Sialadenosis in Bulimia: A New Treatment

Abstract
• Objective. —To see whether a cholinomimetic medication would help resolve the parotid gland enlargement associated with self-induced vomiting in bulimic patients. Setting/Design. —The medication was administered on an inpatient eating disorder unit to bulimic patients with refractory sialadenosis. Intervention. —Pilocarpine hydrochloride drops were administered orally at a dosage of 1.25 to 5.0 mg/d until the parotid gland enlargement was significantly reduced. Results. —There was a marked diminution in the size of the parotid gland enlargement. Conclusion. —Pilocarpine has proved to be beneficial in the treatment of sialadenosis in bulimic patients.(Arch Otolaryngol Head Neck Surg. 1993;119:787-788)

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