 Magic Mouth Wash 66 messages in this subject
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I found these references about "magic mouthwash" or "magic mouth wash". Looks you can mix your own if you can find the ingredients.
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"When I worked in retail pharmacy, a physician would write a prescription for “Magic Mouthwash” and the patient would hand over the prescription with this look of “magic.” This special blend of WHATEVER would be the cureall for their sore mouth and throat caused by thrush or radiation or any other mouth/throat pain condition. The physician rarely would include what he/she “thought” to be their special recipe. So, we would have to call and clarify.
“What would Dr. Doe like in his magic mouthwash?” I would ask simply.
“Magic Mouthwash?” asks the nurse, “I don’t know. What do you normally put in it?”
Sigh. “Well we could start with diphenhydramine, lidocaine, and nystatin all at a 1:1:1 ratio or we could do tetracycline and throw in some mylanta with the formerly mentioned ingredients at all different ratios. There are probably a 100 different magic mouthwashes out there. What is the doctor treating?”
And it would end up that I could pick whatever I wanted. That made me think… hmmm placebo effect.
So what exactly should you put in Magic Mouthwash?
The usual concoction contains equal amounts of viscous lidocaine and diphenhydramine for analgesia…and Maalox or a similar antacid to enhance coating of the ingredients in the mouth. Some also include nystatin to prevent or treat fungal growth…a corticosteroid to reduce inflammation…or tetracycline to prevent secondary bacterial infections.
Who knows if this stuff even works and is worth the money since we pharmacists usually tack on a compounding fee. I say get a prescription for lidocaine viscous and buy your own benadryl solution and mylanta and make your own… for less.
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Frequently Asked Questions for Pharmacists on Duke's Magic Mouthwash
Q: The Board office regularly receives questions on the formula for Duke's Magic Mouthwash. What is the formula?
A: Duke's Magic Mouthwash Formula:
1. Nystatin Suspension, 100,000 u/ml, 30 mL. or Nysatin Powder 3 Million Units
2. Hydrocortisone 60 mg.
3. Diphenhydramine HCL Syrup
q.s. ad. 240 ml.
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In the past, many mouthwash products have been formulated by numerous medical centers to combat oral ulcerations; and we, at Saint John's Medical Plaza Pharmacy, in working with physicians, have been successfully compounding these formulas to speedup the healing process. Names of some of these formulations include:
* The Kaiser Mouthwash: Tetracycline, Nystatin, Hydrocortisone (antibiotic, antifungal, steroid)
* Kraemer's Mouthwash: Nystatin, Dyclonine, Glycerin (antifungal, anesthetic)
* Powell's Mouthwash: Tetracycline, Nystatin, Hydrocortisone, Diphenhydramine (antibiotic, antifungal, steroid, antihistamine)
* Reynold's Mouthwash: Tetracycline, Nystatin, Hydrocortisone, Chlorpheniramine (antibiotic, antifungal, steroid, antihistamine)
* Stanford's Mouthwash: Tetracycline, Nystatin, Hydrocortisone, Chlorpheniramine (antibiotic, antifungal, steroid, antihistamine)
* Magic Mouthwash-version I: Maalox(R), Benedryl, Lidocaine (antacid, antihistamine, anesthetic)
* Magic Mouthwash-version II: Mylanta(R), Benedryl, Carafate (antacid, antihistamine, anesthetic)
* Miracle Mouthwash: Tetracycline, Nystatin, Dexamethasone, Diphenhydramine (antibiotic, antifungal, steroid, antihistamine)
Most of these concoctions contain a combination of an antibiotic (to reduce the bacterial flora in and around the lesion), antihistamine (for local anesthetic and relief from pain and discomfort), antifungal (to stop any fungal growth), steroid (to reduce inflammation) or local anesthetic/pain reliever.
