Loratadine
Antihistamine (second-generation)
Brand names: Claritin
Oral health effects
Xerostomia (dry mouth)
Less anticholinergic than first-generation agents, but mild dry mouth still occurs.
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.