A nurse is advising a client on the side effects of scopolamine (Transderm-Scop). Which side effect should they emphasize?

When advising a client on the side effects of scopolamine (Transderm-Scop), it is crucial to emphasize dry mouth as a significant side effect. Scopolamine is an anticholinergic medication, which means it works by blocking the action of acetylcholine, a neurotransmitter that plays a key role in various bodily functions, including salivation. As a result, the inhibition of this neurotransmitter often leads to a decrease in saliva production, causing the patient to experience dryness in the mouth.

Dry mouth can lead to discomfort and difficulty in swallowing or speaking. It may also increase the risk of dental issues, such as tooth decay or gum disease, as saliva plays a vital role in oral health by neutralizing acids and providing enzymes that help digest food. Therefore, it is important for patients to be aware of this particular side effect so they can take preventive measures, such as staying hydrated, using saliva substitutes, or maintaining good oral hygiene.

While blurred vision, constipation, and nausea are potential side effects of scopolamine as well, dry mouth is particularly notable as it can be both uncomfortable and impactful on day-to-day activities, making it a critical point for discussion during counseling sessions about the medication.