Management of drooling in disabled patients with scopolamine patches.

Abstract:

AIM:To evaluate the efficacy of scopolamine administered transdermally for the treatment of drooling in severely disabled patients. METHODS:A prospective, randomized, double-blind, crossover, placebo-controlled clinical trial was designed. The study group consisted of 30 handicapped patients with persistent drooling. The exclusion criteria were the specific contra-indications of scopolamine. Severity of drooling was quantified using a modified Thomas-Stonell and Greenberg visual scale simplified into three grades: 1 = dry; 2 = mild/moderate; 3 = severe/fulsome. The frequency of drooling was estimated using the number of bibs used each day. The baseline observational phase was followed by the application of a 1.5 mg scopolamine (Scopoderm TTS; Novartis Consumer Healthcare, UK) or placebo patch every 72 h for a fortnight. This was followed by a 1 week washout period and then crossover of assignments for 2 weeks. RESULTS:At baseline, 77% of patients showed grade 3 of drooling. The placebo administration showed no significant reduction in drooling. We found a significant drooling reduction (P < 0.005) in the scopolamine group in the 1 and 2 week controls (69% and 80% respectively

journal_name

Br J Clin Pharmacol

authors

Mato A,Limeres J,Tomás I,Muñoz M,Abuín C,Feijoo JF,Diz P

doi

10.1111/j.1365-2125.2010.03659.x

subject

Has Abstract

pub_date

2010-06-01 00:00:00

pages

684-8

issue

6

eissn

0306-5251

issn

1365-2125

pii

BCP3659

journal_volume

69

pub_type

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