drug prescribing Flashcards
appropriate regimen to aid anxiety management
1 x 5mg tablet diazepam 2 hours before procedure
pt will require an escort
local measures for treating dental abscess
if pus present - drain by extraction or via root canals
soft tissue swellings - incision and drainage
when should antibiotics be used in dental abscesses
signs of spreading infection, systemic involvement, local measures ineffective
first line antibiotic treatment for dental abscess
Phenoxymethylpenicillin 250mg, 2 tablets 4 x day for 5 days
If penicillin allergy - metronizadole, 400mg, 1 tablet 3x day for 5 days
second line antibiotics for dental abscess
clindamycin
150mg, 1 tab 4x day 5 days
local measures for ANUG and pericoronitis
ANUG - scaling and OHI
PeriC - irrigation and debridement
1st choice drug for treating ANUG and pericoronitis
metronizadole - 400mg tablets, 1 tablet 3 x day 3 days
what drugs does fluconazole/ miconazole (anti-fungal) interact with
warfarin
statins
local measures for treatment of denture stomatitis
- brush palate daily
- soak dentures in chlorhexidine mouthwash for 15mins 2 x day
- leave denture out as often as possible
appropriate treatment regimen for denture stomatitis
miconazole oromucosal gel 20mg/g
apply to fitting surface of denture 4 x day for 7 days
alternative to miconazole and fluconazole if contraindicated for fungal infections
nystatin oral suspension
treatment regimen for angular chellitis
miconazole cream 2%
apply to angles of mouth 2x daily
use for 10 days after lesions have healed
treatment of cold sores ( herpes labialis)
aciclovir cream 5% , apply to lesion every 4 hours, can be used for up to 10 days
treatment of trigeminal neuralgia
referral to oral med
carbamazepine 10 day regime
( 1 x 200mg tablet 2 x day)
order of treatment for treating ulceration
1 - salt mouthwash
2 - chlorhexidine mouthwash
3 - local analgesics
4 - topical corticosteroids
first and second line treatment of ulceration
first - salty mouthwash
second - chlorhexidine 0.2%, rinse for 1 min 2 x daily (or hydrogen peroxide 6%)
local analgesic treatment of ulcers
helpful to relieve pain whilst eating or sleeping - not for continuous use
benzydamine mouthwash 0.15%
lidocaine ointment 5%
topical corticosteroid treatment of ulceration
only to be used if mouthwashes and local analgesics not working
beclometasone inhaler - good for isolated and easy access lesions
beclomethasone mouthwash good for widespread lesions
local measures for treatment of dry mouth
frequent sips of cool drinks
suck pieces of ice
chew sugar free gum
what should patients who have a true salivary deficit be prescribed
topical fluoride e.g duraphat toothpaste in addition to saliva substitute/ saliva promoting meds
instruction if prescribing metronidazole
no alcohol for duration of treatment and for 48 hours after treatment complete
