Has anyone used the oral medication for dry mouth (Sjogren's)?

Posted by harryboy7 @harryboy7, Feb 19 9:54am

I have Sjogrens and autoimmune issues. My mouth is getting more dry than ever. Night time is the WORSE. I have tried everything in the book. I know there is a medication that can help when all else fails.
I am wondering if anyone has tried it, and if so what did they think. Thanks

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Profile picture for lgreg @lgreg

I have taken pilocarpine for about 7 years and it works great for dry mouth, not much help for dry eyes!!

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@lgreg That is very encouraging. For the dry eyes my Ophthalmologist placed " Punctual Plugs"
in the eyes. Helped a lot. Google to get info.

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Profile picture for harryboy7 @harryboy7

@kellen I have heard that Sjogren's it hard to diagnose. My dry mouth is also unbearable! I did hear that taking Pilocarpine could cause sweats. I hate taking anything...especially if there are nasty side effects. If it improve my dry eyes, I might take it. I feel desperate. It has gotten worse every year.

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@harryboy7
I was diagnosed by a biopsy for Sjogrens and every year it progresses but for me the dryness has caused swallowing issues...I have been using pilocarpine since October and would rather use it than not even though it only helps with dry eyes but doesn't last for long and can't take more than 5 mg at a time because my heart races. Plugs did nothing. It is an awful disease...swallowing gets worse and a lot of choking and coughing!
Moved to Nova Scotia and care is awful...only 1 rheumatologist for 40k people... I hope you find relief
All the best!

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I take Cevimeline , I would say 3 years now , it helps so much

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I have been on it for decades! My current rheumatologist says it doesn’t work for all his patients, and up to 75% stop, but for me it works fine.

Lately, I have had breakthrough dryness, but whether it is a problem with Sjogrens or another med I am taking, I can’t tell. I’ve up my treatment to add xylimelts at night, with eye ointment and drops during the day.

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Profile picture for harryboy7 @harryboy7

@lgreg That is very encouraging. For the dry eyes my Ophthalmologist placed " Punctual Plugs"
in the eyes. Helped a lot. Google to get info.

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@harryboy7 I've started using Biticon mouth wash it don't completely stop it but it's worked very well with me I use it 2x daily and it's been manageable. I know dry mouth is horrible and embarrassing I hate talking to people it's weird feeling. But I use the dry mouth mouth wash works pretty well. Kinda pricy but worth it!!! Good luck

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Profile picture for tulips2026 @tulips2026

@harryboy7
I was diagnosed by a biopsy for Sjogrens and every year it progresses but for me the dryness has caused swallowing issues...I have been using pilocarpine since October and would rather use it than not even though it only helps with dry eyes but doesn't last for long and can't take more than 5 mg at a time because my heart races. Plugs did nothing. It is an awful disease...swallowing gets worse and a lot of choking and coughing!
Moved to Nova Scotia and care is awful...only 1 rheumatologist for 40k people... I hope you find relief
All the best!

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@tulips2026 it's very hard to talk also. I understand the swallowing issue as well. Good point of view!!!

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Profile picture for bettersleep68 @bettersleep68

I use xylimelts disc for dry mouth...works very well..you can find them by the toothpaste and mouthwash..hope it helps you

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@bettersleep68
Just as a heads up, xylimelts singed my tongue and it took a week to recover. yikes

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I go to sleep with a sugarless Ricola cough drop in my mouth. Sometimes I awake in the night and pop in another one.

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Profile picture for migraineelaine @migraineelaine

@bettersleep68
Just as a heads up, xylimelts singed my tongue and it took a week to recover. yikes

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@migraineelaine not sure what you mean , signed my tongue

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Profile picture for kellen @kellen

Pilocarpine seems to be working most of the day for me. I just started it 2 weeks ago. I haven’t been diagnosed yet for Sjoren’s because the bloodwork doesn’t show it. It does show ANA positive and high Centromere, but that’s for the Raynaud’s syndrome I have. I have had unbearable dry mouth since November, 2025 and tried everything. I do have a Rheumatologist because of my Osteoperosis treatment, the ANA positive with Centromere. I was told that it could be a false negative for Sjogren’s right now, but may show up later on.

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@kellen I have been using Zylamelts for the past couple of years and they seem to help a lot at night. I’m sure you could use them during the day as well if needed.

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