Stomatitis (also called oral mucositis) is a term that refers to multiple types of oral irritation with different causes. Stomatitis may include general irritation of the mouth, oral ulcers or canker sores, and cold sores. It can result from injuries to the mouth, from certain diseases, and from treatments for cancer. Besides the pain and discomfort, symptoms of stomatitis may cause difficulty eating or drinking.

Stomatitis Mouthwash Ingredients

The first step in treating stomatitis is often determining if there is a detectable cause to the symptoms then treating the cause. There may be a particular irritant or drug that needs to be avoided or the patient may have a disorder that needs to be treated. Whether the cause is known or not, there are treatments that can relieve symptoms.

One of the best ways to treat stomatitis is topically with a mouthwash. A mouthwash can be compounded that includes multiple ingredients in one formulation. This includes ingredients to reduce pain, to prevent and treat infection, and to promote healing. Some types of ingredients used in stomatitis mouthwashes and the most common drugs used include:

Anesthetic: Lidocaine

Corticosteroid: Hydrocortisone

Antihistamine: Diphenhydramine

Antifungal: Nystatin

Antibiotic: Tetracycline

Protective Coating: Maalox – this acts both as a protective coating and as a way to hold the other ingredients in the mouth.

Example of a Mouthwash Prescription:

• 1 Part viscous lidocaine 2%
• 1 Part Maalox (do not substitute Kaopectate)
• 1 Part diphenhydramine 12.5 mg per 5 ml elixir

See Magic Mouthwash formulation.

Quantity: 120 ml

Sig: Swish, gargle, and spit one to two teaspoonfuls every six hours as needed. Shake well before using.