Question
Posted on: March 6 2013A scopolamine ointment 0.5% for a salivary gland disorder.
This ointment should be rubbed onto the cheek. The doctor does not know which form of scopolamine should be used. We think HBR, breakfast the dosage is very high. And in what basis do we process it best?
Answer
An important development after parotis surgery is the Frey syndrome. This syndrome manifests itself after parotidectomy at 20% of the cases. It is characterized by pronounced perspiration and redness of the operated area when stimulation of the saliva secretion, thus during meals. It is probably caused by disorderly regeneration of sympathetic nerve fibers of the auriculotemporalis nerve. Different techniques were suggested without success to avoid this annoying winding. No treatment is completely adequate. The simplest therapy is to apply topically to the cheek of Anticholinergian ointment, eg. 1-3% scopolamine ointment in Eucerin. Years ago there was no PLO gel, but today we could possibly use PLO gel, which can give better absorption. This EXCIPI ë NS is available at Bassron.
General Administration of Anticholinergics is hardly feasible due to the side effects at therapeutic level.
as treatment, glycopyrrolate ointment can also be used 2%, which is better tolerated. Recent experiences with botulism toxin injections are very promising.