Medication Regimens. Medications After Extractions. Antibiotics. A. Most patients (No Allergies or Anaphylactic Reactions)
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1 Medication Regimens Medications After Extractions A. Most patients (No Allergies or Anaphylactic Reactions) Amoxicillin (Amoxil) 500mg (21 tabs) 1 tab 3 times a day until finished. B. If allergy to Penicillin (Non-Anaphylactic Reaction) Cefaclor (Ceclor) 500mg (21 tabs) 1 tab 3 times a day until finished. C. If allergy to penicillin (Anaphylactic Reaction: hives, itching, angioedema, respiratory distress) Clindamycin (Cleocin) 150 mg or 300 mg (28 tabs) pending age, condition, and weight. 1 tabs 4 times a day until finished. D. Mild Pain/ Anti-Inflammatory Motrin (Ibuprofen) 600 mg (20 tabs) 1q 6-8h prn pain. E. Moderate Pain (1 tab q4-6h as needed) Tylenol #3 (20tabs) 1 q4-6h prn pain Vicodine (20 tabs) 1 q4-6h prn pain Vicodine ES (20 tabs) 1 q6h prn pain F. Severe Pain Percocet (20 tabs) 1-2 tabs q4-6h prn pain Percodan (20 tabs) 1 tab q6h prn pain
2 Medications for Block Bone Graft Surgery Amoxicillin (Amoxil, Trimox) 500mg 28 tabs If allergy to Penicillin (Non-Anaphylactic Reaction) Cefaclor (Ceclor, second generation Cephalosporin) 500mg 22 tabs If allergy to penicillin (Anaphylactic Reaction: hives, itching, angioedema, respiratory distress) Clindamycin 150 mg (Cleocin) 17 tabs For prophylaxis antibiotics, modify with pre-op dose of: Amoxicillin 2gms., Cephalexin 2gms., Clindamycin 600mg. Anti-inflammatory Motrin (Ibuprofen) 600 mg 10 tablets Take one tablet one hour before surgery and then one tablet 3 times a day (one every 8 hours) until gone. And Decadron (Dexamethasone) 1.5 mg 18 tablets 6 tabs 2 days before surgery (AM) 5 tabs 1 day before surgery (AM) 4 tabs morning of surgery 2 tabs second morning 1 tab third morning Oral sedatives If no I.V. anesthesia Halcion 0.25 mg 3 tablets Take one tablet the night before surgery and 1 or 2 tablets one hour before surgery. Tylenol # 3 15 tablets Take 1 tablet every 4-6 hours after the surgery as needed. OR Vicodin E.S. 15 tablets Take 1 tablet every 4-6 hours after the surgery as needed. Antiseptic Peridex ( Chlorhexidine Gluconate) 16 ounce bottle Rinse capful twice a day for 30 seconds. Start one week before the surgery and resume after the surgery for 3 more weeks. Smoker Anti-Smoking Habitrol (Nicoderm) Nicotine patch Dosage: 21mg/day for 6 weeks, then 14mg/day for 2 weeks, then 7mg/day for 2 weeks.
3 Start patients at least one week before surgery. Patients cannot smoke while they are on the patch. If skin gets irritated they can use 5% hydrocortisone cream. Zyban (Bupropion) Dosage: 150mg /25tabs One tab qid for three days, then one tab bid until sutures removed. Alternative Narcotic Moderate Pain (15 tabs. 1 tab q6h day of surgery then 1 tab q4-6h as needed) Tylenol #3 (Codeine 30mg/Acetaminophen 325mg) Vicodine ES (Hydrocodone 7.5mg/Acetaminophen750mg) Lortab (Hydrocodone/Acetaminophen) (2.5/500, 5/500, 7.5/500, 10/500, 10/650) Severe Pain Demerol (Meperidine) (50mg, 100mg) mg q4-6h for pain Percocet, Roxicet (Oxycodone/Acetaminophen) 1-2 tabs q4-6h for pain Percodan, Roxiprin (Oxycododne/Asprin) 1 tab q6h for pain
4 Medications For Root Form Implant Placement Amoxicillin 500mg 20 tabs 2 tablets one hour before surgery and then 1 tab 3 times a day till finish. If allergy to Penicillin (Non-Anaphylactic Reaction) Cephalexin (Keflex) 500mg 22 tabs 2 tablets one hour before surgery and then 1 tab 4 times a day till finish. If allergy to penicillin (Anaphylactic Reaction: hives, itching, angioedema, respiratory distress) Clindamycin 150 mg (Cleocin) 20 tabs 2 one hour before surgery and then 1 tab 3 times a day till gone. For prophylaxis antibiotics, modify with pre-op dose of: Amoxicillin 2gms., Cephalexin 2gms., Clindamycin 600mg. Anti-inflammatory Decadron 1.5mg 7 tabs (Dexamethasone) this