Treatment of sialorrhea with glycopyrrolate - A double-blind, dose-ranging study

被引:144
作者
Mier, RJ [1 ]
Bachrach, SJ [1 ]
Lakin, RC [1 ]
Barker, T [1 ]
Childs, J [1 ]
Moran, M [1 ]
机构
[1] Alfred I duPont Hosp Children, Wilmington, DE USA
来源
ARCHIVES OF PEDIATRICS & ADOLESCENT MEDICINE | 2000年 / 154卷 / 12期
关键词
D O I
10.1001/archpedi.154.12.1214
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
Objective: To determine the safety and efficacy of glycopyrrolate in the treatment of developmentally disabled children with sialorrhea. Design: Placebo-controlled, double-blind, crossover dose-ranging study. Setting: Outpatient facilities in 2 pediatric hospitals. Patients: Thirty-nine children with bo th developmental disabilities and excessive and bothersome sialorrhea. Main Outcome Measures: Parent and investigator evaluation of change in sialorrhea and adverse effects. Results: Glycopyrrolate in doses of 0.10 mg/kg per dose is effective at controlling sialorrhea. Even at low doses, 20% of children may exhibit adverse effects severe enough to require discontinuation. Conclusions: Glycopyrrolate is effective in the control of excessive sialorrhea in children with developmental disabilities. Approximately 20% of children given glycopyrrolate may experience substantial adverse effects, enough to require discontinuation of medication.
引用
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页码:1214 / 1218
页数:5
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