I'm going to make this real short....look for a silvergel CVS brand (no antifungal properties), clean with dawn soap.
I wanted to share the remedy that FINALLY cleared up my angular cheilitis. Some history: I was only afflicted with this condition for about one year or so, but it was a brutal year. I won't go into what DIDN'T work but I'll just say I tried everything. It would clear up and start again within a few days or up to two weeks later. I had it only on the right side and it would affect up to about a 3-4 cm size patch of skin to the side of my mouth, which would turn red and peel, plus I would get the deep crevice line. It was uncomfortable and unsightly.
I am from northern California so a few months ago I finally looked into my cannabis options. This is exactly what cured my angular cheilitis: An organic medical cannabis cream called 'Citrus Shea Healing Balm, 1200 mg, from Edens Elixirs.' Probably any topical medical cannabis product would work but these are the ingredients of the product I used: '1200 mg activated CO2 extracted cannabis, organic raw shae butter, & essence of orange blossom, lemongrass, & palio santo.' Using the product soothed my severe angular cheilitis right away and cleared it up in the usual week or so from when I started applying it. The cheilitis came back very slightly maybe a week later, but cleared up in a few days, and it has now been absent for almost 3 months. I think it's gone for good! That is why I wanted to share this remedy, because I know how much I searched the internet for some relief. I continue to use the tiniest smear of this product in the morning after my shower and at night before bed. It is very moisturizing. I do not use medical or other cannabis for any other purpose until trying this cream. Actually, the cream also helped with some blepharitis I've had bouts of for quite some time as well, but that does come back. Topical cannabis does not alter ones perceptions, nor does it cause a positive drug test. If you have access to something like this it is worth your while to try it. I am so grateful to have put the time in my life when I was burdened with angular cheilitis BEHIND me!
Went to 4 doctors with my angular chelitis. None of them could help me. Read your blog on angular chelitis. Remember I have tried almost every cream known to man on this horrible condition. The band aid put over the wound seems to really help the most. In fact, right now you would not know I had it. Makes me wonder, is it a dry skin condition and the band aid holds the moisture in really well?? at any rate, please try the simple band aid over it at night time. Just try, you will be amazed!
After years of corner cracks I found the cause/cure! Steroid treatment helped but the doctor didn't recommend this due to the side affect from steroid thinning of the skin. I found out I am allergic to SPF sunscreen from other skin conditions that were reoccurring on my face. After a while I figured out the lip balm I was using every day and night had SPF15. I stopped using this and haven't had a corner crack since then! Hope this helps some of you!
Angular chellitis is known to commonly be a mixed infection of bacterial and fungal. So what I've done is kind of a combo of 3 things:
1. Coltrimazole (or another over-the-counter anti-fungal). Follow the directions on the tube for use (it won't say angular chellitis, but they're all superficial fungal infections). I continue it for 2 weeks even it appears that the angular chellitis has subsided long ago, otherwise it could reoccur.
2. Rubbing Alcohol Wipe...this is not a pleasant experience, but its anti-bacterial properties are extremely potent. I like using wipes instead of solution so it doesn't get into the mouth, and I just do it once a day by pressing (NOT scrubbing) the wipe onto the sore for approx 15 seconds. Rubbing Alcohol does NOT have anti-fungal properties so it can't be used alone (same with neosporin)
3. Let it heal! Most important is not letting it split, so keeping your mouth closed as much as possible. Easier said than done...sticking to liquids or foods that you can take small bites and not touching/picking at it helps. Also cover it with Aquafor (or another petrolatum) to keep saliva out and avoid re-inoculation.
With this remedy, chronic becomes mild in a couple days, and mild disappears within a week.
I have had angular cheilitis off and on again now for two years (I get a bout of it probably every 6 months or so and it would last for about two or three weeks). What I finally found to cure it: I wash with the Orange antibacterial hand soap,then pat dry the area, then I mix a dab of monistat cream and a dab of generic brand lontrimin cream on my fingertip and dab on the corner of my mouth. By the third day it is completely healed and just has the red area which hopefully by tomorrow will be gone! The active ingredients for the creams are clotrimazole and miconazel nytrate which I kept running across as suggestions to try when I was searching for how to treat this. I usually know when I am going to get another bout of A/C because my lips tend to feel weird and sort of itchy a few days before hand. I think next time I feel it coming on I will try my mix and see if I can prevent it from cracking at all.
If you put honey on your lips for 10 minutes a day, it will work as a healing agent as well as an anti fungal, plus a moisturizer. Try it for a week to see if works for you or not.
Angular Cheilitis can pop up when you are deficient in folate and b12. If you take folate and b12 supplements and it still won't go away - you may have a problem with absorbing those nutrients. A simple blood test can confirm that. But in the meantime - to alleviate the pain and cracking and peeling - get some diaper rash cream high in zinc. It really is a miracle. Just go to your local drugstore. If it's safe enough for babies' butts it's okay for your face! Apply liberally at night - it does leave a white residue. This was advice from my Naturopath and it was a godsend.
The only treatment that works is 'Silver Sulfadiazine Cream USP 1%'.
Trust me. After years of this problem, this cleared it up in 2 days.
This is an update. I'm trying aloe vera, scraped from inside the plant, as a topical application twice a day, over 2 days. It is improving. The crack feels comfortable, I can open my mouth wide, and the aloe vera doesn't sting. And it's natural and costs nothing. Hallelujah :-)