What are methods to control pain from herpetic gingivostomatitis (cold sores) in children?

The classic aceteminophen and ibuprofen always work.

In addition, consider using a mixture of diphenhydramine elixer (benadryl syrup) and an antacid (ie Maalox) in a 1:1 mixture by volume and applying it to the painful lesions using a Q-tip. In small children, local application of viscous lidocaine should be avoided.

Source

Knoop, K. MD. Atlas of Emergency Medicine. 2nd ed. McGraw-Hill. 2002.
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