How lichen planus is treated

A clinician looks at the pattern, location and activity of the lesions before choosing treatment. Skin lichen planus may appear as itchy, raised bumps or thickened patches. Mouth involvement can feel raw or burning, while scalp, nail and genital disease may need focused care. Diagnosis matters because eczema, psoriasis, medication reactions and other conditions can resemble it.

Topical corticosteroids are commonly prescribed for inflamed skin or selected mouth areas, with instructions about amount, timing and duration. If disease is extensive or does not respond sufficiently, a clinician may discuss oral corticosteroid treatment or another specialist option. Do not share prescriptions or apply a potent cream to the face, groin or mouth without guidance. Gentle cleansing and regular moisturising can support the skin barrier. Explore [Topical Corticosteroids](/treatments/medical-dermatology/topical-corticosteroids/) and [Oral Corticosteroid Treatment](/treatments/medical-dermatology/oral-corticosteroid-therapy/).

Arrange review when symptoms are new, persistent, rapidly changing or difficult to control. Seek prompt help for mouth pain that limits food or fluids, eye discomfort or vision change, scalp tenderness with hair loss, or lesions that ulcerate or bleed. A symptom such as [Itchy Skin](/symptoms/itchy-skin/) does not identify its cause by itself.

Which form of lichen planus do I have? What should I apply, where, and for how long? What side effects should I watch for? Could medicines or dental products be aggravating it? When should the diagnosis or treatment be reassessed?