Meds 21-32

Question 1

What is the Omeprazole drug category?

Answer 1

Gastric Acid Secretion Inhibitor

Question 2

What are the oral implications of Prilosec?

Answer 2

Xerostomia
Taste perversion
Mucosal atrophy of the tongue

Question 3

What is the generic name of Prilosec?

Answer 3

Omeprazole

Question 4

A patient reports that he is taking a medication for his gastroesophageal reflux disease and ulcers, but he can’t remember the name. What is a possible drug that would treat these disorders?

Answer 4

Omeprazole

Question 5

You see that Desyrel is listed on a patient’s medical history form. What is the generic name of this drug, and what is it used to treat?

Answer 5

Trazodone

Used to treat depression

Question 6

Like most anti-depressants, what is the oral implication of Trazodone?

Answer 6

Xerostomia that is relieved with drug discontinuation

Question 7

What are other side effects of Trazodone other than xerostomia?

Answer 7

Dizziness, headache

Question 8

What disease/disorder would Valsartan treat?

Answer 8

Hypertension

Heart failure

Question 9

What is the drug category of Diovan?

Answer 9

Diovan = Valsartan

Angiotensin 2 receptor antagonist

Question 10

What are the side effects and/or oral implications of Valsartan?

Answer 10

Side effects: various

Oral implications: none

Question 11

True or False:

Ultram is a opoid-derived analgesic.

Answer 11

FALSE

Ultram = Tramadol is a non-opoid analgesic.

Question 12

What is Tramadol used for?

Answer 12

Moderate-severe pain relief

Question 13

If a patient reports that she is taking Tramadol, what side effects should you watch out for?

Answer 13

Oral: Xerostomia (relieved with drug discontinuation)
Flushing
Dizziness
Vomiting
Seizures

Question 14

What type of drug is Cymbalta?

Answer 14

An anti-depressant, anti-anxiety

Question 15

What is the generic name of Cymbalta?

Answer 15

Duloxetine

Question 16

What drug would treat major depressive disorder, anxiety and neuropathy?

Answer 16

Duloxetine

Question 17

What drugs (within 21-32) cause xerostomia?

Answer 17

Duloxetine
Omeprazole
Oxycodone + Acetaminophen
Trazodone
Tramadol
Promethazine
Aprazolam

Question 18

What are signs of a Warfarin overdose?

Answer 18

Bleeding from gingival tissues

Question 19

What is Warfarin used for?

Answer 19

Prophylaxis and treatment of venous thrombosis, pulmonary embolism and thrombotic disorders

Question 20

What is the drug category of Coumadin?

Answer 20

Anticoagulant

Question 21

Coumadin is used to treat thrombotic disorders. However, there are associated side effects such as….?

Answer 21

Bleeding
Hemorrhage
Angina
Dizziness

Question 22

On top of increased bleeding, what are the oral implications of Warfarin?

Answer 22

Mouth ulcers

Taste disturbance

Question 23

A patient reports that he is taking Norvasc. What is the generic name of this drug and what type of drug is it?

Answer 23

Amlodipine

Calcium Channel Blocker

Question 24

What diseases/disorders is Amlodipine used to treat?

Answer 24

Hypertension

Symptomatic stable angine

Question 25

Most calcium-channel blockers are known to cause what oral implication?

Answer 25

Gingival hyperplasia that resolves with the discontinuation of the drug

Question 26

In addition to gingival overgrowth, what other side effects is Norvac known to have?

Answer 26

Peripheral edema

Question 27

What is the brand name of Oxycodone+Acetaminophen?

Answer 27

Percocet

Question 28

What type of drug is Percocet?

Answer 28

Opioid analgesic

Question 29

What components of Percocet determines the initial dose?

Answer 29

Oxycodone content | Acetaminophen determines maximum daily dose

Question 30

True or false: | Percocet is recommended when treating chronic moderate-severe pain.

Answer 30

FALSE | Recommended for limited acute dosing (3 days or less) because of addictive ability

Question 31

What side effects should you watch out for in a patient taking Oxycodone+Acetaminophen?

Answer 31

Nausea Sedation Constipation Xerostomia

Question 32

True or False: | Percocet may be contraindicated in patients with alcoholic liver disease

Answer 32

TRUE, because of acetaminophen componenet

Question 33

What drug is an anti-psychotic?

Answer 33

Quetiapine

Question 34

A patient reports taking Seroquel. What is the generic name and the drug category of this medication?

Answer 34

Quetiapine Anti-psychotic

Question 35

What are the dental implications in caring for a patient taking Quetiapine?

Answer 35

Orthostatic hypertension Prolonged QT interval - be careful with vasocontrictive anesthetic Repetitive oral movements Tardive dykenesia

Question 36

What anti-histamine H1-receptor agonist is used for motion sickness, rhinitis, sedation or nausea?

Answer 36

Generic: Promethazine Brand: Phenergan

Question 37

What are possible side effects of Promethazine?

Answer 37

Xerostomia Repetitive oral movements Tardive dyskinesia (involuntary movements of the tongue, lips, face, trunk, and extremities) Extrapyramidal reactions

Question 38

What is the drug category of Promethazine?

Answer 38

Anti-histamine H1-receptor agonist

Question 39

What type of drug is synthetic corticosteriod?

Answer 39

Fluticasone

Question 40

What is the brand name of Fluticasone?

Answer 40

Flonase

Question 41

Why would a patient be taking Flonase?

Answer 41

Nasal spay: | nasal symptoms for allergic/non-allergic rhintis, oral inhalation, asthma control maintenance

Question 42

A patient listed Fluticasone in their medication list. What side effects and oral implications should you watch out for?

Answer 42

Headache, upper respiratory infection, throat irritation Opportunistic yeast infection for mouth breathers (not due to medication)

Question 43

Xanax is what type of drug?

Answer 43

Benzodiazepine

Question 44

What is the brand name of Alprazolam?

Answer 44

Xanax

Question 45

What is Alprazolam used to treat?

Answer 45

Anxiety disorders Panic disorders Depression Sedation for dental procedures prior to treatment

Question 46

What are the side effects of Alprazolam?

Answer 46

``` CNS effects: Drowsiness Fatigue Cognitive disorder Changes in appetite Constipation ```

Question 47

What are the oral implications of Alprazolam?

Answer 47

Xerostomia Address patient's dental anxiety Stress-related oral conditions --> mucosal disorders, temperomandibular dysfunction