![Page 1: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/1.jpg)
The Top 20 Drugs Your Dental Patient is Taking:
Drug Interactions and Oral Manifestations
Ronald S. Brown, DDS, MS
![Page 2: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/2.jpg)
The Top Twenty Prescriptions
Rxlist.com/top200.htm2002 drugsNew & Refill
![Page 3: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/3.jpg)
#1, #1 - #4 Hydroxycodone/APAP #3
Oral narcotic analgesic abuse potential
![Page 4: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/4.jpg)
#2, #2 - #8 Lipitor #62
atorvastatin cholesterol lowering agent
![Page 5: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/5.jpg)
#3 Atenalol, #4, #5
Previous brand name Tenormin Beta blocker – selective B1 Negative on lipid profile
![Page 6: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/6.jpg)
#4, #5, #4 - #2 Synthroid #3
Levothyroxine Na Thyroxin replacement drug
![Page 7: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/7.jpg)
#5, #3, #3 - #2 Premarin #1
Conjugated estrogen hormone replacement breast and ovarian cancer vs.
osteoporosis
![Page 8: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/8.jpg)
#6, #7, #19 - #7 Zithromax #9
Azithromycin antibiotic new generation erythromycin less drug interactions
![Page 9: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/9.jpg)
#7, #8 Furosemide
Furosemide Diuretic (very potent) Dry mouth
![Page 10: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/10.jpg)
#8, #9, #14 - #15 Amoxicillin #33
Broad spectrum antibiotic Good penetration Gram positive organisms
![Page 11: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/11.jpg)
#9, #10, #9 - #9 Norvasc #10
Amlodipine besylate Long-acting calcium channel
blocking agent drug-induced gingival
overgrowth/hyperplasia
![Page 12: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/12.jpg)
#10, #14, #17 Hydrochlorothiazide
HCTZ Diuretic Decreases lipid profile K+ loss Dry mouth
![Page 13: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/13.jpg)
#11, #11, #10 Alprazolam
Alprazolam/Xanax (one of the brand names)
Sedative-hypnotic Benzodiazepine class of drugs Anti-anxiety
![Page 14: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/14.jpg)
#12, #12, #8 - #13 Albuterol Aerosol #18
Albuterol (Ventolin) B2 receptor agonist Asthma medication
![Page 15: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/15.jpg)
#13, #16, #18 - #12 Zoloft #11
Sertraline 5HT re-uptake inhibitor Dry mouth
![Page 16: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/16.jpg)
#14, #17 Paxil
Paroxetine 5HT reuptake inhibitor Antidepressant Dry mouth
![Page 17: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/17.jpg)
#15, Zocor
Simvastatin Cholesterol lowering
![Page 18: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/18.jpg)
#16, Prevacid
Lansoprazole H1 blocker GERD
![Page 19: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/19.jpg)
#17, #20, #21 Ibuprofen
NSAID Analgesic, antipyretic GI problems, ulcers Increased bleeding Drug interactions Asthma
![Page 20: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/20.jpg)
#18, #18 Triamterene/HCTZ
Diuretic Combination HCTZ and K+ sparing Dry mouth
![Page 21: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/21.jpg)
#19, #13 - #20 Cephlexin #27
Cephlosporin Staph activity Cross-reacts - allergy with
penicillin – 5 -15%
![Page 22: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/22.jpg)
#20 Celebrex
Celecoxib Selective Nsaid\Cox II inhibitor Analgesia
![Page 23: The Top 20 Drugs Your Dental Patient is Taking: Drug Interactions and Oral Manifestations Ronald S. Brown, DDS, MS](https://reader030.vdocument.in/reader030/viewer/2022032607/56649ec55503460f94bcfb9f/html5/thumbnails/23.jpg)