I know I'm late to the party here, just catching up on old posts, but I have severe problem with dry mouth and hoarse voice. I use the biotene spray, gel, and moutwash. The mouthwash doesn't leave a coating like some mentioned, so if that is a bother for any of you, the mouthwash may be worth a try. I also use xylitol lozenges, which help, but are not super effective.

Honestly what works best for me is when I have hot tea, particularly when sweetened with honey and the water poured over a lemon wedge. I drink black tea, Twinings Prince of Whales tea to be precise, but a couple of cups in the morning really does seem to help keep my mouth hydrated.

At night I drink mineral water with lime juice in it. Interestingly enough, when I asked the Rheumy for advice regarding the dry mouth, she recommended water with lemon or lime and my wife literally laughed at her and told her I had been doing so for years and I even eat the spent lime wedges, or lemon wedges if I was not able to find limes. The citrus in the water does also seem to help me.

Best of luck!

I have a dry mouth all the time, but especially in the night.
I have to put lip salve on and have water by my bed. I thought it might be blood pressure tablets as it started then, but it could be sjogrens as that is a side effect, and i also have very dry eyes, which is all associated with RA.

I use Biotene also. I use the toothpaste, and lozenges, and the jell. Also have dry eyes, and use drops recommended by my eye doctor. RA is so much fun to deal with. Wish you all a good day.

Yes I have that too I thought it was a thing after COVID ! I didn't think about it being from RA meds!

I have had this for quite sometime and a cough and croaky voice.,told was a result of medication and RA ..... my gp gives nystan I know its more for thrush but it does help me when mouth is really dry and sore( I also have asthma) ..but it's a relief to know your not an odd bod and others get it amongst the many strange things that come as extras with RA