is a glucocorticoid 4 tabs morning of surgery 2 tabs second morning 1 tab third morning AND Motrin 600mg 10 tabs 1 tab the morning of the surgery and 1 tab 3 times a day till gone. Antiseptic Peridex 1 bottle (16 ounces) Rinse twice a day capful. Start 1-3 days before the surgery and resume for two weeks or until suture removal. Oral Sedatives Halcion 0.25mg 3 tabs 1 tab the night before surgery and then ½ to 2 tabs one hour before surgery. Moderate Pain (15 tabs. 1 tab q6h day of surgery then 1 tab q4-6h as needed) Tylenol #3 (Codeine 30mg/Acetaminophen 325mg) Vicodine ES (Hydrocodone 7.5mg/Acetaminophen750mg) Lortab (Hydrocodone/Acetaminophen) (2.5/500, 5/500, 7.5/500, 10/500, 10/650) Severe Pain Demerol (Meperidine) (50mg, 100mg) mg q4-6h for pain Percocet, Roxicet (Oxycodone/Acetaminophen) 1-2 tabs q4-6h for pain Percodan, Roxiprin (Oxycododne/Asprin) 1 tab q6h for pain
5 Smoker Anti-Smoking Habitrol (Nicoderm) Nicotine patch Dosage: 21mg/day for 6 weeks, then 14mg/day for 2 weeks, then 7mg/day for 2 weeks. Start patients at least one week before surgery. Patients cannot smoke while they are on the patch. If skin gets irritated they can use 5% hydrocortisone cream. Zyban (Bupropion) Dosage: 150mg /25tabs One tab qid for three days, then one tab bid until sutures removed. Sinus involvement (in addition to all above) Decongestants Sudafed (30mg): One tablet three times a day for a week. Afrin Nasal spray 2 sprays in each nostril three times a day up to three days after surgery.
6 Medications for Sinus Bone Graft Surgery A. No History of sinus infection Amoxicillin (Amoxil, Trimox) 500mg 28 tabs If allergy to Penicillin (Non-Anaphylactic Reaction) Cefaclor (Ceclor, second generation Cephalosporin) 500mg 22 tabs If allergy to penicillin (Anaphylactic Reaction: hives, itching, angioedema, respiratory distress) Clindamycin 150 mg (Cleocin) 17 tabs B. History of sinus infection Augmentin 875 mg BID or Cepro 750 mg BID Anti-inflammatory Motrin (Ibuprofen) 600 mg 10 tablets Take one tablet one hour before surgery and then one tablet 3 times a day (one every 8 hours) until gone. And Decadron (Dexamethasone) 1.5 mg 18 tablets 6 tabs 2 days before surgery (AM) 5 tabs 1 day before surgery (AM) 4 tabs morning of surgery 2 tabs second morning 1 tab third morning Oral sedatives If no I.V. anesthesia Halcion 0.25 mg 2 tablets Take 2 tablets one hour before surgery. Tylenol # 3 15 tablets Take 1 tablet every 4-6 hours after the surgery as needed. OR Vicodin E.S. 15 tablets Take 1 tablet every 4-6 hours after the surgery as needed. Antiseptic Peridex ( Chlorhexidine Gluconate) 16 ounce bottle Rinse capful twice a day for 30 seconds. Start one week before the surgery and resume after the surgery for 3 more weeks. Decongestants Sudafed 30mg One tablet three times a day for a week. And
7 Afrin or Vicks nasal spray (Oxymetazoline 0.05%) 2 sprays in each nostril three times a day up to three days after surgery. Start one hour before surgery. Smoker Anti-Smoking Habitrol (Nicoderm) Nicotine patch Dosage: 21mg/day for 6 weeks, then 14mg/day for 2 weeks, then 7mg/day for 2 weeks. Start patients at least one week before surgery. Patients cannot smoke while they are on the patch. If skin gets irritated they can use 5% hydrocortisone cream. Zyban (Bupropion) Dosage: 150mg /25tabs One tab qid for three days, then one tab bid until sutures removed. Alternative Narcotic Moderate Pain (15 tabs. 1 tab q6h day of surgery then 1 tab q4-6h as needed) Tylenol #3 (Codeine 30mg/Acetaminophen 325mg) Vicodine ES (Hydrocodone 7.5mg/Acetaminophen750mg) Lortab (Hydrocodone/Acetaminophen) (2.5/500, 5/500, 7.5/500, 10/500, 10/650) Severe Pain Demerol (Meperidine) (50mg, 100mg) mg q4-6h for pain Percocet, Roxicet (Oxycodone/Acetaminophen) 1-2 tabs q4-6h for pain Percodan, Roxiprin (Oxycododne/Asprin) 1 tab q6h for pain
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