The primary goal of most treatment for Behcet’s syndrome is to reduce inflammation. A doctor may prescribe a combination of anti-inflammatory medications called corticosteroids and immune-suppressing medications, which work together to help control the inflammation.
The types of corticosteroids and immunosuppressants, which usually come in pill form, prescribed depend on the severity of the disease and the parts of the body involved. People typically take a combination of these medications for several months or until symptoms subside. Side effects of corticosteroids include weight gain, heartburn, and high blood pressure.
To control symptoms during flare ups, doctors may also prescribe different topical medicines, depending on the part of the body involved. If a person has skin lesions or genital sores, a doctor may prescribe a topical skin cream, gel, or ointment to reduce swelling and pain. These medications usually contain a corticosteroid medication, such as prednisone, to reduce inflammation, and an anesthetic to relieve pain.
For people who find that topical medications don’t control skin lesions or genital sores, doctors may prescribe a medication called colchicine. Symptoms of arthritis may also improve with colchicine. People take this medication by mouth in pill form daily and usually continue it as a long-term treatment for the condition. Side effects include upset stomach, and, rarely, muscle pains, low numbers of blood cells, and thinning hair.
Most people with Behcet’s syndrome have painful, recurrent mouth ulcers. A doctor may prescribe special mouthwashes that contain corticosteroids and pain relievers to soothe mouth sores. Immunosupressive medications may be needed to control symptoms if topical measures are not enough.
If a person has inflammation in the eyes, doctors may prescribe eye drops containing corticosteroids or other anti-inflammatory medicines, such as the immune-suppressing medication azathioprine, to relieve pain and restore and preserve vision.