Medication-Related Xerostomia and Maintaining a Healthy Mouth While on MAT

Understanding Xerostomia

Understanding Xerostomia

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Philadelphia, PAHealthy Mouth While on MAT - Many individuals successfully overcome addiction through medication-assisted treatment (MAT). FDA notes that opioid use disorder (OUD) is estimated to affect about 6.1 million people aged 12 and above. Medications for opioid use disorder provide an effective treatment option. These medications help manage and reduce the symptoms of OUD.


However, MAT can have potential side effects. One common side effect is xerostomia, a medical term for dry mouth. This dryness can cause discomfort and make speaking difficult. Additionally, it can increase the risk of cavities. Despite these challenges, many people still find MAT an effective path to recovery.

 

With some simple strategies, you can manage xerostomia and maintain a healthy mouth while on MAT.

Understanding Xerostomia

Saliva plays a crucial role in oral health. It washes away food particles and neutralizes acids produced by bacteria in your mouth, helping prevent cavities. Saliva also lubricates your mouth, making chewing, swallowing, and speaking easier. When medication use reduces saliva production, it creates an environment ripe for trouble. 



As per the American Dental Association, there are substantial variations in the prevalence of xerostomia in the general population. 10 to 26 percent of males suffer from xerostomia, according to earlier research. The estimates of prevalence in women vary from 10 to 33 percent.

Some medications, including antidepressants, antihistamines, and decongestants, can have this side effect. While less commonly discussed, medication-assisted treatment (MAT) can also contribute to xerostomia.



What are the symptoms of xerostomia?

Symptoms of xerostomia involve a parched, sticky sensation in the mouth, constant thirst, and trouble swallowing. Furthermore, a dry mouth can impact your sense of taste and smell, diminishing the enjoyment of food. Some medical conditions, like Sjögren's syndrome, can also cause dry mouth.

The Link Between Suboxone and Xerostomia

Suboxone, a common medication used in MAT, can contribute to xerostomia. Drugs.com highlights that at least 10% of all individuals who regularly take Suboxone are expected to experience dry mouth. This is listed among the very common side effects of this medicine along with nausea, constipation, and vomiting. 

This is because it belongs to a class of drugs called opioids, which can have a drying effect on the body. Opioids provide sensations of relaxation and block pain signals by binding to receptors in the nervous system. 

However, these same receptors also play a role in saliva production. When suboxone binds to these receptors, it can temporarily decrease saliva production, leading to dry mouth. 

Suboxone-Related Lawsuits

In recent years, there has been an increase in legal actions against Suboxone manufacturers due to concerns over dry mouth as a side effect. 

 

According to the Lawsuit Information Center, cases related to Suboxone-induced tooth decay have been submitted across the country since early 2023. The Judicial Panel on Multidistrict Litigation consolidated these lawsuits into a new MDL, managed as a "class action" from January 2024. The Northern District of Ohio's Judge J. Philip Calabrese has been assigned to supervise the new Suboxone MDL.

 

The makers are accused in these cases of not providing sufficient warnings to physicians and patients about this danger.  While the legal issues are ongoing, it raises a crucial question for many individuals: can I still apply for a Suboxone lawsuit?

How do I know if I can apply for a Suboxone lawsuit?

 

The answer depends on several factors, including the severity of your dry mouth and the laws in your state. The lawsuits often center around dry mouth that can cause significant dental problems. If your dry mouth is mild and hasn't impacted your oral health, it may be less likely to qualify for a lawsuit.

 

Every state has its time limit for initiating legal actions, which establishes a deadline for filing lawsuits. TruLaw notes that if you believe you have a case, it's crucial to consult with an attorney specializing in personal injury.

Keeping Your Mouth Moist

The key to managing xerostomia is keeping your mouth moist. Here are some strategies to combat dryness and promote saliva production:

Sip water often throughout the day, even when you're not thirsty. Aim for eight glasses of water every day. Remind yourself to remain hydrated by always carrying a reusable water bottle. Lozenges or sugar-free gum can increase salivation and reduce dry mouth.

How can I manage cavities in my teeth?

Choose sugar-free options to avoid promoting cavities. Xylitol, a sugar substitute, can help prevent tooth decay. Artificial saliva sprays or gels can be used to lubricate your mouth. You can find these products at most pharmacies and grocery stores without a prescription. Running a humidifier at night can increase air moisture, helping to relieve dry mouth symptoms as you sleep.

Maintaining Oral Hygiene Practices

Don't let dry mouth discourage you from practicing good oral hygiene. Maintaining a regular cleaning routine is even more crucial when you experience xerostomia:

It is essential to use fluoride toothpaste and brush twice a day. Cavities are avoided and tooth enamel is strengthened by fluoride. To keep your gums safe, use a toothbrush with soft bristles. Daily flossing reduces the accumulation of bacteria in between teeth by removing food particles and plaque.

Consider using a gentle, alcohol-free mouthwash specifically designed for dry mouth. Alcohol-based mouthwashes can worsen dry mouth symptoms. Talk to your dentist about using a fluoride rinse or gel to further strengthen your teeth. Fluoride can help protect your teeth from the increased risk of cavities associated with dry mouth.

While medication-assisted treatment (MAT) offers a lifeline for those struggling with opioid use disorder, a common side effect is xerostomia or dry mouth. This dryness can not only be uncomfortable but also increase the risk of cavities. 


However, with a few simple strategies, you can manage this side effect. Maintain a healthy mouth on MAT by staying hydrated and following a regular oral hygiene routine, enjoying recovery benefits.


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