3: C

C

Drug Class:

Dopamine agonist; antihyperprolactinemic

Serious Reactions

Dental Considerations

Drug Class:

Synthetic polypeptide calcitonins

Indications and Dosages

Drug Class:

Fat-soluble vitamin, vitamin D analogue

Indications and Dosages

Serious Reactions

Dental Considerations

Drug Class:

Angiotensin II (AT1) receptor antagonist, antihypertensive

Serious Reactions

Dental Considerations

Drug Class:

Antineoplastic

Serious Reactions

Dental Considerations

General:

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

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

• Patients taking opioids for acute or chronic pain should be given alternative analgesics for dental pain.

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

• Consider semisupine chair position for patient comfort if GI side effects occur.

• Question patient about tolerance of NSAIDs or aspirin related to GI side effects of drug.

• Consider local hemostasis measures to control and prevent excessive bleeding.

• Examine for oral manifestation of opportunistic infection.

• Be aware of oral side effects and potential sequelae.

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

• Avoid dental light in patient’s eyes; offer dark glasses for patient comfort.

• Prophylactic or therapeutic antibiotics may be indicated to prevent or treat infection if surgery or periodontal debridement is required.

caprylidene

ka-pril′-e-dene

(Axona)

Drug Class:

Nutritionals, medical food

Drug Class:

Topical analgesic

Drug Class:

Angiotensin-converting enzyme (ACE) inhibitor

Indications and Dosages

Serious Reactions

Dental Considerations

General:

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

• Observe appropriate limitations of vasoconstrictor doses.

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

• 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 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:

Antiglaucoma agent, ophthalmic; Antihypertensive agent, ocular, postsurgical; Miotic

Jan 5, 2015 | Posted by in General Dentistry | Comments Off on 3: C
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