Successful treatment of ptyalism gravidarum with clonidine hydrochloride: A case report

被引:1
作者
De Braga, Victoria [1 ]
Dahdouh, Elias M. [2 ]
Balayla, Jacques [3 ]
机构
[1] McGill Univ, Fac Med, 3605 Rue Montagne, Montreal, PQ H3G 2M1, Canada
[2] CHU St Justine, Assisted Reprod Technol Ctr, Dept Obstet & Gynecol, 3175 Chem Cote St Catherine, Montreal, PQ H3T 1C5, Canada
[3] McGill Univ, Dept Obstet & Gynecol, 3605 Rue Montagne, Montreal, PQ H3G 2M1, Canada
关键词
Ptyalism gravidarum; Clonidine hydrochloride; Sialorrhea; Pregnancy; Case report; BOTULINUM-TOXIN-A; PREGNANCY;
D O I
10.1016/j.crwh.2022.e00409
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Ptyalism gravidarum is a disorder characterized by significant hypersalivation during pregnancy, which affects and interferes with quality of life. No published data has demonstrated an effective approach to treat this condition. This case study reports the use of clonidine hydrochloride, an alpha-2-adrenergic receptor agonist that is typically used as an anti-hypertensive agent, to treat the excessive sialorrhea typical of this disorder. The patient who was treated with this medication saw significant improvement in her symptoms and did not experience any subsequent adverse effects throughout her pregnancy. As a result, we believe that further investigation into this potential treatment for ptyalism gravidarum is necessary ahead of medical guideline incorporation and clinical implementation.
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页数:3
相关论文
共 15 条
[1]   Vagal tone: effects on sensitivity, motility, and inflammation [J].
Bonaz, B. ;
Sinniger, V. ;
Pellissier, S. .
NEUROGASTROENTEROLOGY AND MOTILITY, 2016, 28 (04) :455-462
[2]  
Bronshtein M, 2018, ISR MED ASSOC J, V20, P573
[3]   Clonidine Pharmacokinetics in Pregnancy [J].
Buchanan, M. L. ;
Easterling, T. R. ;
Carr, D. B. ;
Shen, D. D. ;
Risler, L. J. ;
Nelson, W. L. ;
Mattison, D. R. ;
Hebert, M. F. .
DRUG METABOLISM AND DISPOSITION, 2009, 37 (04) :702-705
[4]  
HORVATH JS, 1985, OBSTET GYNECOL, V66, P634
[5]   CLONIDINE HYDROCHLORIDE [J].
HOUSTON, MC .
SOUTHERN MEDICAL JOURNAL, 1982, 75 (06) :713-721
[6]   Botulinum Toxin A for Treatment of Sialorrhea in Children An Effective, Minimally Invasive Approach [J].
Khan, Waqas Ullah ;
Campisi, Paolo ;
Nadarajah, Sanjeevan ;
Shakur, Yaseer Abdul ;
Khan, Nasir ;
Semenuk, Dan ;
McCann, Cathy ;
Roske, Lisa ;
McConney-Ellis, Sharon ;
Joseph, Melissa ;
Parra, Dimitri ;
Amaral, Joao ;
John, Philip ;
Temple, Michael ;
Connolly, Bairbre .
ARCHIVES OF OTOLARYNGOLOGY-HEAD & NECK SURGERY, 2011, 137 (04) :339-344
[7]  
Manzon L., 2022, Clonidine Toxicity
[8]   Management of drooling in disabled patients with scopolamine patches [J].
Mato, Abigail ;
Limeres, Jacobo ;
Tomas, Inmaculada ;
Munoz, Maria ;
Abuin, Concepcion ;
Feijoo, Javier F. ;
Diz, Pedro .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 2010, 69 (06) :684-688
[9]   Botulinum toxin A during pregnancy: a survey of treating physicians [J].
Morgan, JC ;
Iyer, SS ;
Moser, ET ;
Singer, C ;
Sethi, KD .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2006, 77 (01) :117-119
[10]   Ptyalism in pregnancy - a review of epidemiology and practices [J].
Nesbeth, Karen A. Thaxter ;
Samuels, Leslie A. ;
Daley, Carla Nicholson ;
Gossell-Williams, Maxine ;
Nesbeth, Damian A. .
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY, 2016, 198 :47-49