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Drooling
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==Treatment== A comprehensive treatment plan depends on the cause and incorporates several stages of care: Correction of reversible causes, [[behavior modification]], medical treatment, and surgical procedures.{{citation needed|date=December 2021}} [[Atropine sulfate]] tablets are used in some circumstances to reduce salivation. The same for [[anticholinergic]] drugs which can be also a benefit because they decrease the activity of the acetylcholine muscarinic receptors and can result in decreased salivation. They may be prescribed by doctors in conjunction with behavior modification strategies. Other drugs used are [[glycopyrrolate]] and [[botulinum toxin A]] β botox injection in salivary glands to diminish saliva production.<ref name="Laryngoscope">{{cite journal |title=Reduction of salivary flow with botulinum toxin: Extended report on 33 patients with drooling, salivary fistulas, and sialadenitis |doi=10.1097/00005537-200410000-00033 |pmid=15454785 |volume=114 |issue = 10|journal=The Laryngoscope |pages=1856β1860 |author=Ellies Maik|year = 2004|s2cid=8507758 }}</ref><ref name="Neurology">{{cite journal |url=http://www.neurology.org/content/61/9/1279.short |title=A randomized trial of botulinum toxin A for treatment of drooling |journal=Neurology |volume=61 |issue=9 |pages=1279β1281 |access-date=2013-10-02|doi=10.1212/WNL.61.9.1279 |year=2003 |last1=Lipp |first1=A. |last2=Trottenberg |first2=T. |last3=Schink |first3=T. |last4=Kupsch |first4=A. |last5=Arnold |first5=G. |pmid=14610139 |s2cid=42377134 |url-access=subscription }}</ref><ref name="jamanetwork">{{cite journal|url=http://archpedi.jamanetwork.com/article.aspx?articleid=352611|title=Treatment of Sialorrhea With GlycopyrrolateA Double-blind, Dose-Ranging Study |journal=Archives of Pediatrics & Adolescent Medicine |volume=154 |issue=12 |pages=1214β8 |access-date=2013-10-02|doi=10.1001/archpedi.154.12.1214 |year=2000 |last1=Mier |first1=Richard J. |last2=Bachrach |first2=Steven J. |last3=Lakin |first3=Ryan C. |last4=Barker |first4=Tara |last5=Childs |first5=Judith |last6=Moran |first6=Maria |pmid=11115305 |doi-access=free |url-access=subscription }}</ref> In general, surgical procedures are considered after clear diagnosis of the cause and evaluation of non-invasive treatment options. Severe cases can be sometimes be treated by surgical intervention β salivary duct relocalization, or in extreme cases [[Resection (surgery)|resection]] of salivary glands.{{citation needed|date=December 2021}}
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