Parkinson's Disease Support Group
Parkinson's disease is a movement disorder often characterized by muscle rigidity, tremor, a slowing of physical movement, and in extreme cases, a loss of physical movement. The primary symptoms of Parkinsons are due to excessive muscle contraction, normally caused by the insufficient formation and action of dopamine, which is produced in the dopaminergic neurons of the...
I don't have that problem much at all these days.. all I can say is have a word with your Neuro and maybe all it will take is a slight change in your meds or treatment etc...
I wish you well..
Dirky ~
(there is a bit about Botox injections being approved in USA and to ask doctor if nothing else works..but I read that you have said that isnt an option)
Here are a few suggestions which may help prevent drooling and possibly some embarrassing moments:
.suck on hard candy, lozenges or gum to control excess saliva (if you are not at risk of choking)
.Use a straw when drinking to strengthen the muscles of the lips, mouth and throat
.try to keep your head up and your posture straight because stooping encourages drooling
.swallow first before you talk
.when you're not eating or talking, keep your mouth closed and your lips tight together (people with PD tend to let their jaw drop open which encourages drooling)
.breathe through your nose (~this will help keep your mouth closed which will then help to keep the saliva in your mouth)
.remind yourself to swallow to prevent saliva build up
.you may try rubbing a strong smelling lip balm over your mouth to remind you to swallow
.try putting one or two drops of atropine eye drops (0.5%) under your toungue to reduce the amount of saliva - this works for some people but you should check with your doctor first.
NH004 is a novel treatment to control the symptoms of sialorrhea (excessive drooling) in patients
suffering from Parkinsons disease and other motor disorders. NH004s active ingredient is the
anticholinergic drug tropicamide, delivered in a thin film designed to adhere and slowly dissolve
within the oral cavity to allow the drug to reach the underlying salivary gland, thereby reducing
saliva secretions. The advantages of NH004 include local bioavailability with low systemic
exposure, rapid onset of action and, importantly, convenience of use for patients. The active
agent has a long history of safe topical ophthalmologic use in humans
About NH004
NH004 is an intra-oral, slow-dissolving film containing a fast acting anticholinergic agent to control the symptoms of sialorrhea, and the accompanying embarrassment and frustration to patients. The drug is
embedded in a muco-adhesive film that is placed in the mouth and provides a slow, localized delivery of the medication while minimizing systemic exposure to the drug. This drug delivery is designed for effectiveness,
safety and convenience. The film design makes it ideal for unobtrusive use in a social environment. NH004 is designed to provide both supportive care and to improve the quality of life.
MJ Fox Foundation Funded
Evidently pineapple contains an enzyme which cuts down saliva production. He had tried this with great success.
If you can bare to do it,try sqirting a squeezy lemon into your mouth,this is a tried and tested method for travel sickness in dogs to stop them drooling.
Chewing a clove of simply holding a clove in the mouth for several hours can reduce drooling in some people.
I heard about Scopaderm patches that you stick behind your ears and which contain hyoscine - a drug primarily used to combat travel sickness but which has a side effect of dry mouth.
I realise the underlying problem is not over-production of saliva but the swallowing reflex - but less saliva also means less need for swallowing and the result is the same - less drooling.
The Scopaderm patches worked great for a while - but then they began causing a red, sore reaction behind his ears.
So we began to try the same drug - hyoscine - in tablet form. Bingo.
Most travel sickness tablets (Kwells, Joy-Rides) contain hyoscine and taking them has certainly improved my husband's quality of life.
Marijuana...Cannabis has a remarkable effect of drying up the mouth and is fun to do at the same time.
http://www.northdevonhealth.nhs.uk/patientinformation/speech_therapy/drooling_saliva_difficulties
N H 0 0 4 P R OG R AM S UMMA R Y 2 0 1 1 IN F O@N E U ROH E A L IN G . CO M
NeuroHealing is aware of three current drug approaches for the treatment of sialorrhea: Sciele
(now Shionogi) received approval in 2010 for glycopyrrolate oral solution in pediatric doses to
treat chronic severe drooling in children; Solstice Neurosciences (now USWorld Meds) is
sponsoring a trial of intra-glandular injections of botulinum toxin type B (Myobloc) for the
treatment of sialorrhea in adult PD patients; and Summit (now Orient Pharma) is testing a
combination of two off patent drugs (2 adrenoreceptor agonist and anti-muscarinic agent) to
treat sialorrhea, with a focus on developing a buccal formulation of these agents.
Brer T
Kind of annoying but I feel great overall.
Droolin' on my pillow
Droolin' on my sleave
Droolin' all day long
Ain't got no reprieve
If I could train my wallaby
To lap this stuff up
I wouldn't look so saliva-ey
When you see me close-up.
Sing it out, man!
He hasn't really done it much so I can't really comment a great deal, but that was the suggestion anyway.