Magic mouthwash is a prescription medication that is used to treat various oral conditions. It is composed of a combination of different medications, including antifungal, antibiotic, and anti-inflammatory agents. The exact ingredients and concentrations may vary depending on the specific prescription. Magic mouthwash is typically used to relieve symptoms such as mouth sores, pain, inflammation, and dryness. It can be prescribed for conditions such as oral thrush, canker sores, and mucositis, which is a common side effect of chemotherapy and radiation therapy. The medication works by reducing inflammation, fighting infection, and promoting healing in the oral cavity.

Magic Mouthwash

Tache Pharmacy has a compounding pharmacy lab that regularly compounds mouthwashes and rinses.

To learn more about having your mouthwash compounded by Tache Pharmacy call us at (204) 233-3469 , email us at [email protected] or visit our contact us page for more contact information.

Do you have a prescription for magic mouthwash? Feel free to use our online prescription order form to submit your prescription to us.

Please note that we are a Canadian pharmacy operating in Winnipeg, Manitoba and we are unable to ship magic mouthwash to the United States.

What are Compounded Prescription Mouthwashes Used For?

Prescription mouthwashes are used to treat mouth sores also known as oral mucositis. These mouth sores are usually caused by cancer chemotherapy and/or radiation therapy. There may be other causes or reasons for using a compounded prescription mouthwash. For example, oral surgeries and thrush.

Since these mouth sores can be very painful and disrupt eating and drinking it is important to treat the mouth sores. Prescription mouthwashes can relieve the pain caused by oral mucositis.

These mouth rinses may also be used to treat damage or sores in the throat and esophagus as well. In these cases the mouthwash may also be swallowed.

If a mouthwash is to be swallowed, special consideration needs to be given to the active ingredients in the preparation. Our pharmacists have specialized knowledge and experience with regards to the ingredients that can be used.

Magic Mouthwash Formulas / Recipes

The active ingredients in the recipes for compounded prescription mouthwashes can vary depending on the degree of ulceration and redness in the tissues of the mouth and the other symptoms needing to be treated. Your doctor, along with our compounding pharmacists, will help determine the best combination of ingredients for you.

Feel free to download and print our mouthwash prescription template and share it with your doctor.

Although the specific combination of ingredients may vary, these products often include a mixture of:

• antihistamines (diphenhydramine, chlorpheniramine)
  • creates an anesthetic or pain relieving effect
  • reduces inflammation and aids in healing
  • to stop bacterial infections
  • to stop fungal infections
  • to reduce inflammation
  • to reduce pain and irritation
  • to help the medication coat the tissues of the mouth

  Other common ingredients include:

  • misoprostol
    • anti-inflammatory and protective properties for mouth mucosa
      
    • reduces pain and burning in the mouth
    • provides a protective coating as it tends to bind to the unprotected proteins of injured mucosal cells
    • may promote the local generation of prostaglandin E₂ which leads to elevated blood flow, production of mucous, increased cell division, and the migration of cells. All important steps in the healing process.
    • binds with growth factors and effects the growth and formation of new blood vessels therefore it boosts mucosal healing
    • pain relief
    • pain relief

    The most common Magic Mouthwash formula contains diphenhydramine 0.075%, hydrocortisone 0.125%, nystatin 7500u/ml and lidocaine 0.4%.

    Another common mouthwash recipe is called Super Magic Mouthwash and contains diphenhydramine 0.125%, dexamethasone 0.00033%, tetracycline 1.25% and lidocaine 1%.

    Pink Lady contains Xylocaine Viscous 2% mixed with Maalox in a 1:1 ratio.

    Modified Pink Lady is a mix of Xylocaine Viscous 2%, Maalox and Benadryl Elixir in a 1:1:1 ratio.

    A study titled “Survey of topical oral solutions for the treatment of chemo-induced oral mucositis” by Alexandre Chan and Robert J Ignoffo (Journal of Oncology Pharmacy Practice 11 (4), 139-143, 2005) found the following:

    “Forty institutions returned surveys during the study period.

    The top five ingredients used to compound the magic mouthwash are diphenhydramine (Benadryl), viscous lidocaine, magnesium hydroxide/aluminum hydroxide, nystatin and corticosteroids.

    Most institutions administer the mouthwash every 4 hours (36%) or every 6 hours (36%).”

    These mouthwashes are commonly used by patients of CancerCare Manitoba.

    Physicians, if you are looking for a list of common mouthwash formulas please visit our Physician Portal page and view the Mouthrinse Formulas document.

    Magic Mouthwash Instructions

    Note: Always follow your specific directions as prescribed by your doctor.

    Depending on the type of mouthwash / mouthrinse you have been prescribed, your specific instructions will vary.

