There isn't one single "best" medicine for dry mouth (xerostomia), as the ideal treatment depends on the underlying cause and severity. However, several effective options exist, ranging from over-the-counter remedies to prescription medications.
Over-the-Counter Options:
Several over-the-counter products provide relief from dry mouth symptoms:
- Mouthwashes: Mouthwashes specifically formulated for dry mouth, particularly those containing xylitol (like Biotene Dry Mouth Oral Rinse), can be effective. Xylitol helps stimulate saliva production. Mayo Clinic recommends these. Act Dry Mouth is another example mentioned in various sources.
- Saliva Substitutes: Products like Mouth Kote, Xylimelts/XyliGel, and GC Dry Mouth Gel provide artificial saliva to lubricate the mouth. These are listed as effective OTC remedies by the University of Mississippi Medical Center. UMC
- Biotene: This brand offers a range of products, including mouthwash and toothpaste, designed to alleviate dry mouth symptoms. Mayo Clinic mentions Biotene Dry Mouth Oral Rinse specifically.
- Aloe Vera Juice: Some find relief using aloe vera juice. This is noted as an OTC option by the University of Mississippi Medical Center. UMC
Prescription Medications:
For more severe cases or those caused by underlying medical conditions, a doctor may prescribe medications to stimulate saliva production:
- Pilocarpine (Salagen) and Cevimeline (Evoxac): These prescription drugs directly stimulate saliva glands, increasing saliva production. These are mentioned as options by Johns Hopkins Sjögren's Center, the American Academy of Oral Medicine, and the NHS. Johns Hopkins Sjögren's Center, AAOM, NHS
Lifestyle Changes:
In addition to medication, lifestyle changes can significantly improve dry mouth:
- Increased water intake: Drinking plenty of water helps keep the mouth moist.
- Humidifier use: A humidifier adds moisture to the air, reducing dryness.
- Avoiding dehydrating substances: Limiting caffeine and alcohol intake is crucial, as these can worsen dehydration and dry mouth.
