Monograph Details

Respiratory Tract > Oropharyngeal conditions
SALAGEN
Manufacturer
MGI Pharma, Inc.
Legal Classification
Rx
Pharmacological Class
Cholinergic.
Generic Name
Pilocarpine (as HCl) 5mg, 7.5mg; tabs.
Indications
Dry mouth (xerostomia) due to radiotherapy for head and neck cancer or Sjogren's syndrome.
Children
Not recommended.
Adults
Cancer: Initially 5mg three times daily; range 15–30mg daily; max 10mg/dose. Sjogren's syndrome: 5mg four times daily. Moderate hepatic impairment for both: 5mg twice daily.
Contraindications
Uncontrolled asthma. When miosis is undesirable (iritis, narrow-angle glaucoma).
Precautions
Severe hepatic impairment: not recommended. Cardiovascular disease. Controlled asthma. Chronic bronchitis. COPD. Cholethiasis. Biliary tract disease. Nephrolithiasis. Cognitive or psychiatric disorders. Activities requiring visual acuity. Pregnancy (Cat.C). Nursing mothers: not recommended.
Interactions
Cardiac conduction disturbances with β-blockers. Potentiates parasympathomimetics. Antagonizes anticholinergics (eg, atropine, ipratropium).
Adverse Reactions
Sweating, nausea, rhinitis, chills, flushing, urinary frequency, dizziness, asthenia, headache, abnormal vision.
How Supplied
Tabs—100