Medications

Question 1

What does fluconazole and miconazole interact with?

Answer 1

Statins and warfarin

Question 2

What artificial saliva would you not prescribe to a dentate patient?

Answer 2

Glandosane Aerosol spray

Question 3

What is the medications given for IE prophylaxis?

Answer 3

Adults 3g amoxicillin 1 hour prior OR
600mg clindamycin

Question 4

Who are the patients at increased risk for IE?

Answer 4

Any prosthetic valve
Patients with previous infective endocarditis
Congenital heart diseases- cyanotic CHD and any type of CHD replaced with prosthetic material

Question 5

What points would you raise with a patient when discussing infective endocarditis risk?

Answer 5

There is a very small risk of developing infective endocarditis following an invasive dental procedure
Explain that infective endocarditis is an infection of the lining of the heart, often involving the heart valves, caused mainly by bacteria which enter the blood from outside the body
Explain that every day activities such as toothbrushing can also cause transient bacteraemias and stress the importance of good oral hygiene