Use of medicines in clinical dentistry Flashcards
What 2 drugs do many drugs interfere with?
warfarin and statin
What do systemic antifungals cause problems with?
statins
What drugs interfere with warfarin?
all drugs possible
What are 5 categories which dentists will prescribe?
antibiotics
antifungals
antivirals
analgesics
hypnotics
What are examples of topical antifungals?
nystatin
miconazole
What are examples of systemic antifungals?
fluconazole
itraconazole
What can miconazole be combined with to give increased anti-inflammatory action?
hydrocortisone
What are examples of antivirals?
aciclovir
penciclovir
How would you apply aciclovir?
topical cream or systemic
How would you apply penciclovir?
cream
What is a compound form of paracetamol?
co-codamol
paracetamol and codiene
What is an analgesic drug?
painkiller
What is the anti-inflammatory effect of paracetamol?
little, more of a pain killer
What are NSAIDs?
non-steroidal anti-inflammatory drugs
What is the role of NSAIDs?
relieve pain, reduce inflammation and bring down high temp
What are examples of NSAIDs?
ibuprofen
naproxen
aspirin
What is teh action of NSAIDs?
inhibit prostaglandin synthesis
Can NSAIDs be taken before a procedure?
yes, e.g. tooth removal before will reduce pain after
When should NSAIDs never be used?
patients with renal disease
What do the analgesics act upon?
COX-1 / COX-2
What drugs inhibit inflammatory effects of COX-1?
aspirin
ibuprofen
diclofenac
What is less problematic, aspirin or ibuprofen?
ibuprofen
What is the dose of ibuprofen daily?
200-600mg three times daily
What is more potent, ibuprofen or diclofenac?
diclofenac
Can diclofenac be bought over the counter?
no, only prescription
What are some side effects of diclofenac?
higher incidence of gastric bleeding
higher incidence of asthma triggering
allergic reactions (rash)
what is the daily dose of diclofenac?
50mg three times daily
What are hypnotics and anxiolytics?
sleep and anxiety medication
What is a common hypnotics and anxiolytics?
diazepam
What are examples of topical antiseptics?
chlorohexidene
hydrogen peroxide
What is an example of a topical analgesic?
benzamine mouthwash or spray
lidocaine spray/ointment
How would you apply lidocaine?
spray/ ointment
How would you treat oral mucosal ulceration?
topical immunomodulators or topical analgesics
What is an example of a topical immunomodulator? (for oral ulcers)
beclometasone inhaler or rinse
hydrocortisone pellets
doxycycline dispersible tablets
When would you prescribe a topical immunomodulator?
for mouth ulcers
What are examples of topical analgesics for oral mucosal ulcerations?
benzamine mouthwash or spray
lidocaine spray/ointment
How would you manage a dry mouth?
saliva orthana - spray or lozenges
Bioextra gel
saliva stimulating tablets (SST)
sodium fluoride toothpaste/mouthwash
–> usually small frequent sips of water is most effective
What is a superbug infection?
MRSA, resistant bacteria take over
How many antibiotics can dentist prescribe?
13
What are common antibiotics which dentists prescribe?
penicillin
amoxycillin
erythromycin
doxycycline
metronidazole
