Published on: 3/17/2025
To reduce sleeping drooling, you can use a combination of medications, sleep position adjustments, and exercises to help improve saliva control.
Managing drooling while sleeping often starts with reducing the amount of saliva produced and encouraging better swallowing. One effective method is medication. Anticholinergic drugs, which lower saliva production, have been used successfully in both adults and children, and are sometimes considered for people with neurological conditions that cause drooling. If drooling is due to a condition like motor neuron disease, a healthcare provider might also consider injections of botulinum toxin into the salivary glands to lessen saliva production. Besides medications, adjusting your sleep posture can help as well. For example, sleeping on your back rather than on your side may prevent saliva from pooling in your mouth and leaking out. In some cases, oral motor exercises and behavioral strategies can strengthen the muscles involved in swallowing, thus improving saliva control during sleep. Additionally, using absorbent pillow protectors or towels can help manage the spillover. It’s important to discuss these options with a healthcare provider, as they can help tailor a plan suited to your specific situation and ensure safe, effective treatment.
(References)
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.
You P, Strychowsky J, Gandhi K, Chen BA. Anticholinergic treatment for sialorrhea in children: A systematic review. Paediatr Child Health. 2021 Aug 27;27(2):82-87. doi: 10.1093/pch/pxab051. PMID: 35599670; PMCID: PMC9113838.
Thie NM, Kato T, Bader G, Montplaisir JY, Lavigne GJ. The significance of saliva during sleep and the relevance of oromotor movements. Sleep Med Rev. 2002 Jun;6(3):213-27. doi: 10.1053/smrv.2001.0183. PMID: 12531122.
We would love to help them too.
For First Time Users
We provide a database of explanations from real doctors on a range of medical topics. Get started by exploring our library of questions and topics you want to learn more about.
Purpose and positioning of servicesUbie Doctor’s Note is a service for informational purposes, and the provision of information by physicians, medical professionals, etc. is not a medical practice. The provision of information by physicians, medical professionals, etc. is not a medical treatment. If medical treatment is required, please consult your doctor or medical institution. We strive to provide reliable and accurate information, but we do not guarantee the completeness of the content. If you find any errors in the information, please contact us.