Medicines and Therapeutics in Oral Med Flashcards
how can medicines be classified?
- general sales
- pharmacy medicines
- prescription only medicines
- controlled drugs
- medical devices
What are examples of ‘licensed’ drugs used in oral medicine?
- Aciclovir (antiviral)
- Miconazole (antifungal)
- Fluconazole (antifungal)
- Nystatin (antifungal)
What is Aciclovir used for in oral medicine?
Used to treat:
- primary herpetic gingivostomatitis
- recurrent herpetic lesions
- shingles (recurrent herpes zoster)
What are antifungals used for in oral medicine? (e.g miconazole, fluconazole, nystatin)
Used to treat:
- acute pseudomembranous candidiasis
- acute erythematous candidiasis
What are examples of unlicensed drugs used in oral medicine?
Topical steroids!
- Betamethasone mouthwash
What unlicensed drugs can be used to treat aphthous ulcers and lichen planus?
- betamethasone mouthwash
- beclomethasone metered dose inhaler
What is a ‘Medical Device’ as defined by WHO in relation to artificial salivas?
Artificial saliva is used to TREAT or ALLEVIATE A DISEASE by REPLACEMENT of a PHYSIOLOGICAL PROCESS
What are examples of artificial salivas?
- Biotene Oral Balance
- Glandosane
- Salivix Pastilles
- Saliva Orthana
What are examples of medicines that may be seen in oral medicine specialist practises WHICH ARE NOT ABLE TO BE PRESCRIBED IN PRIMARY DENTAL CARE?
- Tricyclic Antidepressants
- Gabapentin/Pregabalin
- Azathioprine
What type of drugs are amitriptyline and nortriptyline?
tricyclic antidepressants
What are Hydroxychloroquine and Colchicine used to treat? What type of drugs are these?
Immune modulating drugs
- used to treat inflammatory and immunological mucosal conditions
What are Azathioprine and Mycophenalate used to treat? What type of drugs are these?
Immunosuppresant drugs
- used to treat inflammatory and immunological mucosal conditions
What needs to be considered when prescribing medications in oral medicine?
- clinical indication
- licenced or unlicensed medicine use
- dose & route of administration
- important warnings and cautions
- treatment duration and monitoring
What information MUST BE ON the drug prescription?
- Patients name, address, age (under 18)
- Patient identifier (CHI, DoB)
- Number of days of treatment
- Drug to be prescribed
- Drug formulation and dosage
- Instructions on quantity to be dispensed
- Instructions to be given to patient
- Signed (identifier of prescriber)
How long do prescriptions stay valid?
Stay valid for SIX MONTHS from date issued
