Top 10 Drugs

Question 1

1: Levothyroxine

Answer 1

Brand: Levoxyl, Synthroid
Cat: Thyroid hormone replacement
Use: treat hypothyroidism
SE: miscellaneous 
Oral: little or no impact; gland may be enlarged
Preg: A

Question 2

2: Hydrocodone and Acetaminophen

Answer 2

Brand: Vicodin
Cat: narcotic analgesic, semi-synthetic opioid
Use: moderate-severe pain relief (5-10mg)
SE: nausea, sedation, constipation, xerostomia
Oral: habit forming

Question 3

3: Amoxicillin

Answer 3

Brand: varies
Cat: penicillin type antibiotic
Use: treat bacterial infections (250-500mg q8h)
SE: long-term use may result in yeast infections, may make BC less effective
Oral: avoid if allergic to penicillin, used as prophylaxis for endocarditis or joint replacement
Preg: B

Question 4

4: Lisinopril

Answer 4

Brand: Prinivil, Zestril
Cat: antihypertensive, ACEi
Use: treat hypertension, CHF, prevent renal damage
SE: orthostatic effects
Oral: pt. should not get up quickly from dental chair
Preg: C (1st trim.), D (2nd-3rd)

Question 5

5: Esomeprazole

Answer 5

Brand: Nexium
Cat: gastric acid secretion inhibitor 
Use: GER disorder treatment
SE: xerostomia 
Oral: xerostomia 
Preg: C

Question 6

6: Atorvastatin

Answer 6

Brand: Lipitor
Cat: antihyperlipidemic (HMG0CoA reductase inhibitor)
Use: treat dyslipidemia or prevent atherosclerosis
SE: abdominal pain, diarrhea, indigestion, muscle cramps
Oral: little from drug itself but commonly seen in diabetics (increased risk periodontitis, xerostomia, oral yeast infections, infection)
Preg: X

Question 7

7: Simvastatin

Answer 7

Brand: Zocor
Cat: antihyperlipidemic
Use: treat dyslipidemia or prevent atherosclerosis
SE: abdominal pain, diarrhea, indigestion, muscle cramps
Oral: little from drug itself, but commonly seen in diabetics (increased risk for periodontitis, xoerstomia, oral yeast infections, infection)
Preg: X

Question 8

8: Clopidogrel

Answer 8

Brand: Plavix
Cat: antiplatelet agent
Use: reduces rate of stroke, MI
SE: abdominal pain, vomiting, dyspepsia, gastritis, rash, pruritus, bleeding
Oral: bleeding may require med consult prior to invasive treatment (but no evidence to discontinue prior to dental sx)
Preg: B

Question 9

9: Montelukast

Answer 9

Brand: Singulair 
Cat: leukotriene-receptor antagonist
Use: prophylaxis and treatment of asthma, allergic rhinitis
SE: headache, dizziness, fatigue
Oral: may cause dental pain
Preg: B

Question 10

10: Rosuvastatin

Answer 10

Brand: Crestor
Cat: antihyperlipidemic
Use: treat dyslipidemia or prevent atherosclerosis
SE: abdominal pain, diarrhea, indigestion, muscle cramps
Oral: little impact of drug but commonly seen in diabetics (increased risk periodontisis, xerostomia, oral yeast infections, infection)
Preg: X