What side effects should I watch for with Pilocarpine troches?

Pilocarpine stimulates glands and can affect more than saliva production. Possible side effects include sweating, nausea, diarrhea, flushing, chills, dizziness, and more frequent urination. Tell your prescriber if these symptoms are strong, last, or interfere with daily life. Mouth irritation may also occur with a dissolving product.

Heavy sweating can lead to dehydration. Ask your clinician about fluid intake, especially if you have a condition that limits how much you can drink. Pilocarpine can also affect vision, particularly at night or in dim light. Avoid driving or using machinery if you feel dizzy or cannot see clearly.

Get urgent medical help for trouble breathing, wheezing, fainting, chest pain, or a very slow, fast, or irregular heartbeat. Call 911 for severe symptoms or signs of a serious allergic reaction, such as throat swelling.

Tell your prescriber about asthma, heart disease, and eye conditions before starting. These compounded medications are prepared by a licensed pharmacy for one patient and are not FDA-approved. The side-effect frequency for this specific troche formulation is not well established.