and pain.

PMID:36420333 | PMC:PMC9659832 | DOI:10.22088/cjim.13.4.800

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