Talk:Mucositis

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"Magic Mouthwash"

In 2014, while I was hospitalized for cancer, my mucositis was treated with a pink liquid - swish and swallow every 4 hours - called Magic Mouthwash. It's an older supportive treatment for which doctors can have varying recipes. It had to be specially compounded to each doctor's order. The version I took included a liquid antacid, Benadryl, xylocaine, and I think an antibiotic. It had an awful taste, so I avoided it when I got home.

This article discusses it under "Treat the discomfort/pain.", but doesn't give it a name - http://chemocare.com/chemotherapy/side-effects/mouth-sores-due-to-chemotherapy.aspx

This MD discusses Magic Mouthwash, and its non-standardization, in answer to a client's query - http://www.mayoclinic.org/tests-procedures/chemotherapy/expert-answers/magic-mouthwash/FAQ-20058071

This Merck Manual article discussed Magic Mouthwash down under "Topical Measures" - http://www.merckmanuals.com/professional/dental-disorders/symptoms-of-dental-and-oral-disorders/stomatitis

There may be newer ways to deal with this painful and unsettling side-effect, but MM seems to still enjoy some popularity amongst oncologists. Thank you, Wordreader (talk) 21:21, 19 February 2017 (UTC)[reply]

External links modified (February 2018)

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Treatment & Prevention of OM

It is requested that an edit be made to the semi-protected article at Mucositis. (edit · history · last · links · protection log)

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I have a COI on this topic, as per my user page.

MASCC performed a systematic review of the evidence and published a guideline for the prevention of Oral Mucositis using Low-level laser therapy (LLLT)[1] (note; the preferred term within the industry is "photobiomodulation"). This is a conclusion that was shared in a meta analysis published in Current Opinion in Oncology[2]. In May 2018, [NICE] published a guideline for the use of LLLT/PBM for both the prevention and treatment of OM.[3]

My recommendation would be to add to the section on prevention

In 2013 MASCC published a systematic review of laser and other light therapy for the management of oral mucositis which resulted in a recommendation for the use of LLLT for the prevention of severe OM.[4] They wrote in its discussion that low-level laser therapy "seems to be effective in controlling the appearance and severity of OM". In 2018 NICE published a guideline in favor of the use of LLLT for the prevention and treatment of OM.[5]

I would also add this to the section on treatment:

NICE, the body which publishes guidelines for the NHS, published a guideline in favor of the use of LLLT for the prevention and treatment of OM[6]. It noted that the specialist advisors and the committee considered the key efficacy outcomes to be "improved quality of life, reduction in oral mucositis, reduction in pain and the need for analgesia, reduction in dysphagia and the need for feeding tubes, improved nutrition, and reduction in chemotherapy treatment breaks." — Preceding unsigned comment added by Academia salad (talk • contribs) 12:58, 25 May 2018 (UTC)[reply]

As stated in an above edit, I have a COI for LLLT, which you can see you on my user page and the LLLT talk page. My recommendation:

Add: In 2013 MASCC published a guideline supporting the use of LLLT for the prevention of oral mucositis[7], followed by a guideline published by the BMJ supporting the treatment for children undergoing haematopoietic stem cell transplantation.[8] In 2018 NICE published a guideline for both the prevention and treatment of mucositis using LLLT.[9]

It seems appropriate with the guidelines issued to add LLLT to the mucositis page. Academia salad (talk) 12:00, 30 May 2018 (UTC)[reply]

Thank you for your request. Please take a moment to familiarize yourself with the guidelines at WP:MEDRS if you haven't so far. Those guidelines will govern this decision. Please indicate whether you have read these guidelines and still wish to proceed with your request, by changing the answer parameter in the edit request template to read from ans=yes to ans=no, and by leaving a short note in this discussion thread that you have completely read the guidelines and wish to proceed. Thank you! .spintendo 15:17, 30 May 2018 (UTC)[reply]

Thanks for your response. I have read WP:MEDRS and wish to proceed. I would like to add that, after reading the mucositis page, I decided that my post on 25 May could be written more neutrally. The outcomes highlighted by NICE should apply to any effective mucositis treatment. So please only review/implement the recommended addition posted 30 May. Academia salad (talk) 16:43, 30 May 2018 (UTC)[reply]