Clinical decision-support only. For use by licensed dental professionals. Not a substitute for professional judgment or a complete drug reference. Always verify with primary sources.
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Medication

Ipratropium

Inhaled anticholinergic (bronchodilator)

Brand names: Atrovent

Oral health effects

  • Xerostomia

    Anticholinergic action makes dry mouth and altered taste common.

    Mechanism: Muscarinic receptor blockade.

    Clinical management: Advise rinsing after inhaler use; reinforce fluoride and hydration.

Sources

  1. 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.
  2. A review and guide to drug-associated oral adverse effects-Dental, salivary and neurosensory reactions. Part 1. Teoh L, Moses G, McCullough MJ. Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology, 2019.