How to order magic mouthwash (mouthwash containing ingredients such as lidocaine, diphenhydramine, and Maalox (aluminum hydroxide, magnesium hydroxide, and simethicone))?

From the Guidelines

To order magic mouthwash, contact your healthcare provider who can write a prescription for this compounded medication, as the exact formulation varies based on your specific condition and provider preference, and is supported by guidelines such as those from the National Comprehensive Cancer Network 1. When ordering magic mouthwash, it is essential to follow the healthcare provider's instructions, as the composition of the mouthwash can vary significantly, including ingredients such as antibiotics, antihistamines, antifungals, corticosteroids, and antacids 1.

• The effectiveness of these ingredients for preventing or treating mucositis and the evidence supporting their use varies, with some studies suggesting that bland mouth rinses using ingredients such as sodium bicarbonate are often recommended 1.
• Local anesthetics, such as lidocaine, may be used to treat mucositis either as a component of a mouth rinse or separately, in a liquid or gel formulation, and the NSAID benzydamine also has some data supporting its use in an oral rinse for the prevention and treatment of mucositis 1. Once prescribed, take the prescription to a pharmacy that offers compounding services, as not all pharmacies can prepare this medication, and some larger hospital pharmacies or specialized compounding pharmacies are more likely to provide this service.
• When using magic mouthwash, you'll typically swish 1-2 teaspoons in your mouth for 1-2 minutes before spitting it out or swallowing (depending on your provider's instructions), usually 4-6 times daily, to help manage mouth sores, oral mucositis, or throat pain from conditions like chemotherapy side effects, radiation therapy, or oral infections 1. It is crucial to follow the healthcare provider's instructions and guidelines, such as those from the National Comprehensive Cancer Network, to ensure the safe and effective use of magic mouthwash 1.

From the FDA Drug Label

The FDA drug label does not answer the question.

From the Research

Magic Mouthwash Ordering Information

• There is no direct information on how to order magic mouthwash in the provided studies 2, 3, 4, 5, 6.
• However, the ingredients and formulations of magic mouthwash are discussed in some studies, which may be useful for healthcare professionals or patients looking to obtain a prescription or prepare the mouthwash themselves 2, 3.
• The study by 2 discusses the beyond-use dating of lidocaine alone and in two "magic mouthwash" preparations, which may be relevant for pharmacists or healthcare professionals preparing the mouthwash.
• Another study by 3 describes the development and stability of an innovative formulation of nystatin and lidocaine pastilles for the treatment of oral mucositis, which may be an alternative to traditional magic mouthwash formulations.

Key Ingredients and Formulations

• The magic mouthwash formulations discussed in the studies typically contain ingredients such as lidocaine, diphenhydramine, and aluminum hydroxide-magnesium hydroxide-simethicone 2.
• The study by 3 describes a pastille formulation containing nystatin and lidocaine, which may be an alternative to traditional magic mouthwash formulations.
• Topical lidocaine is also discussed as a treatment option for chronic pain in several studies 4, 6, which may be relevant for patients looking to use magic mouthwash for pain management.

Safety and Efficacy

• The safety and efficacy of magic mouthwash ingredients are discussed in several studies, including the potential for allergic contact dermatitis to topical medicaments such as lidocaine 5.
• The study by 6 discusses the efficacy and safety of topical lidocaine for chronic pain treatment, which may be relevant for patients looking to use magic mouthwash for pain management.