    Generally, these mouthwashes are either swished and then spit out or they are swished and then swallowed (swallowing is more common if there are issues with the esophagus). Do NOT swallow the mouthwash unless instructed by your doctor.

    Most commonly 5 to 10mL (or 5 to 15mL) are swished for 1 to 2 minutes two to four times a day. The frequency may be at shorter intervals depending on the needs of the patient. Also, we do see volumes up to 30mL used per dose if required.

    Measuring syringes will be provided by Tache Pharmacy to aid in the measurement of your dose.

    Additional Information

    For more information on Oral Mucositis and Compounded Mouthwashes click on the link. Patients, to learn more on nonpharmacological treatments, visit the Treatment section of the article.

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    What is Magic Mouthwash

    Magic Mouthwash is a name given to a compounded formulation used to treat mouth sores, sore throat, and other oral conditions. The traditional formulation includes 1 part viscous lidocaine, 1 part Maalox, and 1 part diphenhydramine. However other formulations exist and there are different concentrations that can be made. Since the mouthwash is made by a pharmacy for an individual based on a prescription, there can be changes made for the individual patient.

    The medication works by reducing inflammation, fighting infection, and promoting healing in the oral cavity. The specific formulation of magic mouthwash can vary based on the needs of the patient. Different combinations of medications may be used, with some formulas including antifungal agents such as nystatin or fluconazole to combat yeast infections, while others may include antibiotics like tetracycline or erythromycin to address bacterial infections.

    Ingredients for Magic Mouthwash

    You may have noticed that the traditional magic mouthwash contains three main types of ingredients – an antihistamine, an anesthetic, and an antacid. If you have never heard of this formulation before you may wonder why an antacid is included a mouthwash formulation. Maalox actually has dual purposes – one is to restore a pH balance and the other is to ensure that the medication coats and adheres to all of the surfaces of the mouth. Other ingredients that may be added to a magic mouthwash formulation include antifungals, antibiotics, and corticosteroids.

    One major benefit of magic mouthwash is that it is a topical formulation that targets the area of concern while minimizing systemic effects. Medications that are swallowed can have gastrointestinal effects and other adverse effects like drowsiness. Your doctor may prescribe a topical medication like this first before trying a medication with more severe potential side effects.

    

    Anti-inflammatory agents such as hydrocortisone or dexamethasone may also be included to reduce inflammation and provide pain relief. Magic mouthwash is typically used as a rinse or gargle, and is not meant to be swallowed. The specific instructions for use may vary depending on the product, so it is important to follow the prescription and any accompanying instructions provided by the healthcare provider. While magic mouthwash can be effective in relieving symptoms and promoting healing, it is important to note that it is a prescription medication and should only be used under the guidance of a healthcare professional. They will assess the specific needs of the patient and prescribe the appropriate formulation and dosage. As with any medication, there may be potential side effects associated with the use of magic mouthwash. These can include allergic reactions, changes in taste, dizziness, and gastrointestinal symptoms such as nausea or vomiting. It is important to report any side effects to the healthcare provider to ensure appropriate management and adjustment of the treatment plan if necessary. In conclusion, magic mouthwash is a prescription medication used to treat various oral conditions. It contains a combination of medications that work to reduce inflammation, fight infection, and promote healing in the oral cavity. It is important to use magic mouthwash as directed by a healthcare professional and report any side effects for appropriate management..

    Reviews for "Magic Mouthwash Rx and Braces: How It Can Help Relieve Discomfort"

    1. John - 1/5 stars - I was prescribed Magic Mouthwash RX by my dentist to help with my mouth sores, but I found the experience to be extremely unpleasant. The taste was absolutely awful and lingered in my mouth for hours after using it. Additionally, it didn't provide much relief for the pain in my mouth. I ended up stopping the treatment after a few days because I just couldn't tolerate it anymore.

    2. Sarah - 2/5 stars - I had high hopes for Magic Mouthwash RX when my doctor recommended it for my oral thrush, but unfortunately, it didn't live up to my expectations. The mouthwash had a weird consistency and left a thick, chalky residue on my tongue. It was difficult to swish around my mouth and I found it hard to keep it in for the recommended amount of time. In terms of effectiveness, I didn't notice any significant improvement in my condition after using it for several days.

    3. David - 1/5 stars - I was prescribed Magic Mouthwash RX to help with my oral lichen planus, but it was a complete disappointment. The taste was so terrible that it made me gag every time I tried to use it. It also didn't provide any relief for the painful ulcers in my mouth. I tried using it as directed for a week but ultimately had to switch to other treatment options that actually worked. I would not recommend this mouthwash to anyone battling with similar oral conditions.

    Addressing Questions and Concerns About Magic Mouthwash Rx