Meds 21-32 Flashcards

1
Q

What is the Omeprazole drug category?

A

Gastric Acid Secretion Inhibitor

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2
Q

What are the oral implications of Prilosec?

A

Xerostomia
Taste perversion
Mucosal atrophy of the tongue

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3
Q

What is the generic name of Prilosec?

A

Omeprazole

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4
Q

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?

A

Omeprazole

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5
Q

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?

A

Trazodone

Used to treat depression

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6
Q

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

A

Xerostomia that is relieved with drug discontinuation

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7
Q

What are other side effects of Trazodone other than xerostomia?

A

Dizziness, headache

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8
Q

What disease/disorder would Valsartan treat?

A

Hypertension

Heart failure

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9
Q

What is the drug category of Diovan?

A

Diovan = Valsartan

Angiotensin 2 receptor antagonist

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10
Q

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

A

Side effects: various

Oral implications: none

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11
Q

True or False:

Ultram is a opoid-derived analgesic.

A

FALSE

Ultram = Tramadol is a non-opoid analgesic.

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12
Q

What is Tramadol used for?

A

Moderate-severe pain relief

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13
Q

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

A
Oral: Xerostomia (relieved with drug discontinuation)
Flushing
Dizziness
Vomiting
Seizures
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14
Q

What type of drug is Cymbalta?

A

An anti-depressant, anti-anxiety

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15
Q

What is the generic name of Cymbalta?

A

Duloxetine

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16
Q

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

A

Duloxetine

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17
Q

What drugs (within 21-32) cause xerostomia?

A
Duloxetine
Omeprazole
Oxycodone + Acetaminophen
Trazodone
Tramadol
Promethazine
Aprazolam
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18
Q

What are signs of a Warfarin overdose?

A

Bleeding from gingival tissues

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19
Q

What is Warfarin used for?

A

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

20
Q

What is the drug category of Coumadin?

A

Anticoagulant

21
Q

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

A

Bleeding
Hemorrhage
Angina
Dizziness

22
Q

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

A

Mouth ulcers

Taste disturbance

23
Q

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

A

Amlodipine

Calcium Channel Blocker

24
Q

What diseases/disorders is Amlodipine used to treat?

A

Hypertension

Symptomatic stable angine

25
Q

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

A

Gingival hyperplasia that resolves with the discontinuation of the drug

26
Q

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

A

Peripheral edema

27
Q

What is the brand name of Oxycodone+Acetaminophen?

A

Percocet

28
Q

What type of drug is Percocet?

A

Opioid analgesic

29
Q

What components of Percocet determines the initial dose?

A

Oxycodone content

Acetaminophen determines maximum daily dose

30
Q

True or false:

Percocet is recommended when treating chronic moderate-severe pain.

A

FALSE

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

31
Q

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

A

Nausea
Sedation
Constipation
Xerostomia

32
Q

True or False:

Percocet may be contraindicated in patients with alcoholic liver disease

A

TRUE, because of acetaminophen componenet

33
Q

What drug is an anti-psychotic?

A

Quetiapine

34
Q

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

A

Quetiapine

Anti-psychotic

35
Q

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

A

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

36
Q

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

A

Generic: Promethazine
Brand: Phenergan

37
Q

What are possible side effects of Promethazine?

A

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

38
Q

What is the drug category of Promethazine?

A

Anti-histamine H1-receptor agonist

39
Q

What type of drug is synthetic corticosteriod?

A

Fluticasone

40
Q

What is the brand name of Fluticasone?

A

Flonase

41
Q

Why would a patient be taking Flonase?

A

Nasal spay:

nasal symptoms for allergic/non-allergic rhintis, oral inhalation, asthma control maintenance

42
Q

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

A

Headache, upper respiratory infection, throat irritation

Opportunistic yeast infection for mouth breathers (not due to medication)

43
Q

Xanax is what type of drug?

A

Benzodiazepine

44
Q

What is the brand name of Alprazolam?

A

Xanax

45
Q

What is Alprazolam used to treat?

A

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

46
Q

What are the side effects of Alprazolam?

A
CNS effects:
Drowsiness
Fatigue
Cognitive disorder
Changes in appetite
Constipation
47
Q

What are the oral implications of Alprazolam?

A

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