Pharmacology · single question

All of the following are appropriate management options for xerostomia EXCEPT:

  1. Atropine
  2. Cevimeline
  3. Pilocarpine
  4. Saliva-stimulating (sugar-free) gums
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Correct answer: A. Atropine

Atropine is an antimuscarinic that reduces salivation and would worsen xerostomia, so it is the exception. Cevimeline and pilocarpine are muscarinic agonists (sialagogues), and sugar-free gum stimulates flow.Other options: Cevimeline, pilocarpine, and salivary-stimulating gums all increase saliva and are appropriate.Key exam takeaway: Treat dry mouth with sialagogues (pilocarpine, cevimeline) and stimulants; avoid antimuscarinics like atropine.

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