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an over the counter remedy called Magic Mouthwash. It is something your pharmacist can make up for you as follows:
Magic Mouthwash recipe
Viscous Lidocaine (1 part)
Maalox (1 part)
Benadryl (1 part) |
| TomF 4 February 08 |
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| tom great post |
| nlip 5 February 08 |
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| Very Thorough post. I went thru the route of finding out about the "Magic Mouthwash" from a friend, asked my dentist, talked to a very helpful pharmacist who indicated much, but not all, of what you wrote. At his advise I mixed my own with the Lidocaine, Maalox and Benedryl. In my case unfortunately, nothing happened. Oh well, at least it killed the pain for awhile. (My friend still swears by it and takes it prevently). |
| cc in tucson 5 February 08 |
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| I already saw a DR for my ulcers and he only prescribed lidocaine, plain. It tasted terrible, so I looked up this "magic mouthwash". For me it worked well enought to kill the pain to eat or make it through a work day that includes much speaking on my part. I found this site very helpful because I was not told the ratio and this made the difference. Thanks |
| JH in Pa (LPN) 4 April 08 |
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| Thanks TomF a very interesting, and thorough post (as always). |
| Dom Walton 4 April 08 |
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| I have used the first formula listed for canker sores in my mouth. As long as I swish with it 2-3 times a day and once with peroxide the sores heal up within 2-3 days - much less time, and a lot less painful. It is a great combo |
| rm in nc 16 April 08 |
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| magic mouth wash is an absolute savior for me. my breakouts are very infreeqreent now due to squigle and i think supplemts of lysine and b12. i believe its time for me to stop the supplements and see if the non sls use of toothpaste does the trick alone. my mouthwash consists of prednoslone,benadryl,and a tetracycline with mix precsribed by my dentist not doctor. most doctors have their head up their asses in regards to mouth ulcers. tomf it seems to resemble version 1 from your friggen bitching post with teh exception of it looks im getting a predisone base instead of lidocaine. you rock brother. |
| nlip 24 April 08 |
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Two issues to remember....Magic mouthwash containing viscous lidocaine is not OTC...it is RX only. And be careful of how often it is used, as lidocaine can be absorbed, even if not swallowed and cause cardiac issues.
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| Tom Alexander PharmD 29 April 08 |
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| definlety rx only for sure |
| nlip 29 April 08 |
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| I'm interested at Version1 of the Magic Mouthwash: do you think we could replace lidocaine with benzocaine, which is used in Orajel and is thus probably available OTC? I am trying to concoct a formula for a new type of disease: lie bumps, also known as lingual papillitis. 25 days with bumps on the tongue and no doctor in sight able to help me. "Wait it out" they say, witout any empathy whatsoever. Disgusting. |
| alien 12 June 08 |
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which type of patients should use magic mouth wash
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| arun kesava 30 June 08 |
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| Why don't you try Gelclair. It's for oral mucositis in cancer patients along with any other sores in the mouth. |
| Michael 15 September 08 |
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Hello I'm newbie here and can't find a search on the forum
Could please someone point me to it.
Thanks,
Drew |
| blowblob 20 September 08 |
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| Drew, return to the homepage, find the "magnifying glass" icon or button and click on it. That should bring up a box for search terms. |
| TomF 22 September 08 |
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| is it safe using the tetracycline ? because it make stain the teeth ? and it will be hard to get ride of that? so what do u think guys ? any alternative antibiotics works well ? |
| Mohammed Pharma 3 December 08 |
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| Tetracycline only stains developing teeth and that is why children who have used tetracycline will have a grey to brown discoloration of the tooth that would be developing at the time. This may be a stripe or a portion of the tooth that absorbed the antibiotic. Topical tetracycline should have no effect on the color of fully developed teeth. |
| fangdr 9 December 08 |
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| That's all good but how do you decide for the stability of the mixture? Are there any data? |
| dk 12 January 09 |
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| I had the same question on stability. How do you determine? Do you just give a generic 30 days? |
| sa 29 January 09 |
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I love Magic Mouthwash and have used since I was a kid. I always feel like a kid asking for it, but the ulcers get so bad that the embarrassment quickly goes away. You are right to say there ar emany forms. I don't think I have had the same mixture yet. SOme say swish and spit and some say swish and swallow. The kind I have right now is not as strong as the prescriptions I have ahd in the past.
