Drugs 21-32

Question 1

21. Omeprazole

Answer 1

Brand: Prilosec
Cat: GA secretion inhibitor
Use: treat GERD, ulcers
SE: xerostomia
Oral: taste perversion, xerostomia, mucosal atrophy of tongue

Question 2

22. Trazodone

Answer 2

Brand: Desyrel
Cat: antidepressant
Use: treat depression
SE: xerostomia, dizziness, headache, other
Oral: xerostomia

Question 3

23. Valsartan

Answer 3

Brand: Diovan
Cat: Angiotensin II receptor antagonist
Use: treat HTN, heart failure
SE: various
Oral: none reported

Question 4

24. Tramadol

Answer 4

Brand: Ultram
Cat: analgesic, non-opioid
Use: relieve moderate/severe pain
SE: flushing, dizziness, vomiting, seizures
Oral: xerostomia

Question 5

25. Duloxetine

Answer 5

Brand: Cymbalta
Cat: anti-anxiety/antidepressant
Use: treat major depressive disorder, anxiety, neuropathy
SE: xerostomia, various
Oral: xerostomia, may increase risk of bleeding

Question 6

26. Warfarin

Answer 6

Brand: Coumadin
Cat: anticoagulant
Use: prophylaxis and treatment of venous thrombosis, PE, thrombotic disorder
SE: bleeding, hemorrhage, angina, dizziness
Oral: mouth ulcers, taste disturbance; signs of overdose include bleeding from gingival tissue
*consult with physician prior to surgery

Question 7

27. Amlodipine

Answer 7

Brand: Norvasc
Cat: Calcium channel blocker
Use: treat HTN, symptomatic chronic angina
SE: peripheral edema 
Oral: may cause gingival hyperplasia

Question 8

28. Oxycodone and acetaminophen

Answer 8

Brand: Percocet
Cat: analgesic, opioid
Use: treat moderate/severe pain; recommended for limited acute (

Question 9

29. Quetiapine

Answer 9

Brand: Seroquel
Cat: anti-psychotic
Use: anti-psychotic
SE: orthostatic hypotension, tardive dyskinesia (repetitive oral movements), xerostomia
Oral: can prolong QT interval; use caution with vasoconstrictions in local anesthetic, repetitive oral movements
*consult with physician

Question 10

30. Promethazine

Answer 10

Brand: Phenergan
Cat: anti-histamine, H1 receptor agonist
Use: treat motion sickness, rhinitis, sedation, nausea
SE: xerostomia, tardive dyskinesia, extrapyramidal reactions
Oral: xerostomia, repetitive oral movements

Question 11

31. Fluticasone

Answer 11

Brand: Flonase
Cat: synthetic corticosteroid
Use: nasal spray - management of nasal symptoms of allergic/nonallergic rhinitis; oral inhalation - asthma control
SE: headache, upper respiratory infection, throat irritation
Oral: opportunistic yeast infection, mouth breather from congested upper airway

Question 12

32. Alprazolam

Answer 12

Brand: Xanax
Cat: benzodiazepine
Use: treat anxiety, panic, depression disorders; used for sedation for dental procedures prior to treatment
SE: CNS effects (drowsiness, fatigue, cognitive disorder, changes in appetite), constipation
Oral: xerostomia; address patient’s anxiety with open communication -> stress related oral conditions like mucosal disorders and TMD may be present