18: S

S

Drug Class:

Long-acting selective β2-adrenergic receptor agonist

Dental Considerations

Drug Class:

Salicylate, non-opioid analgesic

Dental Considerations

General:

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

• Potential cross-allergies with other salicylates such as aspirin.

• Consider semisupine chair position for patients with inflammatory joint diseases.

• Avoid prescribing aspirin-containing products because this drug is a salicylate.

• If used for dental patients, take with food or milk to decrease GI complaints; give 30 min before meals or 2 hr after meals; take with a full glass of water.

• Severe stomach bleeding may occur in patients who regularly use NSAIDs in recommended doses, when the patient is also taking another NSAID, a blood thinning, or steroid drug, if the patient has GI or peptic ulcer disease, if they are 60 yr or older, or when NSAIDs are taken longer than directed. Warn patients of the potential for severe stomach bleeding.

Drug Class:

Synthetic enzyme cofactor

Dental Considerations

Drug Class:

Antiviral

Dental Considerations

Drug Class:

Chemotherapeutic

Dental Considerations

General:

• Caution: graft patients or myelosuppressed patients may be at high risk for infection.

• Provide palliative care for dental emergencies only.

• Oral infections should be eliminated and/or treated aggressively.

• If additional analgesia is required for dental pain, consider alternative analgesics (NSAIDs) in patients taking narcotics for acute or chronic pain.

• Monitor and record vital signs.

• Avoid products that affect platelet function, such as aspirin and NSAIDs.

• Patient on chronic drug therapy may rarely present with symptoms of blood dyscrasias, which can include infection, bleeding, and poor healing. If dyscrasia is present, caution patient to prevent oral tissue trauma when using oral hygiene aids.

• Examine for oral manifestation of opportunistic infection.

• Palliative medication may be required for management of oral side effects.

Drug Class:

Antidiabetic agent, Dipeptidyl peptidase 4 inhibitors

Dental Considerations

Drug Class:

Antiemetic, anticholinergic

Drug Class:

Sedative-hypnotic barbiturate

Dental Considerations

General:

• Determine why the patient is taking the drug.

• Monitor vital signs at every appointment because of cardiovascular side effects. Evaluate respiration characteristics and rate.

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

• When used for sedation in dentistry:

• Barbiturates induce liver microsomal enzymes, which alter the metabolism of other drugs.

• Geriatric patients are more susceptible to drug effects; use a lower dose.

Drug Class:

Antiparkinson agent

Dental Considerations

Drug Class:

Antidepressant

Indications And Dosages

Dental Considerations

Drug Class:

Chelating agent

Dental Considerations

Teach Patient/Family to:

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Jan 5, 2015 | Posted by in General Dentistry | Comments Off on 18: S
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