Must be horrible to have a sore mouth with chemotherapy – ketamine 20 mg/5ml used four times daily reduced pain from 6 to 3 within days.
Support Care Cancer. 2017 Jul;25(7):2215-2219. doi: 10.1007/s00520-017-3627-6.
Treatment of severe mucositis pain with oral ketamine mouthwash.
Shillingburg A et al
- 5 ml bottle of ketamine 100 mg/ml diluted to 20 mg/5ml with normal saline
- swish and spit 4 times daily
- gargling allowed but no swallowing
- no eating or drinking for 30 min after
- rest pain dropped from 6/10 t0 3 after 3 days
- pain swallowing dropped from 9/10 to 4 after 3 days
- sleep improved
- opioid use dropped
Comment – I think the methylene blue was better:
New Effective Treatment for Intractable Sore Mouth Mucositis
but this is an alternative