Special Regimens & Prescriptions
Prophylaxis regimen from the American Heart Association (AHA)
- For more information please go here.
Coumadin (Warfarin)Patients:
- Should schedule an appointment for consultation first then they may be asked to schedule an appointment for a PT/INR at their coumadin clinic two days prior to the procedure.
- They should give my business card to the clinic to FAX results (that day) to me. When results come in I am notified immediately.
- The patient will then be called by staff relaying the message from me whether to continue coumadin or not. Note: I do not routinely stop coumadin and I never completely reverse anticoagulation. Patients are usually treated with INR’s between 2.0 and 2.5.
IV Sedation Patients
- The patient must have nothing to eat or drink (NPO) for 6 hours.
- The patient must have an escort.
- Preoperative instructions for IV Sedation
Infection:
- Amoxicillin, Clindamycin, etc. (see pharmacy notes)
- Chorhexidine Rinse
Recurrent HSV: (Cold Sores)
- Penciclovir or zovirax cream (see pharmacy notes)
- Valtrex tabs (see pharmacy notes)
Burning Mouth/ Mucocitis:
(See pharmacy notes)
- Decadron Elixir
- Nystatin Oral Solution
- Vitamin B Complex
- Magic Mouth Rinse
Bell’s Palsy Treatment:
(See pharmacy notes)
- Artificial Tears
- Vitamin B complex
- Valtrex (valacyclovir) Z
Sinus Exposure/Sinus Precautions:
- Give sinus precaution sheet
- If small exposure in deep socket, protect the blood clot, it will heal.
- If large exposure in shallow socket refer for evaluation, this may need a buccal fat pad flap.