Treatment of sialorrhea with glycopyrrolate: A double-blind, dose-ranging study

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.