Metoprolol
Beta-blocker (cardioselective)
Brand names: Lopressor, Toprol-XL
Oral health effects
Xerostomia
Dry mouth is reported with beta-blockers.
Clinical management: Hydration, salivary substitutes, caries prevention.
Lichenoid drug reaction
Beta-blockers can trigger oral lichenoid reactions.
Clinical management: Identify temporal association; biopsy if diagnosis is unclear; liaise with physician.
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.
- A review and guide to drug-associated oral adverse effects-Oral mucosal and lichenoid reactions. Part 2. 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.