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The beyond-use date has passed Compounded medications have beyond-use dates (BUDs), not expiration dates

Oral hygiene measures can be particularly effective: Brush teeth and tongue thoroughly at least twice daily using a fluoride toothpaste Use an alcohol-free mouthwash or a bicarbonate of soda rinse to neutralise taste Maintain regular dental check-ups to exclude oral health issues Stay well-hydrated throughout the day to prevent dry mouth Chew sugar-free gum or suck sugar-free mints to stimulate saliva production Dietary adjustments may also help

So with all of these, there are indications, contraindications, and a risk-benefit profile that you have to talk about with patients

Repeated dehydration may even contribute to permanent kidney damage

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