What a savior this has been and has worked for me more than anything else. |
| Shannon 3 February 09 |
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| How many times a day can I use the following combination (Malox & Diphenhydramine), I cant find any of the other ingredients, so Ill try the two only! |
| Beverley 4 February 09 |
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| i have a bad crack on the corner of my mouth that just won't go away i've tried 1% hydrocortisone, abreva, zovirax etc....it's only gotten redder and the crack deeper and more painful.....when i open my mouth it bleeds and i'm miserable...i recently lost my job along with insurance and was barely making it then....any advice? |
| bobbie 10 February 09 |
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| Might want to try some neosporin (triple antibiotic ointment) for awhile for that crack on corner of mouth. It probably just needs some help in healing. I would put on the oitment every night before bed so it has some time to work without being wiped away. Hydrocortisone is for swelling, itch-so that won't work and abreva and zovirax is for herpes blisters(cold sores) and won't help you either. |
| darla 18 February 09 |
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| The mouthwash is a life saver. It really dulls the pain. |
| kiera 18 February 09 |
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Magic mouthwash is awesome for patients! I am a dentist and use it for patients a lot! There is 1 drugstore in particular we use more b/c there is no question that they know what to put in it, instead of a "generic" magic mouthwash RX.
The dude above with the crack in the corner of his mouth needs to try an antifungal cream on the corner of his mouth. |
| mel 19 February 09 |
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| Same question as Beverley -- Nurse Practitioner recommended Maalox & Kid's liquid Benedryl...however, forgot to ask her how often & how much at a time (I've done 1tsp equal parts so far swish & swallow---lasted long enough to have a bite for dinner...) |
| Marie 24 February 09 |
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| my problem is not cancer sores or such. my tongue fel as i have eatten or drank something hot and burned it. it is ok in the morning, but from late afternoon to night it is terible. my dentist wrote a rx for duke mounth rinse, i have not had it filled yet. is it expensive |
| jackie 4 March 09 |
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I have had Lycume Plantis in my mouth for 12 years, and was told it is from stress and having diabetes. Well my mouth has been in pain for that long a time. Having diabetes I figured it went along with the desease, so I just lived with it and chewed my food on the other side of my mouth. Hot food, spicey food, hard food all played in to eating on the left side. Well I have a new Dentist in Bluffton, So Carolina where I live and he prescribe Dukes Magic mouthwash, and for the first time my mouth has healed. I must finish the bottle, and I will. I don't know what is in it but it works and that is all I care about.
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| Teri 10 March 09 11 March 09 |
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| My nurse friend told me of a recipe to use with my 4 year old with viral pharygitis. 1 part liquid benadryl (or generic) 1 part cherry Maalox (regular) and 2 parts water. My 'parts' have been teaspoons ie: 1tsp benadryl; 1tsp Maalox; 2 tsp H2O. After 2 days of dealing with a screaming child every 2 1/2 hours and not quite time for the next dose of Tylenol/Ibuprofen, this has truly been a lifesaver. Perhaps because the benadryl just knocks him out to the point that we can all get alittle rest. Having never seen ulcers/blisters on the back of his throat before, no wonder he's miserable!! To any other parent out there, try this if you have a child with a horrible sore throat w/ or w/out blisters. (Of course, if they are sensitive to any of the ingredients...check with your pediatrician first...) |
| meg 12 April 09 |
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| My mouth comensed to give me this new trouble after extensive dental work. I was given antibiotic because it royally acted out with an apparent infection during a previous episode. My dentist, in an attempt to prevent a reocurance, prescribed and antibiotic. After about 3 days, and a reaction to lemon juice which irritated my taste buds, (along with a bitten cheek) I developed Thrush. Nystatin oral suspension was the solution for the thrush. I simultaneously or consequently (not sure which) developed a Ph imbalance, leaving me with burning mouth because I confused the acidity symptoms for thrush. I've been using Magic Mouthwash - maolox, lidocain and perhaps benedryl(?) -60% each -I was shocked at the resounding numbing sensation that overwhelmed my mouth, but was remarkably relieved. I now monitor the amount I put in my mouth to swish and spit, however. Anyone else with this experience? |
| eve 17 Apr 09 18 April 09 |
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Hi, I'm new
Where can you get these ingredients from? And am I safe to mix them by myself.
I'm sorry if these questions have already been answered I'm just so desperate for any solution.
