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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)
-
GastroEsophageal 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 (Beta1 blocking agent)
-
Long-term use of NSAIDs (~ 3 weeks) may diminish
No. 15
ATENOLOL (generic)
Selective Beta Blocking Agent (Beta1 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 Beta1 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)
NonSteroidal Anti-Inflammatory Drug (NSAID)
COX1 & COX2 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)
-
GastroEsophageal 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

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