Cevimeline hydrochloride for Sjögren's syndrome

Examples

Generic Name Brand Name
cevimeline hydrochloride Evoxac

Evoxac is given orally as a 30 mg capsule. Dosages vary from 1 to 3 capsules a day.

How It Works

Cevimeline stimulates the moisture-producing glands to increase saliva and tear production over a sustained period of time.

Why It Is Used

Cevimeline is used to treat symptoms of dry mouth and eyes caused by Sjögren's syndrome.

You should not take cevimeline if you have:

  • Uncontrolled asthma.
  • Narrow-angle glaucoma or inflammation of the iris.

How Well It Works

Studies show that cevimeline improves symptoms of dry mouth and eyes.1, 2

Side Effects

Side effects from cevimeline may include:

  • Excessive sweating.
  • Nausea.
  • Runny nose.
  • Diarrhea.
  • More frequent urination.

See Drug Reference for a full list of side effects. (Drug Reference is not available in all systems.)

What To Think About

Talk to your doctor before taking cevimeline if you have:

  • History of heart disease.
  • Asthma.
  • Chronic bronchitis.
  • Chronic obstructive pulmonary disease (COPD).
  • Kidney problems.

If you are breast-feeding, pregnant, or trying to become pregnant, talk to your doctor before taking cevimeline.

Before taking cevimeline, review with your doctor all medicines that you take, both prescription and nonprescription.

Complete the new medication information form (PDF)(What is a PDF document?) to help you understand this medication.

References

Citations

  1. Fife RS, et al. (2002). Cevimeline for the treatment of xerostomia in patients with Sjögren's syndrome. Archives of Internal Medicine, 162: 1293–1300.
  2. Petrone D, et al. (2002). A double-blind, randomized, placebo-controlled study of cevimeline in Sjögren's syndrome patients with xerostomia and keratoconjunctivitis sicca. Arthritis and Rheumatism, 46(3): 748–754.

Last Updated: May 6, 2008

Author: Shannon Erstad, MBA/MPH

Medical Review: Martin Gabica, MD - Family Medicine & Stanford M. Shoor, MD - Rheumatology

related physicians

related services

Bon Secours International| Sisters of Bon Secours USA| Bon Secours Health System

This information does not replace the advice of a doctor. Healthwise disclaims any warranty or liability for your use of this information. Your use of this information means that you agree to the Terms of Use. Privacy Policy. How this information was developed to help you make better health decisions.

© 1995-2010 Healthwise, Incorporated. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.