Medicin-induceret spytkiteldysfunktion og subjektiv sialoré: Et systematisk review sponsoreret af the World Workshop on Oral Medicine VI
Engelsk titel: A guide to medications inducing salivary gland dysfunction, xerostomia and subjective sialorrhea: A systematic review sponsored by the World Workshop on Oral Medicine VI
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Författare:
Naryana, Nagamani
;
Villa, Alessandro
;
Dia, Ying Wai
;
Aliko, Ardita
;
McGowan, Richard
;
Kerr, Ross
;
Jensen, Siri Beier
;
Vissink, Arjan
;
Dawes, Colin
;
Wolff, Andy
;
Joshi, Revan Kumar
;
Ekström, Jörgen
;
Aframian, Doron
;
Lynge Pedersen, Anne Marie
;
Protector, Gordan
Email: amlp@sund.ku.dk
Språk: Dan
Antal referenser: 40
Dokumenttyp:
Systematisk översikt
UI-nummer: 17120068
Sammanfattning
Background – Medication-induced salivary gland dysfunction
(MISGD), xerostomia (sensation of oral dryness) and subjective
sialorrhea cause significant morbidity and impair quality of life.
However, evidence-based lists of medications that cause these
disorders do not exist.
Objective – To compile a list of medications affecting salivary
gland function and inducing xerostomia or subjective sialorrhea.
Data Sources – Electronic databases were searched for relevant
articles published until June 2013.
Data Synthesis – A total of 269 papers out of a total of 3867
screened records had an acceptable degree of relevance, quality
of methodology and strength of evidence. We found 56 chemical
substances with higher level of evidence and 50 with a moderate
level of evidence of causing the above mentioned disorders. At
the first level of the Anatomical Therapeutic Chemical classification
system (ATC), 9 out of 14 anatomical groups were represented,
mainly the alimentary, cardiovascular, genitourinary, nervous
and respiratory systems. Management strategies include substitution
or discontinuation of medications whenever possible, oral
or systemic therapy with sialogogues, administration of saliva
substitutes, and use of electro-stimulating devices.
Limitations – While xerostomia was a commonly reported outcome,
objectively measured salivary flow rate was rarely reported.
Moreover, xerostomia was mostly assessed as an adverse
effect rather than the primary outcome of medication use. This
study may not include some medications that could cause xerostomia
when given in conjunction with others or for which xerostomia
as an adverse reaction has not been reported in the literature
or not detected in our search.
Conclusions – A comprehensive list of medications having
documented effects on salivary gland function or symptoms was
compiled, which may assist practitioners in assessing patients
who complain of dry mouth while taking medications. The list
may also prove useful for anticipating adverse effects and help
practitioners to consider alternative medications.