Magic mouthwash: Difference between revisions

Revision as of 21:06, 25 March 2015

DO NOT EXCEED dosing limits especially for lidocaine.
DO NOT use under 2 years old
Never give a family an amount that can be toxic if unintetionally swallowed in its entirety

1 cc Viscous 2% lidocaine = 20 mg lidocaine

Max dose = 5mg/kg

For a 10 kg child = 50 mg lidocaine = 2.5 cc

Benadryl 6.25mg/5cc or 12.5mg/5cc

Max dose = 5mg/kg/day

For a 10 kg child = 50 mg benadryl =20 cc of 12.5mg/5cc

Equal parts:

0.5-1cc before feeds

Some recommend Magic Mouthwash/oral lidocaine if not tolerating PO intake, although evidence suggests no better than placebo^[1]

In infants, do NOT use oral lidocaine due to risk of lidocaine toxicity and FDA black box warning^[2]^[3]

↑ Hopper S. et al. Topical lidocaine to improve oral intake in children with painful infectious mouth ulcers: a blinded, randomized, placebo-controlled trial. Ann Emerg Med. 2014 Mar;63(3):292-9
↑ FDA recommends not using lidocaine to treat teething pain. http://www.fda.gov/Drugs/DrugSafety/ucm402240.htm
↑ Curtis LA, Dolan TS, Seibert HE. Are one or two dangerous? Lidocaine and topical anesthetic exposures in children. J Emerg Med 2009;37:32-39

Authors:

@@ Line 26: / Line 26: @@
 ==Treatment==
 .5-1cc before feeds
+*Some recommend [[Magic Mouthwash]]/oral [[lidocaine]] if not tolerating PO intake, although evidence suggests no better than placebo<ref>Hopper S. et al. Topical lidocaine to improve oral intake in children with painful infectious mouth ulcers: a blinded, randomized, placebo-controlled trial. Ann Emerg Med. 2014 Mar;63(3):292-9</ref>
+;In infants, do NOT use oral lidocaine due to risk of [[lidocaine toxicity]] and FDA black box warning<ref>FDA recommends not using lidocaine to treat teething pain. http://www.fda.gov/Drugs/DrugSafety/ucm402240.htm</ref><ref>Curtis LA, Dolan TS, Seibert HE. Are one or two dangerous? Lidocaine and topical anesthetic exposures in children. J Emerg Med 2009;37:32-39</ref>
 ==See Also==