510 Week 13 ENT Pharm part 4

Medication-Induced Oral Health Issues

  • Stomatitis Signs
    • Symptoms: Sore mouth, beefy depopulated tongue, lesions.
    • Causes: Often linked to medications. Review medication history when patients report mouth issues.

Common Medications and Their Effects

  • Cardiovascular Medications
    • ARBs and ACE Inhibitors: e.g., Lisinopril, Losartan.
    • Side Effect: Angioedema (swelling of the face).
  • Respiratory Medications:
    • Inhaled Steroids: Can lead to Oral Candidiasis (fungal infection in the mouth).
    • Recommendation: Rinse mouth after inhalation to prevent candidiasis.
  • Psychiatric Medications:
    • Known for causing: Gingivitis, Hypersalivation, Xerostomia (dry mouth), and Altered taste.

Treatment Options

  • General Treatments for Oral Pain:
    • NSAIDs and Tylenol: Not first-line, but used post-procedures.
    • Topical Pain Relievers:
    • e.g., Benzocaine, Magic Mouthwash.
  • Magic Mouthwash Ingredients**:
    • Combo of Lidocaine (anesthetic), Benadryl (antihistamine to reduce inflammation), and Mallox (aluminum magnesium – to balance pH).
    • Instructions: Mix in equal parts, swish in mouth, and avoid swallowing.
  • Desensitizing Toothpaste:
    • Sensozyme for mouth sensitivity, alternatives available like fluoride-free options.

Oral Health Management

  • Erosive Diet:
    • High citrus or bulimic behaviors leading to acid erosion of teeth/mouth.
  • Canker Sores:
    • Usually resolve on their own. Treatments include Apisole and Lozenges for relief.
  • Cold Sores:
    • Antiviral medications are most effective when started early. Must be applied five times a day during initial burning sensation.
    • Educate patients about recognizing early symptoms.
  • Dry Mouth Solutions:
    • Over-the-counter products like Biotin lozenges effective for moisture and freshening breath.

Summary

  • Pay attention to medication history related to oral health issues.
  • Understand the connection between specific medications and their side effects on oral health, including treatments and management strategies.
  • Educate patients on proper practices and early symptoms to manage oral health effectively.
  • Question Encouragement: Always encourage questions for clarity on the topic, ensuring understanding of medications and treatments.