Dimenhydrinate
Antihistamine (first-generation, anticholinergic) / antiemetic
Brand names: Dramamine
Oral health effects
Xerostomia (dry mouth)
Diphenhydramine salt used for motion sickness and nausea; anticholinergic dry mouth and sedation are common, especially with repeated doses.
Mechanism: Antagonism of muscarinic receptors on salivary glands.
Clinical management: Encourage hydration and salivary substitutes; reinforce caries prevention.
Sources
- A Guide to Medications Inducing Salivary Gland Dysfunction, Xerostomia, and Subjective Sialorrhea: A Systematic Review Sponsored by the World Workshop on Oral Medicine VI. Wolff A, Joshi RK, Ekström J, et al. Drugs in R&D, 2017.