Oral Health Concerns of Liquid MedicationsĪbout The Author: Jill Meyer-Lippert is a Registered Dental Hygienist with 20+ years’ experience and the founder of Side Effect Support LLC, She serves to promote proactive oral care in oncology to improve quality-of-life and treatment outcomes. Oral Health in Cancer Therapy, A Guide for Healthcare Professionals The American Academy of Nursing statement recommending against the use of Magic Mouthwash. ![]() If using Magic Mouthwash, report negative side effects as soon as possible and practice meticulous oral hygiene to prevent damage to your oral health.Įxperts: Magic Mouthwash Should 'Vanish Into Thin Air' Inform your doctor of any allergies or sensitivities and ask if there are alternative options. If you are prescribed Magic Mouthwash, discuss the ingredients and any associated risks with your doctor prior to its use. Repeated exposure to sugar-containing liquid medications raises risks for developing cavities (tooth decay) and oral infections, especially in a dry mouth. It is also important to note that some ingredients commonly used in Magic Mouthwash solutions, including Diphenhydramine and Nystatin, contain sucrose (sugar). Furthermore, nystatin has been shown to be ineffective in preventing oral candida colonization in a number of settings for immunocompromised patients.” The National Comprehensive Cancer Network (NCCN) Task Force Report: Prevention and Management of Mucositis in Cancer Care states, “Several studies have shown that for mild to moderate mucositis, bland saline rinses are as effective as these combination rinses and, obviously, much less expensive. So, what is so magic about Magic Mouthwash?Īlthough it is considered the "go to" rinse in the oncology world for easing oral tissue pain during treatments for cancer, studies have shown these mixed medication rinses do not provide superior relief compared to simple baking soda and salt water rinses and may increase tissue irritation, dryness and taste changes. Side effects may vary depending on the ingredients used and are more likely to occur if your instructions include swishing and swallowing the compound versus spitting it out. An antifungal agent for oral candida infections ( thrush), such as NystatinĪdditional medications may be included specific to your needs and physician preference.An antibiotic to prevent bacterial infections. ![]() A corticosteroid to reduce inflammation.An anesthetic to numb the pain, such as Lidocaine.An antihistamine/anti-inflammatory like Diphenhydramine.Most recipes for Magic Mouthwash will include three or more of the following ingredients: Many times, the rinse will be mixed by your pharmacist according to a recipe ordered by your doctor. A few premixed versions are available, including FIRST® - Mouthwash BLM, FIRST® - BXN Mouthwash, and FIRST® - Duke's or Mary's Mouthwash. ![]() There is not just one recipe for Magic Mouthwash. Your Physician may prescribe a mouthwash called Magic Mouthwash to ease the discomfort of oral mucositis. Open sores can also put you at risk for developing serious infections. Oral mucositis can make eating and swallowing difficult, resulting in nutritional concerns and weight loss. Those receiving high-dose chemotherapy as part of a Stem Cell/Bone Marrow Transplant are extremely susceptible to developing mouth sores called mucositis. Sores within your mouth and throat can occur from many types of chemotherapy as well as radiation therapy to the head & neck region.
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