Magic mouthwash

Treatment

Equal parts:

1. Viscous lido 2%
2. Benadryl
3. Maalox

0.5-1cc before feeds

DO NOT EXCEED dosing limits especially for lidocaine.

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

Never give a family an amount that can be toxic if unintetionally swallowed in its entirety.

Source

DONALDSON (6/04)

Hsiao 7/6/09