tailieunhanh - Ebook Clinical methods in dental office: Part 2

Part 2 book “Clinical methods in dental office” has contents: Guidelines for management of medically compromised patients in dental office, management of medical emergencie, checklist for recording patient’s data, therapeutics. | 7 Therapeutics Commonly Used Drugs in Dentistry Drug Comments Aspirin Mild analgesic: Not usually termed as NSAID. Management of pain with significant inflammatory component, musculoskeletal pain, headache, antipyretic, and in prophylaxis of cardiovascular disease (CVD) and myocardial infarction (MI) due to its antiplatelet actions Hepatotoxic in overdose or prolonged use. Causes aspirin burn, gastric ulcers, is uricosuric and can precipitate gout. It should not be prescribed to asthmatics, children <12 years of age, patients with uncontrolled hypertension and patients with disorders of hemostasis. Dose Analgesia and antipyretic 300–900 mg QID/TID Antiplatelet action 75–300 mg per day Drug Aceclofenac Comments Analgesic for moderate pain: NSAID Pain and inflammation associated with musculoskeletal disorders such as rheumatoid arthritis, osteoarthritis and ankylosing spondylitis. Postoperative pain Ibuprofen and aspirin should be avoided in these patients due to increase in unwanted effects, especially gastrointestinal (GI) ulceration, renal and liver damage. Dose 100 mg tablet OD Drug Diclofenac Comments Analgesic for moderate pain: NSAID Pain and inflammation associated with musculoskeletal disorders such as rheumatoid arthritis, osteoarthritis and ankylosing spondylitis. Postoperative pain Contraindicated in peptic ulcer, aspirin sensitivity and pregnancy. To be given with caution in elderly, renal, liver or cardiac disease Dose 120 25–75 mg up to twice daily 26-05-2016 12:35:21 Therapeutics  121 Drug Ibuprofen Comments Management of pain with significant inflammatory component, musculoskeletal pain, dysmenorrheal and antipyretic Contraindicated in peptic ulcer, aspirin sensitivity and asthmatics or patients with history of angioedema and urticaria or patients with hemorrhagic disorders. Dose Adults – g daily in divided doses Children 20–40 mg/kg Drug Paracetamol Comments Mild-to-moderate pain and as .