Drooling PD
Anticholinergic
- atropine (atropine sulfate 1 % ophthalmic solution) drops
- scopolamine patch 1mg every 3d
- glycopyrrolate 1 mg TID
Botox
- parotid & submandibular
Surgical management
- duct ligation; b/l submandibular gland excision; submandibular duct relocation