2007 midwest dental conference
AVOID LIABILITY: KNOW YOUR
PATIENT’S MEDICATIONS AND THEIR
IMPACT ON DENTAL TREATMENT
Second District Valley Forge
Dental Association
King of Prussia, Pennsylvania
October 10, 2012
*********************************************
No. 1
HYDROCODONE WITH ACETAMINOPHEN (generic)
-
More efficacious than codeine, less nausea & vomiting
2nd most abused drug by dentists
No. 2
LISINOPRIL (generic)
-
ACE (Angiotensin Converting Enzyme) inhibitor
Tekturna
® (aliskiren)-direct renin inhibitor
No. 3
SIMVASTATIN (generic)
-
Decrease serum total and LDL cholesterol
No. 4
LEVOTHYROXINE (generic)
local anesthetic with vasoconstrictor is NOT contraindicated
No. 5
AMOXICILLIN (generic)
-
Amoxicillin tablets 500 mg
Disp: 4 tablets
Sig: Take four tablets by mouth 30-60 minutes
before dental appointment
- Cardiac Conditions Associated With the Highest Risk of
Adverse Outcome from Endocarditis for Which Prophylaxis
With Dental Procedures is Recommended***
Certain specific, serious congenital (present from birth) heart
Unrepaired or incompletely repaired cyanotic
congenital heart disease , including palliative
A completely repaired congenital heart defect with
prosthetic material or device, whether placed by
surgery or by catheter intervention during the first
Any repaired congenital heart defect with residual
defects at the site or adjacent to the site of a
A cardiac transplant that develops a problem in a heart valve
No. 6
AMLODIPINE BESYLATE
No. 7
AZITHROMYCIN (generic)
NOT approved for joint replacement prophylaxis
Z-Pak (five days)- Zithromax®, Tri-Pak (three days)
Azithromycin tablets 250 mg
Disp: 2 tablets
Sig: Take two tablets by mouth 30-60 minutes
before dental appointment
No. 8
ALPRAZOLAM (generic)
most common drug found in “dirty” urine of methadone
combination of Xanax and Ecstacy is called “Parachuting”
No. 9
HYDROCHLORTHIAZIDE (generic)
-
diuretic
/antihypertensive
-
-
eat lots of bananas and drink lots of orange juice
No. 10
OMEPRAZOLE (generic)
-
Gastro
Esophageal
Reflux
Disease (
GERD)
No. 11 METFORMIN (generic)
No. 12
LIPITOR® (atorvastatin)
Decrease serum total and LDL cholesterol -
No. 13
FUROSEMIDE ORAL (generic)
-
-
No. 14
METOPROLOL TARTRATE (generic)
-
Selective Beta Blocking Agent (Beta
1 blocking agent)
-
Long-term use of NSAIDs (~ 3 weeks) may diminish
No. 15
ATENOLOL (generic)
Selective Beta Blocking Agent (Beta
1 blocking agent)
Long-term use of NSAIDs (~ 3 weeks) may diminish
Bystolic
® (nebivolol)
No. 16
SERTRALINE (generic)
Selective
Serotonin
Reuptake
Inhibitor
(SSRI)
adjunctive therapy for attention deficit
No. 17
METOPROLOL SUCCINATE (generic)
-
Selective Beta Blocking Agent (Blocks Beta
1 receptor)
Long-term use of NSAIDs (~ 3 weeks) may diminish
No. 18
ZOLPIDEM (generic)
-
-
-
No. 19
OXYCODONE WITH ACETAMINOPHEN (generic)
-
More efficacious than codeine, but less nausea and vomiting
No. 20
CITALOPRAM (generic)
Selective
Serotonin
Reuptake
Inhibitor
(SSRI)
adjunctive therapy for attention deficit
No. 21
GABAPENTIN (generic)
-
No. 22
IBUPROFEN (generic)
Non
Steroidal
Anti-
