Drugs Flashcards
What are some common proton pump inhibitors?
Omeprazole and Lansoprazole.
What do proton pump inhibitors do?
Decrease acid secretion in the stomach.
What are some common statins?
Simvastatin and Atorvastatin.
What do statins do?
Reduce cholesterol.
What is an example of a Beta 2 antagonist?
Salbutamol
What do citalopram and fluoxetine do?
Increase serotonin levels.
What are clinical considerations for citalopram and flluoxetine?
Can cause dry mouth.
What are some sodium channel blockers?
Phenytoin and carbamazepine.
What do sodium channel blockers do?
Reduce seizures.
What are clinical considerations with phenytoin?
Known to cause gingival hyperplasia.
What does metformin do?
Decreases blood sugar levels.
What are the clinical considerations for metformin?
Periodontitis is higher in those with diabetes, make the patient aware of good glycaemic control.
What is Warfarin?
It prevents blood clot formation.
What are the clinical considerations for patients on Warfarin?
A patients INR MUST be below 4 and should be checked no more than 72 hours before treatment.
Avoid metronidazole and azole antifungals.
Avoids NSAIDs
What are some examples of oral antiplatelet drugs?
Aspirin and clopidogrel.
What do antiplatelets do?
Reduces the ability for blood clots to form.
What are clinical considerations for patients taking oral antiplatelets?
Prolonged bleeding.
No NSAIDs
Do not give erythromycin, carbamazapine or fluconazole.
What are some examples of bisphosphonates?
Denusomab and alendronic acid.
What are clinical consideration for patients on bisphosphonates?
Related to medication related osteonecrosis (MRONJ).
What drugs cause gingival hyperplasia?
Phenytoin
Cyclosporine
Nifedipine
Amlodipine
Sodium Valproate
How do you manage a patient on warfarin?
INR checked 72 hours before in a stable patient.
INR below 4
NO NSAIDs
Delay any non-urgent procedures
See at the beginning of the day
Multiple surgery visits
Antibiotics can increase INR
Refer to primary care if liver impairment
LA with vasoconstrictor
Haemostatic agent
