HOE Orrepaste Cream

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Dr. Mohd Izzat Amir Bin Awang
Reviewed byDr. Mohd Izzat Amir Bin AwangDoctor of Medicine (MD), University of Mansoura - Manchester
Dr. Adeline Carol Peters
Written byDr. Adeline Carol PetersBachelor of Medicine and Bachelor of Surgery (MBBS) — Manipal Academy of Higher Education (MAHE)

Last updated:

Overview

HOE Orrepaste Cream is a cream with Triamcinolone Acetonide (active corticosteroid ingredient) declared as its active content. It is supplied in a pack size of 5g.

This is a non-prescription product and can be purchased without a prescription. Only product, safety and handling details are published on this page.

An online consultation with a DoctorOnCall doctor or pharmacist is available for this product, and a registered pharmacist reviews each order before dispatch to Malaysia or Singapore. Follow the directions on the label and on the leaflet inside the pack.

Directions for Use

Dry the affected area gently with a clean cotton swab or gauze, then apply a thin layer of paste directly onto the ulcer without rubbing it in, ideally after meals and at bedtime, 2 to 3 times a day. Avoid eating, drinking, or rinsing the mouth immediately after application so the paste can adhere properly.

Dosage

Apply a small, pea-sized amount of paste thinly onto each ulcer, 2 to 3 times a day, ideally after meals and before bed, for up to 5 to 7 days. If there is no improvement, see a doctor or dentist rather than continuing to self-treat. Do not exceed the amount or frequency directed on the packaging or by a pharmacist.

Shelf Life

Unopened, HOE Orrepaste Cream is generally stable for around 2 to 3 years from the date of manufacture. Always check the expiry date printed on the tube, and discard the product after expiry or if there is a noticeable change in its color or texture.

Storage Instructions

Store below 30°C, in a dry place away from direct sunlight, and out of the reach and sight of children. Keep the tube tightly closed after each use.

Side Effects

  • Skin irritation, dryness, or redness (for topical forms)
  • Thinning of the skin with prolonged use
  • Headache or dizziness (especially with nasal or injectable forms)
  • Easy bruising or delayed wound healing
  • Increased risk of infections
  • Changes in mood or sleep patterns
  • Nosebleeds or sore throat (with nasal spray use)

Contraindications

  • Known hypersensitivity to triamcinolone acetonide or other corticosteroids
  • Untreated oral fungal, viral, or bacterial infections (such as oral thrush or cold sores) at the application site
  • Not for use on broken skin outside the mouth
  • Avoid use in children under 2 years old without medical advice
  • Caution if there is an active, untreated oral infection

Drug / Food Interactions

  • Systemic absorption is minimal, but avoid using other oral corticosteroid products at the same time without medical advice
  • No significant food interactions, but avoid eating or drinking immediately after application so the paste can adhere
  • Check with a doctor or pharmacist before combining with other medicated mouth gels or mouthwashes containing steroids or antiseptics
  • Tell your pharmacist about all other medicines you are using, particularly any other corticosteroid-containing products, even if they are not applied in the mouth

Quick Tips

  • Apply after meals and before bedtime for the best contact time with the ulcer
  • Dry the area before applying so the paste sticks properly
  • Do not rub the paste into the ulcer
  • See a dentist or doctor if an ulcer lasts longer than 2 weeks or keeps recurring
  • Avoid spicy or acidic foods while the ulcer is healing
  • Maintain gentle oral hygiene with a soft toothbrush while treating an ulcer

Ingredients / Active Ingredients

  • Triamcinolone Acetonide (active corticosteroid ingredient)
  • An adhesive paste base (a carboxymethylcellulose-type vehicle) that helps the product cling to moist oral tissue
  • Flavouring and other inactive excipients as per the manufacturer's formulation
  • Preservative components typical of topical oral paste bases

Safety Advice

Pregnancy

Use With Care

This medicine should be used cautiously during pregnancy. Monitoring may be required.

Breastfeeding

Use With Care

Use with caution. Monitor infant for potential adverse reactions.

Kidney

Generally Safe

Generally safe, but caution may be required in some patients.

Liver

Use With Care

Use cautiously. Liver function monitoring may be required.

Alcohol

Use With Care

Caution is advised when consuming alcohol with this medicine.

Driving

Generally Safe

This medicine is generally safe and should not impair your driving ability.

Relevant Information

Although the product name includes the word “Cream”, HOE Orrepaste Cream is actually an oral paste designed specifically for use inside the mouth, not on the skin. If you are unsure whether this product is suitable for your condition, ask a pharmacist for advice. Recurrent or persistent mouth ulcers may need further dental or medical evaluation to identify the underlying cause.

Frequently Asked Questions

Product Specifications

BrandHoe Pharmaceuticals
ClassificationNon-prescription
Ingredients / Active IngredientsTriamcinolone
Weight5g

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Important Medical Information

💊 Recommended Dosage:

Apply a small, pea-sized amount of paste thinly onto each ulcer, 2 to 3 times a day, ideally after meals and before bed, for up to 5 to 7 days. If there is no improvement, see a doctor or dentist rather than continuing to self-treat. Do not exceed the amount or frequency directed on the packaging or by a pharmacist.

🛑 Contraindications (Do not use if):
  • Known hypersensitivity to triamcinolone acetonide or other corticosteroids
  • Untreated oral fungal, viral, or bacterial infections (such as oral thrush or cold sores) at the application site
  • Not for use on broken skin outside the mouth
  • Avoid use in children under 2 years old without medical advice
  • Caution if there is an active, untreated oral infection
If you are unsure, please chat with us or consult your doctor.
⚠️ Common Side Effects:
  • Skin irritation, dryness, or redness (for topical forms)
  • Thinning of the skin with prolonged use
  • Headache or dizziness (especially with nasal or injectable forms)
  • Easy bruising or delayed wound healing
  • Increased risk of infections
  • Changes in mood or sleep patterns
  • Nosebleeds or sore throat (with nasal spray use)
Stop taking this medication immediately and consult your doctor if you experience severe allergic reactions or side effects.
IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.