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
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
No. HOE Orrepaste Cream is a non-prescription product and can be ordered without a prescription. It is still dispensed by a registered pharmacist on DoctorOnCall.
HOE Orrepaste Cream is a cream containing Triamcinolone Acetonide (active corticosteroid ingredient). The full ingredient list is shown in the Composition or Ingredients section on this page and on the product packaging.
It is supplied in a pack size of 5g. Choose the pack size you need from the options shown on this page before adding the item to your cart.
This page is limited to product, safety and handling information in line with Malaysian rules on medicine information. If you want advice on whether this product suits you, book an online consultation with a doctor or pharmacist on DoctorOnCall.
Follow the instructions printed on the label and in the leaflet supplied with the pack, and do not exceed the stated amount or duration. Handling steps are set out in the Directions for Use section on this page.
Yes. DoctorOnCall offers online consultations with licensed doctors and registered pharmacists, so you can ask about this product, your existing medicines, or anything on the label before you place an order.
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. Keep it in its original pack and do not use it after the expiry date printed on the packaging.
Stop using the product and speak to a doctor or pharmacist about any reaction that concerns you. Seek medical care immediately for signs of a severe reaction such as difficulty breathing, swelling of the face, lips or throat, or a widespread rash. Reported reactions are listed in the Side Effects section on this page.
Within Malaysia, standard delivery takes 3 to 5 working days. Same-day delivery is available in the Klang Valley for orders placed before 12pm; orders placed after 12pm arrive by the end of the next day.
Orders to Singapore are sent as international deliveries and take 5 to 9 working days. A lump-sum shipping and handling fee applies to every overseas delivery and is shown at checkout.
Customers in Malaysia can pay by FPX online banking, credit or debit card (Visa and Mastercard), and supported e-wallets including Touch ‘n Go eWallet, GrabPay and ShopeePay.
FPX and local e-wallets are tied to Malaysian bank and wallet accounts, so if your delivery address is in Singapore, use the payment options displayed at checkout for that address rather than assuming the same list applies.
Yes. DoctorOnCall ships to Singapore as an international order dispatched from Malaysia, arriving in 5 to 9 working days with a lump-sum shipping and handling fee.
Singapore’s Health Sciences Authority (HSA) allows personal imports of up to three months’ supply of a medicine for your own use or an immediate family member’s, as long as it contains no controlled drugs, psychotropic substances or prohibited items. Keep the product in its original labelled packaging and keep a copy of your prescription or doctor’s letter with it. Quantities above three months’ supply, and medicines containing controlled substances, require prior HSA approval.
Products listed on DoctorOnCall are registered with Malaysia’s Ministry of Health for supply in Malaysia, and each pack carries its MAL registration number.
An order delivered to Singapore arrives as a personal import of a Malaysia-registered product; HSA product registration is not required for personal-use quantities, but it is also not the same as a product registered for sale in Singapore. If you need a locally registered Singapore product, buy it from a pharmacy in Singapore.
DoctorOnCall’s customer care team handles order, delivery and product queries through the contact channels on the site, including WhatsApp and the online help centre.
For deliveries to Singapore, allow more time before chasing an order than you would for a local Malaysian delivery, as the parcel passes through customs clearance and tracking updates can appear later in the journey.
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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.
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IMPORTANT: Unsure? Chat with our pharmacists (Mon - Sat, 9:00am - 6:00pm) before buying.