the top 20 drugs your dental patient is taking: drug interactions and oral manifestations
DESCRIPTION
The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations. Ronald S. Brown, DDS, MS. The Top Twenty Prescriptions. Rxlist.com/top200.htm 2002 drugs New & Refill. #1, #1 - #4 Hydroxycodone/APAP #3. Oral narcotic analgesic abuse potential. - PowerPoint PPT PresentationTRANSCRIPT
The Top 20 Drugs Your Dental Patient is Taking:
Drug Interactions and Oral Manifestations
Ronald S. Brown, DDS, MS
The Top Twenty Prescriptions
Rxlist.com/top200.htm2002 drugsNew & Refill
#1, #1 - #4 Hydroxycodone/APAP #3
Oral narcotic analgesic abuse potential
#2, #2 - #8 Lipitor #62
atorvastatin cholesterol lowering agent
#3 Atenalol, #4, #5
Previous brand name Tenormin Beta blocker – selective B1 Negative on lipid profile
#4, #5, #4 - #2 Synthroid #3
Levothyroxine Na Thyroxin replacement drug
#5, #3, #3 - #2 Premarin #1
Conjugated estrogen hormone replacement breast and ovarian cancer vs.
osteoporosis
#6, #7, #19 - #7 Zithromax #9
Azithromycin antibiotic new generation erythromycin less drug interactions
#7, #8 Furosemide
Furosemide Diuretic (very potent) Dry mouth
#8, #9, #14 - #15 Amoxicillin #33
Broad spectrum antibiotic Good penetration Gram positive organisms
#9, #10, #9 - #9 Norvasc #10
Amlodipine besylate Long-acting calcium channel
blocking agent drug-induced gingival
overgrowth/hyperplasia
#10, #14, #17 Hydrochlorothiazide
HCTZ Diuretic Decreases lipid profile K+ loss Dry mouth
#11, #11, #10 Alprazolam
Alprazolam/Xanax (one of the brand names)
Sedative-hypnotic Benzodiazepine class of drugs Anti-anxiety
#12, #12, #8 - #13 Albuterol Aerosol #18
Albuterol (Ventolin) B2 receptor agonist Asthma medication
#13, #16, #18 - #12 Zoloft #11
Sertraline 5HT re-uptake inhibitor Dry mouth
#14, #17 Paxil
Paroxetine 5HT reuptake inhibitor Antidepressant Dry mouth
#15, Zocor
Simvastatin Cholesterol lowering
#16, Prevacid
Lansoprazole H1 blocker GERD
#17, #20, #21 Ibuprofen
NSAID Analgesic, antipyretic GI problems, ulcers Increased bleeding Drug interactions Asthma
#18, #18 Triamterene/HCTZ
Diuretic Combination HCTZ and K+ sparing Dry mouth
#19, #13 - #20 Cephlexin #27
Cephlosporin Staph activity Cross-reacts - allergy with
penicillin – 5 -15%
#20 Celebrex
Celecoxib Selective Nsaid\Cox II inhibitor Analgesia