Thanks |
| Charmaine 23 April 09 |
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| so is the magic mouthwash OK to swallow? It just tastes nasty to me, almost like gargling pepto bismal. I've got a horrible sore throat, i can barely swallow water. I tried swishing the mouthwash and I just can't get it deep enough in my throat to numb the pain. So is it ok to swallow? even just a little bit? |
| Kristin 4 May 09 |
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Charmine
Maalox
Benadryl
Lidocaine
Yes you can mix these solutions yourself, but you will need a Rx for the lidocaine. The ratio I use is 1:1:1 |
| Cindy 26 May 09 |
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| I have Addison's disease and take Prednisone daily. Lately I've been getting mouth ulcers alot. In the past my reumatologist prescribed liquid lidocaine, which tasted awful, but today my endocrinologist prescribed magic mouthwash. I'm pleased with the results. Numbs my mouth for a few hours, so I can eat and doesn't taste bad!! |
| Jessi /Nashville, Tn 6 June 09 |
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| can kenalog-40 be mixed with erythromycin Er 250mg & benadryl? Can they be swallowed> |
| Susan 10 June 09 |
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| I just had nose surgery and developed mouth sores. The doc prescribed lido/nystat/maalox. Great stuff! It took the pain away immediately but the stuff only worked for a few hours. the bottle only allows for application every six hours. Kinda of a tease but a relief from the pain is helpful |
| dandy 18 June 09 |
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To bobbie 10 february 2009
I get bad cracks in the corner of my mouth if I use certain teeth whitening toothpastes. If you use teethwhitening toothpaste; try switching and see if it helps. |
| saidthegrl 24 June 09 |
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Hello,
I went to the Dr with a sore throat and it has been sore off and on for awhile. She prescribed Dukes mouthwash for me. I have been taking it off and on for about a month now. I will take a dose or two a day and I swallow it. It says to take it 4 times daily. But after taking this, I have had the worst headaches and also High Blood Pressure, is there anyone else out there with the same symptoms as I have? My HBP was 160/90 just a few days ago. The medicine instructions said, do not stop taking this medication & finish ALL of it. Well I have skipped a day or two and then maybe taken a dose or two a day, and I'm afraid that I have made myself worse with this medicine. I wish that I had never seen it. But I have no more sore throat.
Some one please respond to my letter, and let me know if I took it wrong or what. |
| Eleasea 29 June 09 |
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My ENT Dr. gave me an Rx for it, due to hair growth and a mess/ coated tongue, I had 35 radiation treatments for cancer of the epiglotis 10 years ago . From time to time, the least thing sets it off.....the mouth is suspect to nothing in this world but viral infections.....radiation causes dry mouth, but mostly that's misleading, it's more like a mouth full of syrup......and also .....mucus becomes a factor too..over the counter will help that....
Magic Mix is what mine is called on the RX and the druggists has to mix it....they have to work a little for a change, as the doctor prescribles exactly how much of each of 4 ingredients...a sterroid is one, maloox, benedyl and don't know what the 4 th one is....
they say swish it and spit or swallow....trial and error has to work ....they say 3-4 times a day, think in my case too much.....i've now landed on 1 a day and at night before I go to bed, along after my night time medication.
Also an home remedy is cherry milk of Phillips magnus and liquid bendyl . Sorry about the spelling..... |
| emily 29 June 2009 30 June 09 |
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| My son was diagnosed with Hand, Foot, & Mouth Disease today (Monday). - yukk. He started with a headache & stiff neck Thursday, vomited twice Saturday night, and had a sore throat yesterday (Sunday). He woke this morning with sores in his throat and unbearable pain. I thought it was strep/sinus related, as that has been his "constant" almost since he was born, though he hasn't had strep since he had his tonsils removed 4 years ago. I am totally grossed out by the diagnosis, but am so thankful for "Magic Mouthwash". When I saw his Dr. write it on her pad, I just thought the word "magic" was for his benefit. I now see this website, and am amazed. His consists of: Lidoc1:Myla1:Diph1. I think it's Lidocaine, Mylanta and a type of Benadryl? I do know IT IS A LIFE SAVER. He can take it every 2 hours, and it IS Magic!!! The pharmacist did tell me that he should eat BEFORE taking it, as the "flap" in your throat that blocks food from going into your lungs is "frozen", and may not work as fast as it usually does. A small price to pay for this fantastic RX. Thank you for this site! Back to bleaching everything in sight!! |
| mary beth 14 July 09 |
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| looking at Mary beths post... am I wrong in thinking that this medicine is not 'taken' but swished and spit and therefore unless gargled should not affect the throat. Unless there are versions to be swallowed to coat the throat? Also as mentioned above, wouldn't consuming Lidocaine be bad? |
| I think therefore I am 7 August 09 |
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| as i ask well hydrocortisitisone 20mg hurt your teeth my branking of help |
| marsha parker 6 September 09 |
