“Magic” mouthwash explained - BC Cancer

1 magic mouthwash explained View Dr. Hovan's recent webcast on oral mucositis at CME Initiatives. magic Mouthwashes at the BC Cancer Agency: At BCCA, we commonly prescribe three different mouthwashes which vary in composition and cost to patient. Of note, these mouthwashes require a compounding pharmacy. 1. Noll's Solution . By Dr. Allan Hovan, symptoms of Cancer therapy. There is no Contains 120 ml diphenhydramine, Provincial Professional Practice Leader, standard recipe for magic mouthwash but 30 ml nystatin suspension, mg Program in Oral Oncology/Dentistry, most formulations contain some dexamethasone, 1/2 gram of tetracycline BC Cancer Agency Vancouver Centre combination of a topical analgesic agent, all mixed with distilled water to a total a steroid, an antifungal agent, an volume of 203 ml. The price of Noll's solution Most people are aware of common antibacterial agent and (sometimes) a is approximately $52.

2 With a prescription side-effects of Cancer treatment like mucosal coating agent. The logic behind written by a BCCA-affiliated physician, nausea and hair loss. But many don't magic mouthwash is to combine pharmacies can usually get PharmaCare realize that more than one-third of people ingredients with different potential approval within a day treated for Cancer develop complications mechanisms of action to provide the 2. Pink Lady . that affect the mouth. Oral complications greatest relief for patients. The truth is Contains an antacid suspension (Maalox). from radiation to the head and neck or that it is often difficult to tell whether mixed anywhere from 1:1 to 3:1 with viscous chemotherapy for any malignancy can mouth sores are coming directly from the lidocaine up to any volume. Patients can compromise patients' health and quality treatment or, instead, represent some be given the ingredients separately to of life and affect their ability to complete form of opportunistic fungal or bacterial mix themselves which keeps the cost very planned Cancer treatment.

3 For some infection. When topical or systemic low. Viscous lidocaine is an open benefit patients, the complications can be so therapy does not palliate or resolve oral prescription with PharmaCare. A 300 ml debilitating that they may tolerate only symptoms, biopsy of the affected area is bottle mixed at 2:1 would therefore cost lower doses of therapy, postpone often indicated and these patients should approximately $45. scheduled treatments, or discontinue be referred to the BC Cancer Agency's 3. BCCA magic mouthwash . treatment entirely. Oral complications can (BCCA) Oral Oncology/Dentistry Clinic. Contains 2 ml hydrocortisone injection (100. also lead to serious systemic infections. Contact Dr. Allan Hovan at mg), 300 ml Benadryl and 100 ml nystatin A variety of mouthwash formulations mixed up to a 1 litre volume. Approximate known as magic mouthwashes are cost is $60.

4 Given to patients to palliate the oral British Columbia's Colon Screening Program age group continue to be registered into Since April 1, 2013 when the FIT became continued from page 2 the program. Symptomatic patients are not available in BC, there has been a slow but and have pathology results available for eligible and should be referred directly to a steady decrease in the proportion of FITs review: 34% had a normal colonoscopy; specialist for consult, no FIT required. that are being done outside of the 50-74. 16% had other pathology such as Many patients with a personal history year age group. Currently, 13% of FIT users hyperplastic polyps; 25% had low risk of adenomas who are in colonoscopy are over the age of 74 and 8% are under pre-cancerous polyps; 24% had high risk surveillance programs have been referred the age of 50. pre-cancerous polyps; and 1% had Cancer .

5 For FIT. These patients do not require FIT For more information on the Colon Screening The adenoma and Cancer detection rate of and should continue with colonoscopy at Program, or to access program materials the FIT with the current cut-off meets the the next recommended interval, which can including the colonoscopy referral form, nationally established benchmark of 50%. be accommodated in the program by filling educational materials, and program standards, out the colonoscopy referral form. please visit Many symptomatic patients in the eligible FA M I LY P R A C T I C E O N CO L O G Y N E T W O R K J O U R N A L / FA L L 2014 3.