Mier RJ, Bachrach SJ, Lakin RC, Barker T, Childs J, Moran M. Treatment of sialorrhea with glycopyrrolate: A double-blind, dose-ranging study.
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE 2000;
154:1214-8. [PMID:
11115305 DOI:
10.1001/archpedi.154.12.1214]
[Citation(s) in RCA: 125] [Impact Index Per Article: 5.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
OBJECTIVE
To determine the safety and efficacy of glycopyrrolate in the treatment of developmentally disabled children with sialorrhea.
DESIGN
Placebo-controlled, double-blind, crossover dose-ranging study.
SETTING
Outpatient facilities in 2 pediatric hospitals.
PATIENTS
Thirty-nine children with both developmental disabilities and excessive and bothersome sialorrhea.
MAIN OUTCOME MEASURES
Parent and investigator evaluation of change in sialorrhea and adverse effects.
RESULTS
Glycopyrrolate in doses of 0.10 mg/kg per dose is effective at controlling sialorrhea. Even at low doses, 20% of children may exhibit adverse effects severe enough to require discontinuation.
CONCLUSIONS
Glycopyrrolate is effective in the control of excessive sialorrhea in children with developmental disabilities. Approximately 20% of children given glycopyrrolate may experience substantial adverse effects, enough to require discontinuation of medication. Arch Pediatr Adolesc Med. 2000;154:1214-1218.
Collapse