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Peridex
(Chlorhexidine
Gluconate 0.12%)
Pronunciation:
(klor HEKS i
deen GLOO koe nate)
Brand Names:
Peridex, PerioGard
Pharmacologic
Category:
Antibiotic, Oral Rinse
Reasons not to
take this medicine:
Hypersensitivity
to chlorhexidine gluconate or any component of the formulation.
What is this
medicine used for?
Antimicrobial
dental rinse: Active against gram-positive and gram-negative organisms,
facultative anaerobes, aerobes, and yeast
Chip, for
periodontal pocket insertion: Adjunct to scaling and root planing
procedures for reduction of pocket depth in patients with adult
periodontitis; may be used as part of a periodontal maintenance program
How does it
work?
Mechanism of
Action: The bactericidal effect of chlorhexidine is a result of the
binding of this cationic molecule to negatively charged bacterial cell
walls and extramicrobial complexes. At low concentrations, this causes
an alteration of bacterial cell osmotic equilibrium and leakage of
potassium and phosphorous resulting in a bacteriostatic effect. At high
concentrations of chlorhexidine, the cytoplasmic contents of the
bacterial cell precipitate and result in cell death.
What are the
precautions when taking this medicine?
Local
Anesthetic/Vasoconstrictor Precautions: No information available to
require special precautions.
What are the
common side effects of this medicine?
Effects on
Dental Treatment: Staining may be visible as soon as one week after
therapy begins and is more pronounced when there is a heavy accumulation
of unremoved plaque and when tooth fillings have rough surfaces. Stain
does not have a clinically adverse effect but because removal may not be
possible, patient with frontal restoration should be advised of the
potential permanency of the stain.
Increased
tartar on teeth, altered taste perception, staining of oral surfaces
(mucosa, teeth, dorsum of tongue).
Oral/tongue
irritation
Dexamethasone
Pronunciation: (deks a METH a sone)
U.S. Brand Names: Decadron®; Decadron® Phosphate [DSC];
Dexamethasone Intensol®; Dexasone®; Dexasone® L.A; Maxidex®; Solurex®;
Solurex L.A.®
Pharmacologic Category: Antiemetic, Anti-inflammatory Agent,
Systemic corticosteroid.
Reasons not to take this medicine:
· If you have an allergy to dexamethasone 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 treat diseases where the
anti-inflammatory or immunosuppressant properties are needed.
· This medicine is used to treat inflamed areas of the body.
How does it work?
· Dexamethasone replaces an important chemical produced in the
body.
· It prevents or reduces irritation and swelling.
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.
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.
· Do not change dose or stop medicine. Talk with healthcare
provider.
What are the precautions when taking this medicine?
· Check medicines with healthcare provider. This medicine may not
mix well with other medicines.
· Tell our office if you are pregnant or plan on getting pregnant.
· Tell our office if you are breast-feeding.
· Do not run out of this medicine. Get it refilled today!
· Wear disease medical alert identification.
· If you have high blood pressure, talk with healthcare provider.
· If you are being treated for any infection, 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.
· Avoid alcohol (includes wine, beer and liquor).
· If you have diabetes, talk with healthcare provider. Diabetic
medicine may need increasing.
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.
· Difficulty breathing.
· Severe nausea or vomiting.
· Significant weight gain.
· 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.
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