Can N-acetylcysteine (NAC) induce xerostomia (dry mouth)?

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Last updated: March 21, 2025View editorial policy

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From the Research

N-acetylcysteine (NAC) is not directly mentioned in the provided studies as a cause of xerostomia (dry mouth). However, based on the available evidence, it is essential to consider the potential effects of various medications on salivary glands and oral health. The study by 1 discusses the impact of anticholinergic medications on salivary glands, leading to dry mouth, but does not mention NAC. Another study by 2 reviews treatment strategies for xerostomia, including the use of pilocarpine and malic acid, but does not address NAC. The study by 3 examines the side effects of psychotropic drugs on oral health, including dry mouth, but focuses on anticholinergic and antiadrenergic effects, not NAC. The meta-analysis by 4 investigates the risk of dry mouth associated with second-generation antidepressants, which is not directly related to NAC. Lastly, the review by 5 explores the effect of NAC on biofilms in respiratory tract infections, but does not discuss its potential impact on salivary glands or oral health.

Given the lack of direct evidence linking NAC to xerostomia, it is crucial to prioritize the patient's overall health and consider potential interactions between NAC and other medications that may contribute to dry mouth. If a patient experiences persistent dry mouth while taking NAC, staying well-hydrated and using sugar-free lozenges or gum may help alleviate symptoms. Additionally, consulting with a healthcare provider to adjust the dosage or explore alternative supplements may be necessary. It is essential to weigh the benefits and potential risks of NAC and other medications, considering the individual patient's health status and medical history.

References

Research

Anticholinergic medication: Related dry mouth and effects on the salivary glands.

Oral surgery, oral medicine, oral pathology and oral radiology, 2021

Research

Treatment of xerostomia and hyposalivation in the elderly: A systematic review.

Medicina oral, patologia oral y cirugia bucal, 2016

Research

Use of psychotropic drugs and associated dental diseases.

International journal of psychiatry in medicine, 2014

Research

Meta-analysis: Risk of dry mouth with second generation antidepressants.

Progress in neuro-psychopharmacology & biological psychiatry, 2018

Professional Medical Disclaimer

This information is intended for healthcare professionals. Any medical decision-making should rely on clinical judgment and independently verified information. The content provided herein does not replace professional discretion and should be considered supplementary to established clinical guidelines. Healthcare providers should verify all information against primary literature and current practice standards before application in patient care. Dr.Oracle assumes no liability for clinical decisions based on this content.

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