Magic mouthwash is a prescription oral rinse formulated to alleviate pain and discomfort from various irritations within the mouth and throat. This compounded medication is frequently prescribed for conditions like oral mucositis, a painful side effect of some cancer treatments, and for canker sores or other inflammatory issues. “Magic Mouthwash” is a general term, not a single standardized product. It is a customized mixture prepared by a pharmacist based on a healthcare provider’s prescription, meaning the exact ingredients and proportions vary based on the patient’s specific needs.
Understanding the Common Ingredients
The rinse typically consists of a combination of three or more types of medications, with each component performing a distinct function. A local anesthetic, such as viscous lidocaine, is often included to provide temporary numbing, which directly reduces the sensation of pain and burning. This anesthetic action allows patients to eat and speak with greater comfort.
Another common component is an antacid, like aluminum or magnesium hydroxide, which serves a mechanical purpose. The antacid helps the mixture adhere to the moist lining of the mouth and throat, allowing the active ingredients to remain in contact with the sores longer. Antihistamines, such as diphenhydramine, are frequently added to help reduce inflammation and swelling, and they may also provide a mild numbing effect.
Depending on the underlying cause of the irritation, the compound may also include agents to address infection. An antifungal agent, like nystatin, may be incorporated if a fungal infection is present or suspected. A corticosteroid, such as dexamethasone, can also be included to further reduce redness and inflammation.
Step-by-Step Guide for Application
Before using the medication, always check the prescription label for the precise dosage and frequency, as these instructions are tailored to your specific condition. A typical dose often ranges between 5 to 10 milliliters. The mixture should be shaken well before each use to ensure the compounded ingredients are evenly distributed, and the correct amount should be measured using a sterile cup or syringe.
Once the dose is in your mouth, gently swish and swirl the liquid for one to two minutes. Ensure the rinse contacts all painful areas, including the sides of the mouth, the tongue, and the throat if irritation extends there. After the prescribed duration, the liquid should typically be spit out, not swallowed, to minimize the risk of systemic side effects.
The frequency of use is commonly prescribed as every four to six hours. Many healthcare providers suggest using the rinse about 30 minutes before mealtimes, allowing the numbing effect to take hold and making eating less painful. To ensure the active ingredients work effectively, you must avoid eating or drinking anything for at least 30 minutes after using the mouthwash.
Important Precautions and Storage
Using the rinse may cause some temporary side effects, including a temporary change in taste perception or a brief burning or tingling sensation in the mouth. If an antihistamine like diphenhydramine is part of your formula, you might experience drowsiness. Swallowing the mixture can sometimes lead to mild stomach upset. The inclusion of a numbing agent also carries a risk of accidentally biting the cheek or tongue while the area is desensitized, so caution is advised.
You should contact your doctor immediately if you notice signs of an allergic reaction, such as swelling of the face or tongue, or if the mouth pain worsens instead of improving. Storage instructions are highly dependent on the specific ingredients in your compounded mixture. The rinse often requires refrigeration to maintain stability and potency.
A common storage duration for a refrigerated mixture is up to 90 days, though you must always follow the expiration date provided on your prescription label. Any unused portion of the mouthwash should be discarded after the designated shelf life or if you notice changes in the liquid’s color, smell, or texture.