Drugs which patients may already be taking Flashcards
1
Q
Antidepressants and dry mouth
A
- Antidepressants block the action of acetylcholine, one of its functions is to control the function of the GI tract
- Blocking acetylcholine reduces the proportion of mucus and saliva which causes dry mouth and eventually rampant caries
2
Q
Nitrates and headaches
A
- Nitrates are medicines used to prevent and relieve angina as they’re vasodilators
- The most common type is nitroglycerin - side effect is a headache
3
Q
Antihypertensives and postural hypotension
A
- Postural hypotension is when the BP falls when an upright position is assumed
- Symptoms are dizziness and confusion - can be age-related
4
Q
Opioids and addiction-related behaviour
A
- Long term opioid therapy can have a potential risk of developing opioid tolerance/addiction
- Heroin addicts often have poor dental health and a primary oral effect is dental decay
5
Q
What do people with diabetes face a higher risk of
A
- Dry mouth
- Gum inflammation
- Poor healing of oral tissues
- Thrush
6
Q
What may be the complications with a patient taking steroids
A
- Adrenal suppression caused by steroid therapy
- Disease or condition which required them to take steroids
7
Q
Beta blockers
A
They can reduce the metabolism of lidocaine (LA) - may leads to increased serum levels and toxicity of lidocaine
8
Q
Monoamine oxidase inhibiters
A
- First class of drugs to treat depression, they elevate norepherine and serotonin levels
- Can cause acute hypertensive crisis
9
Q
Warfarin and anti-platelet drugs
A
- Warfarin is an anticoagulant which inhibits synthesis of the vitamin k-dependant coagulation factors
10
Q
What is INR and what INR value is allowed for dental procedures
A
- INR - used determine the level of anticoagulation in patients taking blood thinners
- For patients with a value with less than 4, we can do normal procedures - must be measured 72 hours before
11
Q
Bisphosphonates
A
Prevent bone resorption in osteoporosis and bone cancer
