11: L

L

Drug Class:

Nonselective adrenergic β-blocker and selective α1-blocker; antihypertensive

Serious Reactions

Dental Considerations

General:

• Monitor vital signs at every appointment because of cardiovascular side effects.

• Patients on chronic drug therapy may rarely have symptoms of blood dyscrasias, which can include infection, bleeding, and poor healing.

• Assess salivary flow as a factor in caries, periodontal disease, and candidiasis.

• Limit dose of vasoconstrictors, or avoid use of vasoconstriction.

• After supine positioning, have patient sit upright for at least 2 min before standing to avoid orthostatic hypotension.

• Limit use of sodium-containing products, such as saline IV fluids, for patients with a dietary salt restriction.

• Stress from dental procedures may compromise cardiovascular function; determine patient risk.

• Short appointments and a stress-reduction protocol may be required for anxious patients.

Drug Class:

Anticonvulsant

Drug Class:

Antiviral, nucleoside analogue

Indications and Dosages

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image Dosage in Renal Impairment

Dosage and frequency are modified on the basis of creatinine clearance.

Creatinine Clearance Dosage
50 ml/min or higher 150 mg twice a day
30–49 ml/min 150 mg once a day
15–29 ml/min 150 mg first dose, then
100 mg once a day 5–14 ml/min
150 mg first dose, then 50 mg once a day
Less than 5 ml/min 50 mg first dose, then 25 mg once a day

Serious Reactions

Drug Class:

Antiepileptic

Indications and Dosages

Serious Reactions

Dental Considerations

Drug Class:

Somatostatin

Serious Reactions

Drug Class:

Antisecretory, proton pump inhibitor

Indications and Dosages

Jan 5, 2015 | Posted by in General Dentistry | Comments Off on 11: L
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