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| Do they have versions of Magic Mouthwash that you can swallow? My 4 month old got prescribed this for HFMD (see mary beths post) and on th bottle it doesnt say how i am supposed to give it to her. |
| Kristinna 18 September 09 |
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| This Magic Mouthwash worked very well for my 8yo but did cause his developing teeth to stain which was not listed as a side effect. We brushed his teeth and it lightened. Luckily we did not have to use it many times before his ulcer showed very significant healing. I would definitely try it. My son couldn't even eat by the time we got the prescription and it was only $15 to fill. |
| Eve 23 September 09 |
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| Why is my husband's Magic Mouthwash costing $80? it is not covered by medical insurance |
| Glo 5 October 09 |
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| I had my initial RX for magic mouthwash in 2003 from a dentist. He explained the reason why you swallow and not spit (at least for his formula) was that in not only works on the surface of your mouth but also systemically by swallowing it. Made sense to me and I have not had any ill effects. Also as a chemo patient it is invaluable for those horrid moth sores. |
| Ruth 17 October 09 |
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Would Magic Mouth Wash help cure a burning tongue and mouth?
My condition appeared suddenly 5 years ago and no doctor
knows why or how to treat it. A fungus and Sjogren's have been ruled out.
Biotene dry mouth gel helps me to sleep. |
| Marge16 31 October 09 |
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| I found out that I have HFMD (and I'm an adult!) It's pretty gross. The magic mouthwash really works. |
| Homer 10 November 09 |
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| Magic Mouthwash, an amazing 'swish-swish'! Had sore throat and blister in mouth after inplant denistry.Infection in throat made swallowing all but impossible. Blister added to the misery of eating. Dentist told me to swish salt in my mouth, which I did with not results. His aide told me about Magic Mouth Wash. That night after using, I had numbed the swallow problem. I am still in pain when I eat because the blister has not healed. Tomorrow is Thanksgiving. I hope I can give thanks to the mouthwash and have less problems in eating. I have also been taking cefuroxime that has eliminated most of my infection. |
| Bob, Nov, 24 25 November 09 |
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| I was just prescribed the "Miracle Mouthwash" by my ENT doctor today. I swallowed a fish bone yesterday. It still feels like I have a pin in my throat. He told me to swish & swallow & see him in 2 weeks. Yes, the numbing effect is quite a bit & I could absolutely do without it & hopefully I will be O.K. He said that there is no more fish bone, however the bone scratched inside where I swallow & w that is what I feel now. Has anyone ever experienced this? 2 weeks is a long time to take this, I hope it helps to slowly cure it 100%. I am NOT going to eat any more fish after this! |
| Judy 27 November 09 |
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| Our pediatrician told us to try this for sores in my daughter's mouth - she said equal parts of children's benadryl and maalox, swish it around and then spit it out. Going to give it a try after a quick trip to the drugstore! |
| Beth 3 December 09 |
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| Which one of these recipes is best for chemo mouth?? I call it thrush but don't know if that's the right term. I would think the nystatin would be the most important ingredient as it is fungal in nature. Is nystatin available over the counter? My rx costs $50!!!!!!! My directions say one teaspoon ... swish and swallow four times daily. |
| Alice 7 December 09 |
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| I HAVE BEEN PRESCRIBED MAGIC MOUTHWASH FOR MY CANKER SORES,ARE YOU SUPPOSE TO SWISH AND SWALLOW OR SPIT OUT---PLEASE HELP |
| KIMBERLY 7 December 09 |
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| I'd say swish and spit out. |
| TomF 8 December 09 |
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| my mother is taking macig mouthwash and "took a swig", instead of a teaspoon. she stated that her whole head went numb along with her throat...since i have no clue what is in the mouthwash, i can only think that she took "a little too much" and hopefully she will be ok |
| yankee57 12 December 09 |
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| Please swish this and spit it out. I work now as a pharmacy technician but was prescribed this by my physician a few years ago when my daughter developed a blister on the back of her throat (ouch!!!) I was told to mix using a 1:1 Maalox to Benedryl (5 mls or 1 teaspoonful of Maalox and then the same of the Benedryl) I guess the thought is that the Benedryl helps to numb the pain and the Maalox coats it, again the numb the pain. We used the mixture 3 times daily and it seemed to work. I'm using the same now for a viral thing she's developed on her tongue. Good luck all. Also make sure to use it as a RINSE. Gargle it then spit it out. Seems like that wouldn't work but it really does. |
| erika 21 December 09 |
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I had my tonsils out 3 days ago and the straight lido is too thick. I also have magic with lido from another dr. On demerol, percocet. I used a teaspoon but swallowed it and now I'm dizzy. Throat feels better though. Should I seek medical assistance or is it ok to swallow it?
