<s>[INST] I have oral lichen planus. Started having problem more than 4 yrs. ago. Have taken Dexamethasone rinse (causes weight gain); Hydroxychloroquine, Gabapentin. The outbreak seems to run its course without much response to medication. Currrent outbreak has been going on since before July 4th. Taking Hydroxychloroquine without significant improvement. Is there a cure? [/INST] Hello, Welcome to Chat Doctor, If you have no pain or discomfort and if only white lesions are present, you may not need any treatment. I would suggest you to apply the steroid cream on the lesion twice daily for at least 15-20 days, you can appreciate the improvement. Topical medication is the best choice since it doesn't cause many adverse effects. Other treatment modalities includes intraluminal injection of steroids, mouth rinses containing steroids or systemic steroids. I advise taking topical only because it won't disturb the systemic status of your body. Thank you. </s>