Dental OSCE (Objective Structured Clinical Examination) Practice Exam

What is a contraindication for the use of antisialogogues?

1. Hypertension

2. Bipolar disorder

3. Glaucoma

4. Asthma

The correct answer is: Glaucoma

Antisialagogues are medications used to reduce saliva flow, which can be beneficial in specific clinical situations. However, one notable contraindication for their use is glaucoma. The reason for this lies in the pharmacological effects of antisialagogues, particularly those with anticholinergic properties, which can cause pupil dilation and potentially increase intraocular pressure. This effect poses a significant risk to patients with glaucoma, where increased pressure can exacerbate their condition and lead to further complications. In contrast, while hypertension, bipolar disorder, and asthma may require careful consideration when prescribing various medications, they do not specifically contraindicate the use of antisialogogues in the same manner as glaucoma does. Therefore, individuals with glaucoma must avoid these medications to prevent adverse ocular effects.