@Annb
Here's what I said I would send you.
I have dry mouth and dry eyes etc. And secondary Sjogren's Syndrome was diagnosed in 1999 by the dental hospital after a lip biopsy and the fact I had rheumatoid arthritis. The dental hospital wanted to prescribe Pilocarpine to help with all the dryness - eyes, mouth, throat etc, but after discussion it was decided it could adversely affect my asthma and I chose not to take it.
So, the dental hospital prescribed -
Salivix pastilles, to suck.
BioXtra gel, to apply inside your mouth (there are other dry mouth gels).
And a particular oral mouth spray, which is not available anymore, but there are plenty of other mouth sprays on the market which you can buy on Amazon. That mouth spray was my saviour at the time, because of the oesaphageal dysmotility (which was diagnosed a few years later) which caused my throat to seize up especially when it was dry. The specialist who diagnosed the oesophageal dysmotility explained but when my throat seizes up because of dryness, this was why my airway passage also seized up because they were in such close proximity, causing breathing problems. And so I always had that throat spray immediately to hand for when that happened.
It was in mid 2000's I was diagnosed with oesophageal dysmotility after having an endoscopy (which also found a hiatal hernia). I was prescribed Coracten XL by the specialist for the oesophageal dysmotility. But I stopped taking that because I didn't think it helped (and I didn't like the contraindications).
I still have the Salivix pastilles, and the BioXtra gel.
An American friend who has Sjogren's with dry mouth etc explained what she used. But it was only available in America at that time. However some years later I found I could get hold of it on Amazon. It is something called XyliMelts. It is not cheap. But whereas before, especially during the night I would suck a Salivix pastille or a cough sweet (that helped my dry mouth) all night (but neither are safe options because I could choke in my sleep, but I never did), I now have a XyliMelt in my mouth all night. It suggests you stick (with a bit of saliva or water) the little XyliMelt to the side of your tooth or your gum. It is a much safer option than sucking a pastlle or sweet all night. Unless I suck something to stimulate my saliva, I cannot sleep at night because of the dryness.
In the daytime I will chew xylitol chewing gum, which also stimulates my saliva. I get these off Amazon. There are some hard sweets which have xylitol in them, but I have never tried those.
I don't know if any of this is any help to you, but for me the XyliMelts will be worth a try if you can afford them. I have brought more mouthsprays for dry mouth off Amazon, I can't remember which ones now, when my prescription one was discontinued. These were a godsend to me, until I discovered xylitol. If my mouth is getting too dry, I always have the xylitol chewing gum with me, and just by biting into them and chewing them for a minute so, if I don't want to keep on chewing at that point of time, they still stimulate the saliva in my mouth and get it going again.
The dental hospital referred me to the eye hospital in 1999, where they have kept a close eye on me because of my very dry eyes due to Sjögren's. Two meds from them - a Vaseline type eye stuff in a tube for nighttime, and a more liquidy eye drop for day time. Both should be preservative free. Any eye drops should be preservative free.
In this country, UK, there seems to be a lot of eyedrops which are not preservative free. And those preservatives can cause further dry eye problems, and can damage your cornea etc. Often, if you see a set of capitals then that will be the abbreviation of the preservative.
