Perio Antibiotics
 

 What do I do if I miss a dose?
    · Take a missed dose as soon as possible.
    · Do not take a double dose or extra doses.

What are the precautions when taking this medicine?
    · Check medicines with healthcare provider. This medicine may not mix well with other medicines.
    · Do not take antacids with this medicine.
    · Do not take bismuth (Pepto-Bismol®), calcium, iron, magnesium, zinc, multivitamins with minerals, colestipol, cholestyramine, or didanosine within 2 hours of this medicine.
    · Avoid alcohol (includes wine, beer and liquor).
    · You can get sunburned more easily. Avoid sun, sunlamps and tanning beds. Use sunscreen; wear protective clothing and eyewear.
    · Use birth control that you can trust to prevent pregnancy while taking this medicine.
    · Birth control pills and other hormone-based birth control may not work to prevent pregnancy. Use another form of birth control while taking this medicine.
    · Tell our office if you are breast-feeding.

What are the common side effects of this medicine?
    · Stomach pain.
    · Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy or chewing gum may help.
    · Diarrhea. Yogurt, Bifidobacterium bifidum, or Lactobacillus acidophilus may help. These products are available at health food stores or in some pharmacies.
    · Side effects from Periostat® are less.

What should I monitor?
    · Change in condition being treated. Is it better, worse or about the same?
    · Follow up with our office.

Reasons to call our office immediately
    · If you suspect an overdose, call your local poison control center immediately or dial 911.
    · Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue, or throat.
    · Severe headache.
    · Severe nausea or vomiting.
    · Severe diarrhea.
    · Any rash.
   
How should I store this medicine?
    · Store at room temperature.
    · Protect from light.
    · Protect capsules and tablets from moisture.  Do not store in a bathroom or kitchen.

General statements:
    · If you have a life-threatening allergy, wear an allergy identification bracelet at all times.
    · Do not share your medicine with others and do not take anyone else's medicine.
    · Keep all medicine out of the reach of children and pets.
    · Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to our office.
    · Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products or vitamins.

Metronidazole

Pronunciation:  (me troe NI da zole)

U.S. Brand Names:   Flagyl®; Flagyl ER®; MetroCream®; MetroGel, MetroLotion®; Noritate®.

Pharmacologic Category:  Amebicide Antibiotic, Topical Antibiotic, Miscellaneous
 Antiprotozoal.

Reasons not to take this medicine:
    · If you have an allergy to metronidazole or any other part of this medicine.
    · Tell our office if you are allergic to any medicine. Make sure to tell us about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
    · If you are less than 12 weeks pregnant.
    · If you are breast-feeding.

What is this medicine used for?
    · This medicine is used to treat a variety of bacterial infections.
   
How does it work?
    · Metronidazole works to injure the bacteria and fight the infection.

How is it best taken?
    · To gain the most benefit, do not miss doses.
    · Use prescription as directed, even if feeling better.
    · Take this medicine with or without food. Take with food if it causes an upset stomach.
    · Take long-acting products on an empty stomach. Take one hour before or two hours after meals.

 What do I do if I miss a dose?
    · Take a missed dose as soon as possible.
    · Do not take a double dose or extra doses.

What are the precautions when taking this medicine?
    · Check medicines with healthcare provider. This medicine may not mix well with other medicines.
    · Avoid alcohol (includes wine, beer and liquor). Do not take alcohol for at least 24 hours after the last dose.
    · Birth control pills and other hormone-based birth control may not work to prevent pregnancy. Use another form of birth control while taking this medicine.
    · Tell our office if you are pregnant or plan on getting pregnant.

What are the common side effects of this medicine?
    · Feeling lightheaded, sleepy, having blurred vision, or a change in thinking clearly. Avoid driving, doing other tasks or activities that require you to be alert or have clear vision until you see how this medicine affects you.
    · Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy, or chewing gum may help.
    · Diarrhea. Yogurt, Bifidobacterium bifidum, or Lactobacillus acidophilus may help. These products are available at health food stores or in some pharmacies.
    · Headache. Mild pain medicine may help.
    · Not hungry.
    · Abnormal taste. This is usually reversible.
    · Change in color of urine to black or brown.

What should I monitor?
    · Change in condition being treated. Is it better, worse, or about the same?
    · If you are taking a blood thinner, check blood work (prothrombin time/INR). Talk with healthcare provider.

Reasons to call our office immediately:
    · If you suspect an overdose, call your local poison control center immediately or dial 911.
    · Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue or throat.
    · Numbness or tingling of hands or feet.
    · Any rash.
    · No improvement in condition or feeling worse.

How should I store this medicine?
    · Store at room temperature.
    · Protect capsules and tablets from moisture.  Do not store in a bathroom or kitchen.

General statements:
    · If you have a life-threatening allergy, wear an allergy identification bracelet at all times.
    · Do not share your medicine with others and do not take anyone else's medicine.
    · Keep all medicine out of the reach of children and pets.
    · Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to our office.

    · Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products or vitamins.

Acyclovir

Pronunciation:   (ay SYE kloe veer)

U.S. Brand Names:  Zovirax®

Pharmacologic Category:    Antiviral Agent

Reasons not to take this medicine:
    · If you have an allergy to acyclovir, valacyclovir, or any other part of this medicine.
    · Tell our office if you are allergic to any medicine. Make sure to tell us about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue or throat; or any other symptoms involved.

What is this medicine used for?
    · This medicine is used to prevent or treat herpes infections.

How does it work?
    · Acyclovir works to injure the virus and fight the infection.