Inflammatory
Drug (
NSAID)
COX
1 & COX
2 inhibitor
Motrin®, Motrin-IB®, Advil® (OTC)
Ibuprofen Tablets 400 mg
Disp. 16 tablets
Sig: Take 1-2 tablets 3-4 times per day
as needed for the relief of pain
Do not exceed eight tablets within 24 hours
No. 23
NEXIUM® (esomeprazole)
-
Gastro
Esophageal
Reflux
Disease (
GERD)
Top brand name drug prescribed by retail dollars
No. 24
PREDNISONE ORAL (generic)
No. 25
TRAMADOL (generic)
Ultram®
-50/100 mg every 4 to 6 hours
tramadol with acetaminophen (Ultracet®)
medications that lower seizure threshold
No. 26
PLAVIX ®(clopidogrel)
No. 27
SINGULAIR® (montelukast)
-
-
-
No. 28
LISINOPRIL/HCTZ (generic)
same precautions/drug interactions as either one
No. 29
FLUOXETINE (generic)
Selective
Serotonin
Reuptake
Inhibitor
(SSRI)
adjunctive therapy for attention deficit
No. 30
LORAZEPAM (generic)
No. 31
WARFARIN (generic)
-
produces hypoprothrombinemia (Vitamin K antagonist)
No. 32
CLONAZEPAM (generic)
-
No. 33
LEXAPRO® (escitalopram)
Selective
Serotonin
Reuptake
Inhibitor
(SSRI)
No. 34
FLUTICASONE NASAL (generic)
-
-
management of seasonal and perennial allergic rhinitis
-
No. 35
CYCLOBENZAPRINE (generic)
-
Used for Temporomandibular Dysfunction (TMD)
No. 36
CEPHALEXIN (generic)
-
Cephalexin Tablets 500 mg
Disp: 4 Tablets
Sig: Take four tablets by mouth 30-60 minutes
before dental appointment
No. 37
TRIMETHOPRIM/SULFA (generic)
-
-
-
urinary tract infections, middle ear infections, bronchitis
-
-
Bactrim®, Septra DS®, Sulfatrim®
No. 38
CRESTOR (rosuvastatin)
Decrease serum total and LDL cholesterol
No. 39
FEXOFENADINE (generic)
-
No. 40
SYNTHROID® (levothyroxine)
local anesthetic with vasoconstrictor is NOT contraindicated
No. 41
AMOXICILLIN/K CLAVULANATE (generic)
-
No. 42
CIPROFLOXACIN (generic)
No. 43
PRAVASTATIN (generic)
Decrease serum total and LDL cholesterol
No. 44
TRAZADONE (generic)
-
No. 45
PROAIR HFA
-
prevention of exercise-induced bronchospasm
No. 46
LOVASTATIN (generic)
Decrease serum total and LDL cholesterol
No. 47
TRIAMTERENE WITH HCTZ (generic)
No. 48
CARVEDILOL(generic)
non-selective beta receptor blocker and alpha adrenergic blocker
-
Long-term use of NSAIDs (~ 3 weeks) may diminish
No. 49
ADVAIR DISCUS®
-
No. 50
ALENDRONATE(generic)
Harold L. Crossley, DDS., Ph.D.
Source: http://www.vfdc.org/files/2012_FallCE_handout.pdf
FEBRILE NEUTROPENIA IN PAEDIATRIC PERIPHERAL BLOOD STEM CELL TRANSPLANTATION, IN -VITRO SENSITIVITY DATA AND CLINICAL RESPONSE TO EMPIRICAL ANTIBIOTIC THERAPY Ansari SH, Nasim S, Ahmed A, Irfan M, Ishaque A, Farzana T, Panjwani VK, Taj M and Shamsi TS ABSTRACT Objective: To find the in-vitro sensitivity data and clinical response in order to determine the changes required in empiric a
Oral ketamine/midazolam is superior to intramuscular meperidine, promethazine, and chlorpromazine for pediatric cardiac catheterization. Authors:Auden SM, Sobczcyk WL, Solinger RE, Goldsmith, LJ Anesthesia & Analgesia . 90(2):299-305, 2000 Feb. Reviewer(s): Joseph P. Cravero, MD, Dartmouth-Hithcock Medical Center Abstract: An IM combination of meperidine, promethazine, and c