Treatment of drooling with sublingual atropine sulfate in children and adolescents with cerebral palsy

ABSTRACT Atropine sulfate blocks the muscarinic receptors in the salivary glands and leads to reduced saliva production. There are no published studies about its use in children with cerebral palsy. Objective To report the effect of sublingual atropine sulfate to treat drooling in children with ce...

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Main Authors: Bruno L. Scofano Dias, Alexandre R. Fernandes, Heber de S Maia Filho
Format: Article
Language:English
Published: Academia Brasileira de Neurologia (ABNEURO)
Series:Arquivos de Neuro-Psiquiatria
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000500282&lng=en&tlng=en
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author Bruno L. Scofano Dias
Alexandre R. Fernandes
Heber de S Maia Filho
author_facet Bruno L. Scofano Dias
Alexandre R. Fernandes
Heber de S Maia Filho
author_sort Bruno L. Scofano Dias
collection DOAJ
description ABSTRACT Atropine sulfate blocks the muscarinic receptors in the salivary glands and leads to reduced saliva production. There are no published studies about its use in children with cerebral palsy. Objective To report the effect of sublingual atropine sulfate to treat drooling in children with cerebral palsy by comparing the results of the Drooling Impact Scale in a non-controlled open clinical trial. Results Twenty-five children were assessed. The difference in the mean scores of the pre- and post-treatment scales reached statistical significance. There was a low frequency of side effects compared to studies with other anticholinergics. Conclusion The use of sublingual atropine sulfate seems to be safe and there is a reduction in the Drooling Impact Scale score, which suggests efficacy in the treatment of drooling in children and adolescents with cerebral palsy. Our results should be replicated in randomized, placebo-controlled studies with larger numbers of participants.
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spelling doaj.art-8b5030d9a26a4aa8b0ed12b74f5b9bf12022-12-22T03:39:29ZengAcademia Brasileira de Neurologia (ABNEURO)Arquivos de Neuro-Psiquiatria1678-422775528228710.1590/0004-282x20170033S0004-282X2017000500282Treatment of drooling with sublingual atropine sulfate in children and adolescents with cerebral palsyBruno L. Scofano DiasAlexandre R. FernandesHeber de S Maia FilhoABSTRACT Atropine sulfate blocks the muscarinic receptors in the salivary glands and leads to reduced saliva production. There are no published studies about its use in children with cerebral palsy. Objective To report the effect of sublingual atropine sulfate to treat drooling in children with cerebral palsy by comparing the results of the Drooling Impact Scale in a non-controlled open clinical trial. Results Twenty-five children were assessed. The difference in the mean scores of the pre- and post-treatment scales reached statistical significance. There was a low frequency of side effects compared to studies with other anticholinergics. Conclusion The use of sublingual atropine sulfate seems to be safe and there is a reduction in the Drooling Impact Scale score, which suggests efficacy in the treatment of drooling in children and adolescents with cerebral palsy. Our results should be replicated in randomized, placebo-controlled studies with larger numbers of participants.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000500282&lng=en&tlng=enparalisia cerebralsialorreiacriançaquimioterapiaatropina
spellingShingle Bruno L. Scofano Dias
Alexandre R. Fernandes
Heber de S Maia Filho
Treatment of drooling with sublingual atropine sulfate in children and adolescents with cerebral palsy
Arquivos de Neuro-Psiquiatria
paralisia cerebral
sialorreia
criança
quimioterapia
atropina
title Treatment of drooling with sublingual atropine sulfate in children and adolescents with cerebral palsy
title_full Treatment of drooling with sublingual atropine sulfate in children and adolescents with cerebral palsy
title_fullStr Treatment of drooling with sublingual atropine sulfate in children and adolescents with cerebral palsy
title_full_unstemmed Treatment of drooling with sublingual atropine sulfate in children and adolescents with cerebral palsy
title_short Treatment of drooling with sublingual atropine sulfate in children and adolescents with cerebral palsy
title_sort treatment of drooling with sublingual atropine sulfate in children and adolescents with cerebral palsy
topic paralisia cerebral
sialorreia
criança
quimioterapia
atropina
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017000500282&lng=en&tlng=en
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