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Article: Volume 43 Number 2 Page 186 - March 2016

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  Dent Update 2016; 43: 186-191

Pharmacology:  Antimuscarinics in Older People: Dry Mouth and Beyond

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Abstract: Many common prescription and over-the-counter medications have antimuscarinic effects. Antimuscarinics are a well recognized cause of dry mouth, with potential to cause other physical and cognitive adverse effects. A comprehensive medication review in a patient presenting with dry mouth can lead to overall health improvements. Scoring systems can be helpful in identifying antimuscarinic drugs and their adverse effects.

Clinical relevance: Antimuscarinic drug use is prevalent and a common cause of dry mouth. Older people are particularly susceptible to antimuscarinic adverse effects.

Author notes: Clare Bostock, BMBCh, MA, MRCP(UK), Consultant Geriatrician, Aberdeen Royal Infirmary and Christopher McDonald, MBChB, BDS, MFDS, MRCS RCS(Ed), Specialty Trainee, Oral and Maxillofacial Surgery, Mersey Deanery.

Objective: To understand the impact of antimuscarinic drugs in older patients presenting with symptoms of dry mouth.