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Published on: 7/15/2026
Excess saliva, or hypersalivation, can often be reduced with medical treatments prescribed by a doctor. The most common options include:
Because excess saliva can stem from many different conditions—ranging from medication side effects to neurological concerns—identifying the root cause is essential before starting treatment. A quick, guided assessment can help you understand what's driving your symptoms and what steps to take next. Try this free, instant, online symptom check to get personalized insights and clearer direction on when to see a doctor.
Reviewed for medical accuracy: 07/15/2026
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Submit your own QuestionExcess saliva, which is also called sialorrhea, can sometimes be managed with different treatments. One common way is to use medications that help slow down saliva production. Drugs in the anticholinergic family, for example, have been used to reduce saliva so that you don't produce as much. Another option is botulinum toxin injections. These injections help by blocking the nerve signals that tell your salivary glands to make saliva. In some cases, a doctor might also recommend behavior modifications or oral therapy to help improve swallowing and control saliva better. If you are experiencing excess saliva that bothers you, you can start by using a free symptom checker to better understand your symptoms before talking with a healthcare provider. They can help decide whether a medicine or injection might be the best choice for your situation, and they will guide you through the possible benefits and side effects. It is important to use these treatments under medical supervision so that you stay safe and get the best care for your condition.
(References)
MohammadSadeghi A, Karimzadeh I, Bagheri Lankarani K, Banakar M. Pharmacotherapy for reducing saliva and droplet production in airborne procedures may help to decrease the COVID-19 transmission: A hypothesis. Med Hypotheses. 2020 Nov;144:109874. doi: 10.1016/j.mehy.2020.109874. Epub 2020 Jun 1. PMID: 32535455; PMCID: PMC7831535.
Lakraj AA, Moghimi N, Jabbari B. Sialorrhea: anatomy, pathophysiology and treatment with emphasis on the role of botulinum toxins. Toxins (Basel). 2013 May 21;5(5):1010-31. doi: 10.3390/toxins5051010. PMID: 23698357; PMCID: PMC3709276.
James E, Ellis C, Brassington R, Sathasivam S, Young CA. Treatment for sialorrhea (excessive saliva) in people with motor neuron disease/amyotrophic lateral sclerosis. Cochrane Database Syst Rev. 2022 May 20;5(5):CD006981. doi: 10.1002/14651858.CD006981.pub3. PMID: 35593746; PMCID: PMC9121913.
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