On Jul 19, 2011 3:03 PM rupali wrote:
My father has got an oral thrush while undergoing chemotherapy for oral cancer.Also "" target="_blank" rel="nofollow">http://cancer.Also " target="_blank" rel="nofollow">cancer.Also he has got mouth sores due to which he is not able to eat properly.What "" target="_blank" rel="nofollow">http://properly.What " target="_blank" rel="nofollow">properly.What treatment can be effective for mouth sores & oral thrush??
Ask your doctor or pharmacist for "Magic Mouthwash." It is made to order just for mouth sores caused by cancer treatments. Here is the information I have on the subject. Please spread the word. I hope this helps you.
Sandy Wade
Magic Mouthwash
Prescription Rx Recipes and Formulas
There is no standard formula for Magic Mouthwash. It's like trying to find the "best" meatloaf recipe; you will find many!
When the pharmacy gets a prescription for Magic Mouthwash, the pharmacist makes each one ("compounds") according to the prescribing physician's instructions or recipe.
Even many health care providers know about Magic Mouthwash, but assume there is ONE formulation and don't know the exact ingredients or proportions. When a prescription for Magic Mouthwash is given to a patient, it must contain specific ingredients and amounts, so the pharmacist knows which one to make.
Here are some of the more common adult formulations.
Magic Mouthwash Recipe 1
Rx:
80 ml viscous lidocaine 2%
80 ml Mylanta
80 ml diphenhydramine 12.5 mg per 5 ml elixir
80 ml nystatin 100,000U suspension
80 ml prednisolone 15mg per 5ml solution
80 ml distilled water
Sig: Swish, gargle, and spit one to two teaspoonfuls every six hours as needed. May be swallowed if esophageal involvement.
Magic Mouthwash Recipe 2 (also called "Xyloxadryl" or "BMX")
Rx:1 Part viscous lidocaine 2%
1 Part Maalox (do not substitute Kaopectate)
1 Part diphenhydramine 12.5 mg per 5 ml elixir
Quantity: 120 ml
Sig: Swish, gargle, and spit one to two teaspoonfuls every six hours as needed. May be swallowed if esophageal involvement.
Magic Mouthwash Recipe 3 Rx:
30 ml viscous lidocaine 2%
60 ml Maalox (do not substitute Kaopectate)
30 ml diphenhydramine 12.5 mg per 5 ml elixir
40 ml Carafate 1 gm per 10 ml
Sig: Swish, gargle, and spit one to two teaspoonfuls every six hours as needed. May be swallowed if esophageal involvement.
Magic Mouthwash Recipe 4 Rx:
100 ml dexamethasone 0.5 mg per 5 ml elixir
60 ml nystatin 100,000U suspension
100 ml diphenhydramine 12.5 mg per 5 ml elixir
contents of 3 capsules tetracycline 500 mg
Sig: Swish, gargle, and spit one to two teaspoonfuls every six hours as needed. May be swallowed if esophageal involvement.
Here are some other mouthwashes that I've seen referenced, but are lesser known and don't have the measurements listed:
"Dr. Weisman's Philadelphia Mouthwash"
Contains: Maalox, Lidocaine, Benadryl, water
"Radiotherapy mixture"
Contains: Maalox Plus, Lidocaine, Diphenhydramine
"Mary's Magic Potion"; "Benacort-Tetrastat"
Contains: Tetracycline, Nystatin powder, Diphenhydramine, Hydrocortisone
"Stomafate suspension (Methodist standard)"
Contains: Sucralfate, water, benadryl, Maalox)
"Powell's Suspension"
Contains: Nystatin, Hydrocortisone, Tetracycline, Diphenhydramine
"Duke's Magic Mouthwash"
Contains: Nystatin, Hydrocortisone, Diphenhydramine
"Stanford Mouthwash"
Contains: Tetracycline, Nystatin, 2-Deoxy-D-Glucose, Chlorpheniramine
"Modified Stanford Mouthwash"
Contains: Tetracycline, Nystatin, Hydrocortisone, Diphenhydramine, flavor, Mouth Kote
"Silegy's Mouthwash"
Contains: Tetracycline, Nystatin, 2-Deoxy-D-Glucose, Chlorpheniramine, Hydramine
"Daniel's Mouthwash"
Contains Sumycin, Dexamethasone, Nystatin, Diphenhydramine
Other terms and phrases
Magic Mouth Gargle
Magic Swizzle
Magic Mouth Rinse
Mayo Mouthwash
Saltwater Mouthwash
16-ounce bottle of water
1 teaspoon salt
1 teaspoon baking soda
Keep a bottle by bathroom and kitchen sinks.
Rinse, gargle, and spit after meals, before bed, and anytime your mouth feels dry or sore.
Premade compounding kits from CutisPharma:
(more convenient; easier billing; higher cost; less compounding flexibility)
First™ Mouthwash BLM
Benadryl, Lidocaine, Maalox
First™ BXN Mouthwash
Benadryl, Xylocaine, Nystatin
First™ Duke's Mouthwash (in development)
Diphenhydramine, Hydrocortisone, Nystatin
First™ Mary's Mouthwash (in development)
Diphenhydramine, Hydrocortisone, Nystatin, Tetracycline
Articles:
Magic Mouthwash Recipes. Pharmacist's Letter/Prescriber's Letter 2009;25(11):251103
References:
U.S. Pharmacopeia, USP Compouding Background
Cancer 2007; 109(5): Updated clinical practice guidelines for the prevention and treatment of mucositis
MASCC Mucositis Guidelines
Drug Mechanisms in Dermatology
mouthulcers.org
ClinicalTrials.gov — "Magic Mouthwash Plus Sucralfate Versus Benzydamine Hydrogen Chloride (HCl) for the Treatment of Radiation-Induced Mucositis"
General Notes:
USP standards recommend that compounded mixtures containing water have an expiration date of no more than two weeks.
Avoid alcohol-containing components; they can be irritating to ulcerated mucosa.
Kaopectate can cause solidifaction problems.