Inpain18 |
| Susan M 1 January 10 |
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| My new rx has tetracycline in it which expires. The pharmacist said I could still use it after the expiration date if I didn't swallow. Is this true? |
| Alice 3 January 10 |
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I went to see the doctor today for a severe sore throat that has persisted for four days. After bouncing a giant cotton swab off the back of my esophagus, taking my temperature and having a barrage of nurses ask the same questions about allergies, he proudly announced, "Sinus infection!" Prescription: pseudoephedrine to help with congestion, amoxycillin for bacterial infection, and magic mouth wash "version I" as indicated above.
The magic mouth wash is thick. I don't have mouth sores, but throat sores. That means true gargling is necessary. I can pour the prescribed teaspoon into my face, look up, and read half a page of the Wall Street Journal by the time the rather bizarre tasting potion arrives on scene where it's needed. And gargling? Umm, well.... good luck with that. |
| Jim 12 January 10 |
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| what is the most important ingredient for mouthwash to fuffill its duty of eradicating the bacteria in the saliva glands |
| Rabi 16 January 10 |
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| Chlorhexidine digluconate is probably a good candidate. |
| DingBat 17 January 10 |
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| There are two products which are available in pharmacies, called First Mouthwash BLM, which contains Benadryl/Lidocaine/Maalox in the ratio of 1:1:1 in a very plesant tasting viscous suspension, and the second mouthwash cantains antifungual agent called First BXN mouthwash which contains Benadry/Lidocaine/Nystatin in the ratio of 1:1:1 again in a very plesant tasting viscous suspension. Rinse and gargle for at least one to two minutes and then spit it out or swallow it. It is used by oncologists and dentists. |
| Dilip 26 Jan. 2010 26 January 10 |
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| What one numbs the best. I tried one with tetracycline and it felt like I was gargeling with red pepper sauce. It felt like it was ripping the flesh off of my tongue. |
| kyabean 26 January 10 |
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| I have a really sore tissue area on my lower jaw in mouth. I wear a partial with sev. teeth on it but at the moment I am using Magic Mouthwash. Actually I don't know exactly the 3 ing. but am sure Lidocaine and Benedryl are 2 of them and prob. Maalox. It is a rinse and spit thing and have experienced only temporary relief. The dentist gave me only 2 days with it 3-4 times a day then a repeat visit if no improvement. Tomorrow is the 2nd day. May need the Nystatin for healing as an ing. for the mouthwash? |
| Carol Olson 27 January 10 |
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| I had cracks in the corners of my mouth for years and nothing helped. Then I tried a cream that is RX called Clotrimazol and Bethamethasone Diproprionate Cream 1%/0.05% (base). It has worked wonders. The sores went away and if they come back, I just use the cream again for a few more days. It is an anti fungal/cortisone, I believe. |
| Mariann Katz 10 February 10 |
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| I had dental surgery last Wed. (three teeth extracted and bone grafts put in) and a temporary appliance put in. I developed numerous ulcers. My dentist prescribed "Magic Mouthwash" which says Nystatin...1 Hydrocort/Diphenhis. Swished for well over a minute and did not swallow it. Got dizzy and headachy shortly after. Is this one of the side effects. Can't find side effects anywhere. Pharmacist said it contained Benydryl and a steroid. |
| Lynn 15 February 10 |
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| When I get mouth ulcers I use Vince dentifrice. This stuff releases oxygen and mouth flora are anaerobic. Before I go to bed at night I just wet a fingertip, pick up the powder and pack the ulcer with it before retiring. It is usually healed by morning. |
| Gail February 15 16 February 10 |
