9: I

I

Drug Class:

Bisphosphonate; calcium regulator

Dental Considerations

Drug Class:

Nonsteroidal antiinflammatory

Dental Considerations

ibuprofen + famotidine

eye-byoo-proe′-fen & fa-moe′-ti-deen

(Duexis)

Drug Class:

Nonsteroidal antiinflammatory drug (NSAID), histamine H2 antagonist

Dental Considerations

Drug Class:

Antidysrhythmic

Drug Class:

Anthracycline antibiotic; antineoplastic

Dental Considerations

Drug Class:

Enzyme

Drug Class:

Alkylating agent; antineoplastic

Dental Considerations

General:

• Determine why patient is taking the drug.

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

• Examine for oral manifestation of opportunistic infection.

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

• This drug may be used in the hospital or on an outpatient basis. Confirm the patient’s disease and treatment status.

• Chlorhexidine mouth rinse prior to and during chemotherapy may reduce severity of mucositis.

• 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.

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

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

• Patients may be at risk of bleeding; check for oral signs.

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

Jan 5, 2015 | Posted by in General Dentistry | Comments Off on 9: I
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