Manufactured Magic Mouthwash and Magic Buttcream?

[TianjinNVhai]

I’m just curious, considering the amount of these we have to compound on daily basis. Wouldn’t it be awesome if they were commercially available?
— An exhausted intern who’s bored out of her mind from mixing these stupid pastes all day.

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[owlegrad]

I have actually never heard it called magic buttcream although I like the name.

As for being available commercially I am on the fence. I do dislike making it but at the same time I don’t think the solution is to make it available. Perhaps a better solution would be for prescribers to just stop writing for the stupid stuff.

 

[rxkrafted]

They have magic mouthwash compounded kits. It is rarely ever used because of the price.

 

[WVUPharm2007]

Maybe someone will appear to magically patent it. Like the freaking criminals that managed to somehow get a patent on Colcrys. When does Martin Shkreli get out of jail? Seems like a venture he'd pursue.

 

[Sine Cura]

Perhaps a better solution would be for prescribers to just stop writing for the stupid stuff.

This is the correct answer.

Cutis markets a bunch of prepackaged compounding kits (these are not FDA approved IIRC) including magic mouthwash

 

[RxPreceptor]

Usually not covered, runs about $60; most often person just goes with an OTC cepacol or sucrets of some sort

 

[Prepharm1214]

Prescribers in my area seem to like to put their own twist on it too...less than half are the standard lidocaine, maalox, benadryl. Some add flagyl, prednisone, doxycycline, nystatin etc so wouldnt do my store much good for a commercial product

 

[mentos]

View attachment 257524
Usually not covered, runs about $60; most often person just goes with an OTC cepacol or sucrets of some sort

Used to dispense that once a week. Much faster than typing and logging in the ingredients separately.

 

[BidingMyTime]

Prescribers in my area seem to like to put their own twist on it too...less than half are the standard lidocaine, maalox, benadryl. Some add flagyl, prednisone, doxycycline, nystatin etc so wouldnt do my store much good for a commercial product

This. I don't think there is any "standard" for magic mouthwash, prescribers/geographical areas all seem to have their own "standard" recipe.

 

[PharmDBro2017]

Maybe someone will appear to magically patent it. Like the freaking criminals that managed to somehow get a patent on Colcrys. When does Martin Shkreli get out of jail? Seems like a venture he'd pursue.

Free Shkreli

 

[RxPreceptor]

PL chart on carious "magic mothwashes"...still irks me with hotshot MDs who give you **** for not knowing his/her "special" formula for magic mouthwash...><. #Dinosaur Doctors/living underneath a rock

 

[owlegrad]

PL chart on carious "magic mothwashes"...still irks me with hotshot MDs who give you **** for not knowing his/her "special" formula for magic mouthwash...>living underneath a rock

Yeeesh why is it so hard for prescribers to understand that if they want to write for “GI Cocktail” they need to tell me what they think that means?!

And of course the classic chestnut reply: “you’re the only pharmacist that ever calls to question it!” or even better “don’t YOU know what’s in it?!”. No sir I do not know what is in the specific concoction that you have invented in your head. I must have missed physic divination in pharmacy school.

 

[princeafrica]

Too many dentists in my WAG pharmacy area keep prescribing those and we don’t got enough time or techs to be compounding. I just tell patients we ain’t a compounding store and to go down the street and ask the Walgreens inside children’s hospital.


I had a floater that tried to also get out of doing it a magic mouth wash script. He told the patient “ I will need to call and clarify because there’s 50 different formulate for it and it could take a couple hours”. He got weirdly irritated when the patient said they can wait lol

 

[DMDWANNABEE]

This. I don't think there is any "standard" for magic mouthwash, prescribers/geographical areas all seem to have their own "standard" recipe.

Is there a particular way to make the process less burdensome for you that the prescriber can take?
It's not my intention to make life difficult.

 

[BidingMyTime]

Is there a particular way to make the process less burdensome for you that the prescriber can take?
It's not my intention to make life difficult.

Well, ideally you would have pre-printed scripts with your standard recipe, that you could use for your patients. Or, if you must use electronically, then fax over a copy of your standard recipe to the pharmacies in your area, and let them know that when you order "magic mouthwash" or "GICocktail" you will always 100% of the time mean this recipe. And, make sure your receptionist has a copy at her desk, so if you have a patient who decides to fly 3 states over (because why not, when you are already sick?), and the pharmacist in that state doesn't know your recipe, then they can call and the receptionist can fax them a copy.

 

[owlegrad]

Well, ideally you would have pre-printed scripts with your standard recipe, that you could use for your patients. Or, if you must use electronically, then fax over a copy of your standard recipe to the pharmacies in your area, and let them know that when you order "magic mouthwash" or "GICocktail" you will always 100% of the time mean this recipe. And, make sure your receptionist has a copy at her desk, so if you have a patient who decides to fly 3 states over (because why not, when you are already sick?), and the pharmacist in that state doesn't know your recipe, then they can call and the receptionist can fax them a copy.

This is good advice. I would hope that the electronic system would have some kind of feature where you could add your recipe to the script so that when it gets send over it will include that information. Maybe there is a way to save it as a "favorite" or something to make it easy for whoever actually sends over the script?

 

[Wickett]

Is there a particular way to make the process less burdensome for you that the prescriber can take?
It's not my intention to make life difficult.

All you need to do is list the ingredients you want, the ratio of the ingredients and the total amount to make. Also, let your patients know this will have to be made by the pharmacy which takes more time than the typical script/don't expect to wait on it and have it completed immediately. I have no problem doing simple compounds as long as we are given a reasonable amount of time.

 

[Sine Cura]

What is the point of these prescribers writing "bespoke" Rx?

Just say the prepackaged kit is such and such cost as it's not typically covered by insurance. Most people will balk at getting it especially the Medicaid types.

 

[Sparda29]

I’m just curious, considering the amount of these we have to compound on daily basis. Wouldn’t it be awesome if they were commercially available?
— An exhausted intern who’s bored out of her mind from mixing these stupid pastes all day.

It would be terrible if they were commercially available. You realize we get paid more fees for making compounds? If it's commercially available we get a ****ty reimbursement and a ****ty fee.