saliva substitutes

sa-LYE-vaSUB -sti-toots

Therapeutic Classification: saliva substitues

REMS

Therapeutic effects:

Absorption: Minimal with local administration; electrolytes may be minimally absorbed through oral mucosa or with swallowing.

Distribution: Action is primarily local.

Metabolism/Excretion: Unknown.

Half-Life: Unknown.

(relief of dry mouth)

ROUTE	ONSET	PEAK	DURATION
PO	application	unknown	unknown

Contraindicated in:

Use Cautiously in:

Situations in which absorption of electrolytes may compromise the patient’s condition, such as potassium and magnesium in patients with renal failure or sodium in patients with HF or hypertension.

F and E: excessive absorption of electrolytes

Drug-drug:

(Generic available)

SolutionMoi-Stir—mint flavor; Mouthkote—citrus flavor: in squirt bottle, pump spray, spray can^OTC
Swabs: Packets of 3^OTC
Lozenges: Packages of 100^OTC

Assess patient for xerostomia (dry mouth) or dry throat before and periodically throughout therapy.
Assess gingiva and oral mucosa for stomatitis.

Instruct patient to swish saliva substitute around in mouth after spray or application.
Advise patient of the importance of good oral hygiene in addition to the use of saliva substitutes.
Emphasize the importance of routine dental examinations throughout course of therapy.

Entertainers' Secret, Moi-Stir, Mouthkote, Optimoist, Salivart, Salix