Dry Mouth (Xerostomia) Treatment: Relief Options & Management

Xerostomia (dry mouth) affects 10–20% of adults, often medication-induced. Management is multimodal:

Saliva Stimulation

• Hydration: Sip water constantly; 2–3 L/day.
• Xylitol gum/lozenges: Stimulates flow; anti-cariogenic.
• Sialogogues (Rx): Pilocarpine 5 mg TID, cevimeline 30 mg TID—contraindicated in asthma, narrow-angle glaucoma.

Saliva Substitution

• OTC sprays, gels, rinses (Biotène, XyliMelts, SalivaMAX).
• Use before meals, at bedtime.

Oral Protection

• Fluoride toothpaste 5000 ppm (Rx) or daily fluoride rinse.
• Frequent professional cleanings + fluoride varnish.
• Avoid alcohol, caffeine, tobacco, spicy/salty foods.
• Humidifier at night.

Root Cause Management

• Medication review with prescriber—alternatives, dose timing.
• Treat Sjögren’s, diabetes, radiation fibrosis, etc.

Chronic dry mouth demands proactive care to prevent rampant caries and candidiasis.