How do I switch from another dry-mouth treatment to Pilocarpine troches?

Before switching to Pilocarpine troches, tell your prescriber what you currently use for dry mouth. Include prescription medicines, saliva substitutes, mouth rinses, and nonprescription products. Share each dose, how often you use it, and any benefits or side effects you have noticed. Results vary.

Do not assume that a 5 mg troche can replace a swallowed tablet on the same schedule. Different forms may have different instructions, and the dose number alone does not establish how to switch. These compounded medications are prepared by a licensed pharmacy for one patient and are not FDA-approved.

Your prescriber should tell you when to stop the old prescription and when to start the troches. Combining pilocarpine with cevimeline or another medicine with similar effects may raise the risk of side effects. Do not overlap them unless your prescriber gives clear instructions.

A licensed physician in your state decides if the switch is appropriate. Ask which nonprescription mouth-care products you can continue. Keep your dentist informed so your dry-mouth treatment and cavity-prevention plan can be reviewed together.