![]() May be swallowed for pharyngeal or esophageal involvement, but prescriber should consider systemic dosing. Sig: Swish thoroughly, gargle, and spit one teaspoonful (5 mL) after meals and before bed. Magic Mouthwash Recipe 2 (also called "Xyloxadryl," "BMX," or “Radiotherapy Mixture”)ħ0 mL Maalox (do not substitute Kaopectate)ħ0 mL diphenhydramine (Benadryl) (of the elixir, which is 12.5 mg per 5 mL)ħ5 mL Maalox (do not substitute Kaopectate)ģ8 mL diphenhydramine (Benadryl) 12.5 mg per 5 ml elixirĥ0 mL sucralfate (Carafate) 1 gm per 10 mlġ00 mL dexamethasone (of the elixir, which is 0.5 mg per 5 mL)Ħ0 mL nystatin (100,000 U/5 mL) suspensionġ00 mL diphenhydramine (Benadryl) (of the elixir, which is 12.5 mg per 5 mL)ġ500 mg tetracycline powder (contents of 3 capsules tetracycline, 500 mg each) Note: may substitute 3 capsules of doxycycline, 100 mg each. Oral, pharyngeal, and/or laryngeal numbness increases risk for aspiration, and therefore I tell my patients to use this after eating or drinking, not before, which may seem counterintuitive. May be swallowed if the pharynx or esophagus is involved, but prescriber should consider systemic dosing as well as precautions against alimentation while the pharynx and larynx are numb. Additionally, care may be needed to avoid treating symptoms only while an underlying process progresses.ĥ0 mL diphenhydramine (Benadryl) at 12.5 mg per 5 ml elixirĥ0 mL nystatin (100,000U per 5 mL) suspensionĥ0 mL prednisolone at 15mg per 5ml solution The term “stomatitis cocktail” is also used with the same meaning as “magic mouthwash.” Downsides of using magic mouthwash include potential unnecessary medication use, the cost (which may be significant given frequent need for a compounding pharmacy and multiple ingredients), as well as non-specificity of the term “magic mouthwash,” leading to potential ambiguity when communicating prior therapies to a physician. The following is not medical advice, but a compilation of some reported recipes. Different mixtures may be used depending on the intended effects, though a trial of a magic mouthwash is sometimes used for a broad treatment strategy without necessarily having a specific diagnosis confirmed. See the FDA's Safe Disposal of Medicines website ( ) for more information if you do not have access to a take-back program.Magic Mouthwash formulas The term “magic mouthwash” has no single defined composition, but is a general phrase used to reference a soothing or therapeutic oral rinse of multiple ingredients. Talk to your pharmacist or contact your local garbage/recycling department to learn about take-back programs in your community. Instead, the best way to dispose of your medication is through a medicine take-back program. However, you should not flush this medication down the toilet. Unneeded medications should be disposed of in special ways to ensure that pets, children, and other people cannot consume them. To protect young children from poisoning, always lock safety caps and immediately place the medication in a safe location – one that is up and away and out of their sight and reach. ![]() It is important to keep all medication out of sight and reach of children as many containers (such as weekly pill minders and those for eye drops, creams, patches, and inhalers) are not child-resistant and young children can open them easily. ![]() Store it at room temperature and away from excess heat and moisture (not in the bathroom). Keep this medication in the container it came in, tightly closed, and out of reach of children.
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