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BDS3 Human Disease > Use of medicines in clinical dentistry > Flashcards

Use of medicines in clinical dentistry Flashcards

1
Q

What 2 drugs do many drugs interfere with?

A

warfarin and statin

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2
Q

What do systemic antifungals cause problems with?

A

statins

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3
Q

What drugs interfere with warfarin?

A

all drugs possible

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4
Q

What are 5 categories which dentists will prescribe?

A

antibiotics
antifungals
antivirals
analgesics
hypnotics

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5
Q

What are examples of topical antifungals?

A

nystatin
miconazole

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6
Q

What are examples of systemic antifungals?

A

fluconazole
itraconazole

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7
Q

What can miconazole be combined with to give increased anti-inflammatory action?

A

hydrocortisone

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8
Q

What are examples of antivirals?

A

aciclovir
penciclovir

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9
Q

How would you apply aciclovir?

A

topical cream or systemic

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10
Q

How would you apply penciclovir?

A

cream

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11
Q

What is a compound form of paracetamol?

A

co-codamol

paracetamol and codiene

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12
Q

What is an analgesic drug?

A

painkiller

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13
Q

What is the anti-inflammatory effect of paracetamol?

A

little, more of a pain killer

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14
Q

What are NSAIDs?

A

non-steroidal anti-inflammatory drugs

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15
Q

What is the role of NSAIDs?

A

relieve pain, reduce inflammation and bring down high temp

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16
Q

What are examples of NSAIDs?

A

ibuprofen
naproxen
aspirin

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17
Q

What is teh action of NSAIDs?

A

inhibit prostaglandin synthesis

18
Q

Can NSAIDs be taken before a procedure?

A

yes, e.g. tooth removal before will reduce pain after

19
Q

When should NSAIDs never be used?

A

patients with renal disease

20
Q

What do the analgesics act upon?

A

COX-1 / COX-2

21
Q

What drugs inhibit inflammatory effects of COX-1?

A

aspirin

ibuprofen

diclofenac

22
Q

What is less problematic, aspirin or ibuprofen?

A

ibuprofen

23
Q

What is the dose of ibuprofen daily?

A

200-600mg three times daily

24
Q

What is more potent, ibuprofen or diclofenac?

A

diclofenac

25
Q

Can diclofenac be bought over the counter?

A

no, only prescription

26
Q

What are some side effects of diclofenac?

A

higher incidence of gastric bleeding

higher incidence of asthma triggering

allergic reactions (rash)

27
Q

what is the daily dose of diclofenac?

A

50mg three times daily

28
Q

What are hypnotics and anxiolytics?

A

sleep and anxiety medication

29
Q

What is a common hypnotics and anxiolytics?

A

diazepam

30
Q

What are examples of topical antiseptics?

A

chlorohexidene

hydrogen peroxide

31
Q

What is an example of a topical analgesic?

A

benzamine mouthwash or spray

lidocaine spray/ointment

32
Q

How would you apply lidocaine?

A

spray/ ointment

33
Q

How would you treat oral mucosal ulceration?

A

topical immunomodulators or topical analgesics

34
Q

What is an example of a topical immunomodulator? (for oral ulcers)

A

beclometasone inhaler or rinse

hydrocortisone pellets

doxycycline dispersible tablets

35
Q

When would you prescribe a topical immunomodulator?

A

for mouth ulcers

36
Q

What are examples of topical analgesics for oral mucosal ulcerations?

A

benzamine mouthwash or spray

lidocaine spray/ointment

37
Q

How would you manage a dry mouth?

A

saliva orthana - spray or lozenges

Bioextra gel

saliva stimulating tablets (SST)

sodium fluoride toothpaste/mouthwash

–> usually small frequent sips of water is most effective

38
Q

What is a superbug infection?

A

MRSA, resistant bacteria take over

39
Q

How many antibiotics can dentist prescribe?

A

13

40
Q

What are common antibiotics which dentists prescribe?

A

penicillin
amoxycillin
erythromycin
doxycycline
metronidazole

BDS3 Human Disease (33 decks)

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