How is it best taken?
    · Use prescription as directed, even if feeling better.
    · Take this medicine with or without food. Take with food if it causes an upset stomach.
    · Drink plenty of noncaffeine-containing liquid unless told to drink less liquid by healthcare provider.
    · A liquid is available if you cannot swallow pills.  Shake well before use

    · If you are taking this medicine for a recurring infection, start medicine as soon as possible.
    · If you are taking this medicine for herpes zoster, start as soon as possible; no later than 3 days after rash appears.
 
What do I do if I miss a dose?
    · Use a missed dose as soon as possible.
    · Do not use a double dose or extra doses.

What are the precautions when taking this medicine?
    · Check medicines with healthcare provider. This medicine may not mix well with other medicines.
    · You may not be alert. Avoid driving, doing other tasks or activities until you see how this medicine affects you.
    · Tell our office if you are pregnant or plan on getting pregnant.
    · Tell our office if you are breast-feeding.

What are the common side effects of this medicine?
    · Headache. Mild pain medicine may help.
    · Nausea or vomiting. Small frequent meals, frequent mouth care, sucking hard candy or chewing gum may help.
    · Diarrhea.

What should I monitor?
    · Change in condition being treated. Is it better, worse, or about the same?
    · Follow up with our office.

Reasons to call our office immediately:
    · If you suspect an overdose, call your local poison control center immediately or dial 911.
    · Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue or throat.
    · Severe nausea or vomiting.
    · Severe diarrhea.
    · Severe skin irritation.
    · Any rash.
    · No improvement in condition or feeling worse.

How should I store this medicine?
    · Store at room temperature.
    · Protect capsules and tablets from moisture.  Do not store in a bathroom or kitchen.

General statements:
    · If you have a life-threatening allergy, wear an allergy identification bracelet at all times.
    · Do not share your medicine with others and do not take anyone else's medicine.
    · Keep all medicine out of the reach of children and pets.
    · Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to our office.

    · Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products or vitamins.

Prednisone

Pronunciation:   (PRED ni sone)

U.S. Brand Names:   Deltasone®; Prednisone Intensol®; Sterapred®; Sterapred® DS

Pharmacologic Category:  Corticosteroid, Systemic

Reasons not to take this medicine:
    · If you have an allergy to prednisone or any other part of this medicine.
    · Tell our office if you are allergic to any medicine. Make sure to tell us about the allergy and how it affected you. This includes telling about rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other symptoms involved.
    · If you have a severe infection.

What is this medicine used for?
    · This medicine is used to treat inflamed areas of the body.
   
How does it work?
    · Prednisone replaces an important chemical produced in the body.
    · It blocks the allergic reaction by minimizing or preventing the body's reaction to the allergen.
    · It decreases the body's harmful response to diseases affecting the immune system.

How is it best taken?
    · Take this medicine in the morning if taking once a day.
    · Take this medicine with food.
    · A liquid is available if you cannot swallow pills

    · Take calcium and vitamin D as recommended by healthcare provider.

What do I do if I miss a dose?
    · Take a missed dose as soon as possible.
    · Do not take a double dose or extra doses.
    · Do not change dose or stop medicine. Talk with our office.

What are the precautions when taking this medicine?
    · Do not run out of this medicine. Get it refilled today!
    · Wear disease medical alert identification.
    · If you have diabetes, talk with healthcare provider. This medicine can increase blood sugar.
    · If you have high blood pressure, talk with healthcare provider.
    · If you have a weakened heart, talk with healthcare provider.
    · Tell dentists, surgeons, and other healthcare providers that you use this medicine.
    · Check medicines with healthcare provider. This medicine may not mix well with other medicines.
    · Avoid alcohol (includes wine, beer and liquor).
    · Tell our office if you are pregnant or plan on getting pregnant.
    · Tell our office if you are breast-feeding.

What are the common side effects of this medicine?
    · High blood sugar.  Can cause diabetes mellitus while on medicine, usually reverses when stopped.
    · Risk of infection.  Avoid crowds and people with infections, colds or flu.
    · Stomach pain.
    · Nausea or vomiting.  Small frequent meals, frequent mouth care, sucking hard candy or chewing gum may help.
    · Weight gain.
    · Change in body fat distribution.
    · Weakened bones.
    · Muscle weakness.
    · Skin changes (acne, stretch marks, slow healing, hair growth).
    · Cataracts or glaucoma with long-term use.

What should I monitor?
    · Change in condition being treated. Is it better, worse, or about the same?
    · Check blood sugar as directed by healthcare provider.
    · If a child is using this medicine, monitor growth carefully.

Reasons to call our office immediately:
    · If you suspect an overdose, call your local poison control center immediately or dial 911.
    · Signs of a life-threatening reaction. These include wheezing; chest tightness; fever; itching; bad cough; blue skin color; fits; or swelling of face, lips, tongue or throat.
    · Signs or symptoms of infection. These include a fever of 100.5 degrees or higher, chills, severe sore throat, ear or sinus pain, cough, increased sputum or change in color, painful urination, mouth sores, wound that will not heal or anal itching or pain.
    · Feeling extremely tired, weak, or irritable; trembling; having a fast heartbeat, confusion, sweating, or dizziness if you missed a dose or recently stopped this medicine.
    · Severe nausea or vomiting.
    · Any rash.
    · No improvement in condition or feeling worse.

How should I store this medicine?
   · Store at room temperature.
    · Protect tablets from moisture.  Do not store in a bathroom or kitchen.

General statements:
    · If you have a life-threatening allergy, wear an allergy identification bracelet at all times.
    · Do not share your medicine with others and do not take anyone else's medicine.
    · Keep all medicine out of the reach of children and pets.
    · Keep a list of all your medicines (prescription, natural products, supplements, vitamins, over-the-counter) with you. Give this list to our office.

    · Talk with healthcare provider before starting any new medicine, including over-the-counter, natural products or vitamins.

60 Union Street @ Pearl   Sidney, NY 13838    (607)-563-2333