Magic Mouthwash

As the name suggests magic mouthwash intends at providing relief from painful oral stomatitis with a blink of an eye. They do help in soothing the pain and work only if prescribed dosage is taken regularly and completed. Magic mouthwashes were initially created to offer relief for patients undergoing radiation or chemotherapy. It aims at treating the pain related to the mucositis area. The mucous membranes, esophagus and pharynx areas of the body are sensitive to radiation and hence patients usually suffer from ulceration during the treatment of cancer. The agony caused by ulceration can be overwhelming. Oral mucotitis can cause difficulty in eating and drinking normally.
However, apart from use of magic mouthwash in treating oral mucotitis in patients undergoing chemotherapy, magic mouthwash is also used in soothing the painful canker sores and cold sores. So what is magic mouthwash made of and how does it work? Magic mouthwash is a concoction of three or more compounds prescribed by doctor that are physically mixed in a pharmacy. The concoction is like a recipe that is prepared as per severity of individual cases.
What is magic mouthwash made of? The blend usually includes:
An antifungal compound that aids in reducing fungal growth
Antibiotic ingredients that help in killing the bacteria
Local anesthetic to relieve pain
An antacid for coating and protection
A corticosteroid for treatment of inflammation
A minimum of three compounds are mixed to make a magic mouthwash mixture. There is no standard formula for preparing this fusion hence it depends on the doctor’s diagnosis and severity of the disease.
Ingredients that are commonly used to make the magic mouthwash are Maalox, lidocaine and diphenhydramine. Maalox which is typically an aluminum magnesium hydroxide compound is used for coating the ingredients in the mouth. Mylanta is another type of compound that can be used as coating substance in magic mouthwash. Lidocaine is a topical anesthetic that acts as a pain-reliever. Diphenhydramine works as anti-inflammatory agent in the magic mouthwash concoction.
Other commonly used ingredients in magic mouthwash are:
Sucralfate- another coating substance
Nystatin is used as antifungal ingredient
Glucocorticoids is an anti-inflammatory agent
Erythromycin and tetracycline are used as antibiotic constituent in magic mouthwash
Dosage of magic mouthwash:
Magic mouthwash is to be used as per doctors prescribed dosage but the general dosage is to gargle and spit out 5 ml to 10 ml of magic mouthwash every four to six hours. Swish the magic mouthwash in the mouth for one or two minutes before spiting it out. After the rinse, it is suggested not eat or drink anything for about 30 minutes as change of taste can occur due to the coating ingredient used in magic mouthwash and medicine will not get enough time to act upon the sores as it may be washed out by other liquids or food particles.
There are over the counter compounds available from which home-made mouthwashes can be made. Ensure that children do not swallow this concoction as it is unsafe. There are mouthwashes made with particular compounds that can be swallowed in case the esophagus is affected and needs to be treated. However, do not try to make magic mouthwashes that can be swallowed with ingredients available over the counter as it could result in a disaster.
Wrong dosage or incorrect amount of ingredients may have consequences as:
Nausea
Change in taste
Constipation
Burning sensation in the mouth
Diarrhea
Tingling sensation in the mouth
Drowsiness
It is not difficult to make homemade magic mouthwash as there are tried and tested recipes available. If trying to concoct a homemade magic mouthwash with over the counter ingredients, it is important to understand the ingredients used thoroughly, the amount of individual compounds to be used, action of each compound, reaction to other substances and its effects. Nonetheless, it is best to use magic mouthwashes under medical guidance.