oral thrush during chemotherapy

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oral thrush during chemotherapy

by rupali on Tue Jul 19, 2011 03:03 PM

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My father has got an oral thrush while undergoing chemotherapy for oral cancer.Also he has got mouth sores due to which he is not able to eat properly.What treatment can be effective for mouth sores & oral thrush??

RE: oral thrush during chemotherapy

by jpearson472 on Sat Sep 10, 2011 02:51 AM

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Havehim gargle with salt water once an hr for a couple of days.  It helped me.  good luck

josh

RE: oral thrush during chemotherapy

by Sandy143 on Sun Aug 12, 2012 11:46 PM

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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.

RE: oral thrush during chemotherapy

by shaunmattox on Thu Oct 24, 2013 09:03 AM

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There is a cheaper, easier way to handle oral thrush than Magic Mouthwash. I know some insurances don't cover this, or only cover a small percentage of the cost. When I was going through chemo for breast cancer I developed mouth sores as almost all people do. When I took the prescription for the mouthwash to my pharmacy, my pharmacist told me about the "home remedy" for this problem. He said it's much cheaper and (basically) the same preparation.

Ingredients: Liquid Benadryl and Maalox

Children's benadryl is the only liquid (other than infants and you don't want that).

Mix it 1/2 and 1/2...or 1:1 ratio, i.e. 1 teaspoon of benadryl and 1 teaspoon of maalox (store brand is fine). Stir it together, swish it around in your mouth and, either, spit it out or swallow it. The benadryl numbs your mouth, and if you swallow it, it might make you a little sleepy, but a little rest during chemo never hurt anybody! If you try this I hope it works for you like it did with me...almost instantly my mouth cleared up. Good luck an God bless you and your family as you navigate your way through treatment.

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