Description
Pilomax 5 mg (Pilocarpine) – Effective Oral Therapy for Dry Mouth (Xerostomia)
Pilomax 5 mg tablets contain pilocarpine hydrochloride, a cholinergic agonist that activates M₃ receptors to stimulate natural saliva flow. It’s primarily indicated for managing dry mouth in patients suffering from Sjögren’s syndrome or after radiation therapy for head and neck cancers.
✅ Uses & Mechanism
- Relieves xerostomia (dry mouth) due to salivary gland hypofunction—especially post-radiotherapy or in Sjögren’s syndrome.
- Pilocarpine stimulates secretion of saliva, tears, sweat, and digestive juices via muscarinic receptor activation.
🗓️ Dosage & Administration
- Typical dose: 5 mg tablet taken orally **3–4 times daily**, often with meals to minimize GI upset.
- Swallow tablets whole with water. Do not crush or chew.
- If a dose is missed, take as soon as possible—do **not** double the next dose if close to its scheduled time.
⚠️ Side Effects & Precautions
- Common: sweating, nausea, vomiting, flushing, frequent urination, runny nose, headache, dizziness, diarrhea, abdominal discomfort, weak sensation.
- May cause heart rate changes, tremors, bronchospasm—caution in asthma, COPD, cardiovascular conditions.
- Visual disturbances, blurred vision, especially in dim light—use caution when driving or operating machinery.
🧪 Interactions & Contraindications
- Contraindicated in known allergy to pilocarpine or cholinergic agents.
- Use with caution in patients with asthma, heart disease, kidney or liver impairment, glaucoma, or peptic ulcer disease.
- Avoid with anticholinergics (e.g. atropine), beta‑blockers, and cholinesterase inhibitors—drug interactions may reduce efficacy or increase side effects.
✅ Benefits of Pilomax 5 mg
- Proven effective for managing persistent dry mouth symptoms in head and neck cancer survivors and Sjögren’s patients.
- Oral tablet form enhances convenience and compliance over topical or ophthalmic options.
- Manufactured by Sun Pharma—widely available and affordable generic alternative to Salagen® in India.
❓ Frequently Asked Questions (FAQs)
1. How long does it take to work?
Response may begin within 20–60 minutes, lasting 3–5 hours. Consistent dosing is recommended for relief.
2. Can it be taken with food?
Yes—taking with meals may reduce nausea and is acceptable. Follow your prescribing doctor’s guidance.
3. Is it safe for elderly or children?
Not recommended for children under 18. Elderly patients (>70) should use under medical supervision.
4. What if I have asthma or COPD?
Use with caution. Pilocarpine may worsen bronchospasm or breathing issues—consult your physician.
5. Can Pilomax affect the eyes?
Yes—increased tearing, blurred vision, and possible eye pain may occur. Avoid using if you have narrow-angle glaucoma.







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