Rubyann,

From Wikipedia, "magic mouthwash" may refer to a number of different formulations to be used as a mouthwash. Depending on the specific formulation, a magic mouthwash may treat infection, inflammation, and/or pain. Typically, magic mouthwashes are prescribed to treat the pain associated with oral ulcers caused by radiation therapy or chemotherapy.

Magic mouthwashes are typically compounded in a pharmacy from a number of ingredients specified in the prescription. A recipe should always be specified in a prescription, since there is no definitive recipe for "magic mouthwash". Before preparing a magic mouthwash, one should check for interactions between the ingredients.

Common ingredients include:
� Diphenhydramine - an antihistamine to reduce inflammation
� Glucocorticoids - to reduce inflammation
� Lidocaine - a local anesthetic to relieve pain
� Maalox - an antacid formulation which acts as a coating agent
� Nystatin- an antifungal for candidiasis
� Sucralfate - a coating agent
� Tetracycline - an antibiotic
� Erythromycin- an antibiotic

The magic mouthwash I used during my radiation therapy contained nystatin, tetracycline, and I believe something for inflammation (steriod). It also required refrigeration, tasted terrible (but they added some flavoring to improve taste). Also, make sure to shake well before using.

I was instructed to swish around my mouth for a least a minute, longer was even better. I was told not to swallow it (swish and spit), although others are instructed to swallow it. I think I used it 4 times a day.

The use instuctions on my bottle said to take as directed by my doctor. I would contact your doctor to find out what is in it, and for use instructions.

Mouth sores and ulcers are common and probably an expected part of RT. Mine started about 3 weeks into treatment, and lasted for a long time after I was done. The magic mouthwash should help that. My doctor also told me to rinse my mouth frequently (especially after eating) with baking soda and salt water rinse (I think it was 1/4 teaspoon of each in a glass of water).

I was prescribe pain medication, and also a number of medications for the skin (a cream and an ointment). My skin turned red, blistered, cracked, etc during treatment (again towards the end).

I did not have chemo nor a peg, but I imagine the syringes are for the peg.

Good luck and I hope you get the help and answers that you need.