Tricyclic antidepressants | Amitriptyline (Elavil) | 10 to 150 mg per day | 10 mg at bedtime; increase dosage by 10 mg every 4 to 7 days until oral burning is relieved or side effects occur |
| Nortriptyline (Pamelor) | | |
Benzodiazepins | Clonazepam (Klonopin) | 0.25 to 2 mg per day | 0.25 mg at bedtime; increase dosage by 0.25 mg every 4 to 7 days until oral burning is relieved or side effects occur; as dosage increases, medication is taken as full dose or in three divided doses |
Chlordiazepoxide (Librium) | 10 to 30 mg per day | 5 mg at bedtime; increase dosage by 5 mg every 4 to 7 days until oral burning is relieved or side effects occur; as dosage increases, medication is taken in three divided doses |
Anticonvulsants | Gabapentin (Neurontin) | 300 to 1,600 mg per day | 100 mg at bedtime; increase dosage by 100 mg every 4 to 7 days until oral burning is relieved or side effects occur; as dosage increases, medication is taken in three divided doses |
Capsaicin | Hot pepper and water | Variable (see next column) | Rinse mouth with 1 teaspoon of a 1:2 dilution (or higher) of hot pepper and water; increase strength of capsaicin as tolerated to a maximum of 1:1 dilution. |