Magic Mouthwash
Started by SexyPlexi
You really need to get outta GA!
You're right!! I just worked all weekend and studied so there wasn't much to compete with. After the October PCAT I am planning a trip to go camping in the Smoky Mountains. Until then I have one objective: get into pharmacy school!!Yeah I just looked up Nystatin Oral Suspension...that's for mouth sores or something? I thought Magic Mouthwash was for sore throat. I guess it makes sense for chemo patients to need a good soothing mouthwash though.
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Fungus!
That stuff is fun to make. 🙂 I made it in hospital, and I make it in retail.
Just curious what's your recipe? I'm usually writing it for aphthous ulcers or severe pharyngitis...the recipe I was taught was 1:1:1 Decadron:Benadryl:Lidocaine. I've also seen those that included nystatin if fungal but I'm not sure what the other ingredients were.
Good to know as an urgent care PA....thanks 🙄
Good to know as an urgent care PA....thanks 🙄
the times I have seen it, it has also included maalox.
Mary's Magic Mouth Wash
Nystatin Oral Suspension 10,000units/ml x 60ml
Hydrocortisone 20mg tabs x 3-4 tabs
Tetracycline 500 capsules x 3-4 capsules
Benadryl liquid x 180ml
to make total 240ml
I do know some MD use cephalexin instead of tetracycline.
the strength of hydrocortisone and tetracycline depends on MD.🙂
Nystatin Oral Suspension 10,000units/ml x 60ml
Hydrocortisone 20mg tabs x 3-4 tabs
Tetracycline 500 capsules x 3-4 capsules
Benadryl liquid x 180ml
to make total 240ml
I do know some MD use cephalexin instead of tetracycline.
the strength of hydrocortisone and tetracycline depends on MD.🙂
There is no standard formulation/recipe for "magic mouthwash."
https://shands.org/professionals/drugInfo/bulletins/1005.pdf
https://shands.org/professionals/drugInfo/bulletins/1005.pdf
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I have seen it written 3 different ways:
Benadryl:Maalox:Visc Lidocaine 1:1:1
Benadryl:Sulcrafate:Visc Lidocaine 1:1:1
Benadryl:Sulcrafate:Maalox 1:1:1
On occasion I have also see it with tetracycline and prednisone.
I think it is always good practice to write out exactly what you want instead of a writting "magic mouth wash".
Our recipe is Benadryl:Maalox:Visc Lidocaine: Nystatin 1:1:1:1
Oncology Pharmacist told us it was useless. Now, this may be related to its efficacy for post-chemo adrs opposed to some white gooey candida.
They may use it, but available evidence says it is no better than saline rinses.
Thanks guys.
You're probably right...it's all voodoo anyway...but mommies are usually happier with me if I give them "something" for the munchkins with sore mouths.
Speaking from the FP/urgent care/ED perspective, NOT oncology.
You're probably right...it's all voodoo anyway...but mommies are usually happier with me if I give them "something" for the munchkins with sore mouths.
Speaking from the FP/urgent care/ED perspective, NOT oncology.
They're probably happier when you give them antibiotics for viral upper respiratory tract infections also. Just sayin'.
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It's like that basketball game 21. Everyone knows the gist of it everywhere across the country but if you go a few states over, they have crazy ass rules you've never heard of. Like when I was in Philly last month, the losers that got less than 10 points got to carry them over to the next game. WTF is up with that?
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I typically see magic mouthwash as 1:1:1 maalox:benadryl:visc. lidocaine as well. McKesson has a kit that you can order that includes all 3 under one NDC. It's more expensive than billing for the three ingredients separately, but Idaho medicaid won't pay for compounds, so it's a way to get around that roadblock.
I think that it's a lot of fun to make other than the fact that I never seem to be able to get more than about 95 mls of lidocaine out of the 100ml bottle. Any hints?
I think that it's a lot of fun to make other than the fact that I never seem to be able to get more than about 95 mls of lidocaine out of the 100ml bottle. Any hints?
squeeze really hard....
thats what I usually do when I'm working retail and got to go to the bathroom really bad...
Doing both of these things makes a questionable noise that makes the techs wonder what you're doing in the back...
Figured as much. That's actually what he recommended actually.
No. You need them to clarify. Could be BLM. Might have nystatin. Might have dexamethasone. Might have eye of newt.
Wonder whatever happened to SexyPlexi, hellooo zombie thread!
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If someone has a sore throat why is Magic Mouthwash better than just plain lidocaine? What is the point of the other ingredients?
Is the recipe with Maalox/Lidocaine used for heartburn or something?
What's the point of the Q-dryl? Why add Nystatin?
This never made sense to me.
Is the recipe with Maalox/Lidocaine used for heartburn or something?
What's the point of the Q-dryl? Why add Nystatin?
This never made sense to me.
Benadryl for flavor. Maalox for coating. Lidocaine for numbing.
From: http://pharmacistsletter.therapeuti...entFileID=4149&DetailID=230703&SegmentID=1963
There are numerous magic mouthwash formulations. Most contain at least three ingredients. Concoctions may contain a combination of an antibiotic (to reduce the bacterial flora around the lesion), antihistamine (for local anesthetic effect), antifungal (to stop any fungal growth), steroid (to reduce inflammation), a local anesthetic/pain reliever, or an antacid (to enhance coating of the ingredients on the mouth).4
The most popular formulation includes topical anesthetics such as lidocaine viscous and diphenhydramine plus Maalox (aluminum/ magnesium hydroxide) to enhance coating of the ingredients in the mouth. Other formulations include antifungals, corticosteroids, or antibiotics for infections or inflammations.4,5
Also, here are some recipe variants: http://prescribersletter.therapeuti...&DocumentFileID=0&DetailID=230703&SegmentID=0
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