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. Note to prescriber: 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. Sig: Swish thoroughly, gargle, and spit one teaspoonful (5 mL) after meals and before bed. 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.
Nystatin swish and swallow sugar trial#
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.
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.
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