Pilocarpine tablets
Salagen
Granskad av Sid DajaniSenast uppdaterad av Michael Stewart, MRPharmSLast updated 5 Feb 2025
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Take pilocarpine during a meal. Swallow the tablet with a large glass of water.
The tablets may reduce your ability to see clearly in poor lighting. Do not drive at night if you are affected.
The most common side-effects include headache, sweating, flu-like symptoms and passing urine more frequently.
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About pilocarpine
Typ av medicin | A cholinergic medicine |
Används för | Dry mouth after radiotherapy; dry mouth and dry eyes in Sjögren's syndrome |
Även kallad | Salagen® |
Tillgänglig som | Tabletter |
Pilocarpine is prescribed to relieve dry mouth (sometimes called xerostomia) brought on by radiotherapy to the head or neck.
Pilocarpine can also be used to relieve some of the symptoms of Sjögrens syndrom. Sjögren's syndrome can cause various symptoms, the most common being dry eyes and dry mouth. These symptoms are due to lack of secretions from glands in your body.
Pilocarpine tablets stimulate your glands to produce more saliva and tears.
Before taking pilocarpine
Tillbaka till innehållSome medicines are not suitable for people with certain conditions, and sometimes a medicine can only be used if extra care is taken. For these reasons, before you start taking pilocarpine it is important that your doctor knows:
Om du är gravid eller ammar.
If you have a heart condition or blood vessel disease.
If you have a problem with the way your kidneys work, or a problem with the way your liver works.
If you have asthma, COPD, or any other breathing problem.
If you have a stomach ulcer, gallstones, or a problem with your bile duct.
If you have an eye condition such as increased pressure in your eye (glaucoma), or inflammation of the iris of your eye (iritis).
If you get confused easily.
Om du tar eller använder några andra läkemedel. Detta inkluderar alla läkemedel du tar som finns att köpa utan recept, samt växtbaserade och komplementära läkemedel.
Om du någonsin har haft en allergisk reaktion mot en medicin.
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How to take pilocarpine
Tillbaka till innehållBefore you start the treatment, read the manufacturer's printed information leaflet from inside the pack. It will give you more information about pilocarpine, and will also provide you with a full list of side-effects which you could experience from taking it.
Your doctor will tell you how often to take the tablets - take them exactly as your doctor directs. As a guide:
If you are taking pilocarpine following radiotherapy, it is likely you will be prescribed one tablet three times daily to begin with. Take your doses during (or straight after) a meal, and make sure you take your last dose of the day with your evening meal.
If you are taking pilocarpine because you have Sjögren's syndrome, the usual dose is one tablet four times daily. Take a tablet with each of your three main meals, and also one at bedtime. Although these are the usual starting doses for people taking pilocarpine, your doctor may increase your dose if it is appropriate for you.
Every time you take a tablet, drink a large glass of water with it. This is to prevent you from becoming dehydrated, as pilocarpine can make you sweat more than usual.
If you forget to take a dose, take it as soon as you remember unless your next dose is due. If it is nearly time for your next dose, don't take the forgotten dose but instead wait and take the next dose as normal. Do not take two doses together to make up for the missed dose.
Få ut det mesta av din behandling
Tillbaka till innehållFörsök att hålla dina regelbundna möten med din läkare. Detta är så att din läkare kan följa upp din utveckling.
If after taking pilocarpine for a couple of months you feel that your condition has not greatly improved, you should let your doctor know about this. Pilocarpine will not be effective if the glands in your mouth or eyes cannot be sufficiently stimulated to produce more saliva or tears.
If you are due to have an operation or any dental treatment, please tell the person carrying out the treatment that you are taking pilocarpine.
If you buy any medicines 'over the counter', check with a pharmacist that they are suitable for you to take alongside pilocarpine.
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Can pilocarpine cause problems?
Tillbaka till innehållAlong with their useful effects, most medicines can cause unwanted side-effects although not everyone experiences them. The table below contains the most common ones associated with pilocarpine. You will find a full list in the manufacturer's information leaflet supplied with your medicine. The unwanted effects often improve as your body adjusts to the new medicine, but speak with your doctor or pharmacist if any continue or become troublesome.
Common and very common pilocarpine side-effects (some can affect more than 1 in 10 people) | Vad kan jag göra om jag upplever detta? |
Huvudvärk | Drick mycket vatten och be din apotekare rekommendera en lämplig smärtstillande. Om huvudvärken fortsätter, informera din läkare |
Increased sweating and flushing | Take care not to become overheated during exercise or hot weather. Drink several large glasses of water every day |
Blurred vision, eye irritation or pain, watery eyes | Do not drive and do not use tools or machines if you cannot see clearly (particularly at night or if you have difficulty seeing in poor lighting) |
Diarrhoea, constipation, tummy ache (abdominal pain) | Try to eat a well-balanced diet. Drink plenty of water |
Indigestion, feeling sick (nausea) or being sick (vomiting) | Eat simple foods - avoid rich or spicy meals |
Feeling dizzy or weak | Sit down for a few minutes until you feel better. Do not drive and do not use tools or machines while affected |
Increased frequency of passing urine, high blood pressure, the sensation of having a 'thumping' heart (palpitations), flu-like symptoms, runny nose, allergic reactions such as skin rash and itchiness | Om något av dessa blir besvärligt, tala med din läkare |
Om du upplever några andra symtom som du tror kan bero på tabletterna, tala med din läkare eller apotekare för vidare råd.
How to store pilocarpine
Tillbaka till innehållFörvara alla läkemedel utom räckhåll och synhåll för barn.
Förvara på en sval, torr plats, borta från direkt värme och ljus.
Viktig information om alla läkemedel
Tillbaka till innehållViktig information om alla läkemedel
Ta aldrig mer än den föreskrivna dosen. Om du misstänker att du eller någon annan kan ha tagit en överdos av denna medicin, gå till akutmottagningen på ditt lokala sjukhus. Ta med behållaren, även om den är tom.
Denna medicin är för dig. Ge den aldrig till andra människor även om deras tillstånd verkar vara detsamma som ditt.
Behåll inte föråldrade eller oönskade mediciner. Ta dem till ditt lokala apotek som kommer att ta hand om dem åt dig.
Om du har några frågor om denna medicin, fråga din apotekare.
Rapportera biverkningar av ett läkemedel eller vaccin
Om du upplever biverkningar kan du rapportera dem online via Yellow Card website.

Osäker på att blanda mediciner?
Kontrollera möjliga interaktioner mellan läkemedel, kosttillskott och livsmedel innan du tar dem tillsammans.
Vidare läsning och referenser
- Manufacturer's PIL, Salagen® 5 mg Film Coated Tablets; Norgine Limited, The electronic Medicines Compendium. Dated April 2023.
- Mediciner Komplett BNF 89:e Utgåvan; Brittiska Läkarföreningen och Kungliga Farmaceutiska Sällskapet i Storbritannien, London.
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About the authorView full bio

Michael Stewart, MRPharmS
Medicine Leaflet Review Manager – Contractor, Pharmacist
BPharm (Hons), MRPharmS
Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.
About the reviewer

Sid Dajani
Sultan Dajani qualified at the London School of Pharmacy in 1994 and became the youngest elected member of the Royal Pharmaceutical Society council since its founding in 1842.
Artikelhistorik
Informationen på denna sida är skriven och granskad av kvalificerade kliniker.
Next review due: 5 Feb 2028
5 Feb 2025 | Senaste versionen

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