ObjectiveThe present study was conducted to determine the preventive efficacy of vitamin C/E complex supplementation for radiotherapy (RT)–induced xerostomia in patients with head and neck cancer.Study DesignProspective, double‐blinded, randomized, placebo‐controlled study.SettingA single tertiary referral institution.Subjects and MethodsThe trial group (n = 25) received antioxidant supplements (100 IU of vitamin E + 500 mg of vitamin C) twice per day during RT, while the control group (n = 20) received an identical placebo. Pre‐RT and 1 and 6 months post‐RT, patient‐reported xerostomia questionnaires, observer‐rated xerostomia score, and salivary scintigraphy were serially obtained to compare xerostomia severity between the 2 groups.ResultsThe trial group showed greater improvements in xerostomia questionnaire and score at 6 months post‐RT when compared with those at 1 month post‐RT (P =. 007 and. 008, respectively). In contrast, the control group showed no changes between 1 and 6 months post‐RT. By salivary scintigraphy, there was no difference in maximal accumulation or ejection fraction between the 2 groups. However, the trial group maintained significantly better oral indices at the prestimulatory (P =. 01) and poststimulatory (P =. 009) stages at 1 month post‐RT, compared with the control group. At the final follow‐up, there was no difference in overall survival and disease‐free survival between the 2 groups.ConclusionsOur data suggest that short‐term supplementation with an antioxidant vitamin E/C complex exerts a protective effect against RT‐induced xerostomia.