Anti-Anxiety Medication INFORMATION
The Endodontic Center of Pleasanton, APDC
This form is intended to document the discussion we have had regarding your planned endodontic procedure with anti-anxiety medication.
The medications we use are typically Triazolam (Halcion), Lorazepam (Ativan), or Diazepam (Valium). These medications can greatly minimize anxiety that may be associated with going to the dentist. In a relaxed state, you will still be able to communicate with the dentist while treatment is being performed. In higher doses, these medications act like sedatives, while in lower doses, they simply reduce anxiety. You are prescribed these medications for the sole purpose of anti-axiety and not for "oral sedation." Benefits of these include reduced awareness of unpleasant sights, sounds and sensations associated with the procedure along with reduced anxiety. Most patients fall asleep, but not always. Patients will not be able to mentally recollect the appointment.
Even though it is safe and effective, it does wear off rapidly after the dental visit, and you should be aware of some important precautions and considerations.
Risks of these medications include nausea/vomiting, allergy to medication, breathing problems, brain damage, cardiac arrest, and death. These are rare.
Tell the doctor if you are taking the following medications as they can adversely interact with the sedation medications: nefazodone (Serzone); cimetidine (Tagamet, Tagamet HB, Novocimetine or Peptol); levodopa (Dopar or Larodopa) for Parkinson's Disease; antihistamines (such as Benadryl and Travis); verapamil (Calan); diltiazem (Cardizem); erythromycin and the azole antimycotics (Nizoral, Biaxin, Orporanox); HIV drugs indinavir and nelfinavir; and alcohol. Grapefruit juice should also be avoided (decreases the effect of the medication). Taking recreational/illicit drugs or alcohol can also cause untold reactions.
You should not travel on your own after you've taken any of the medications described above. You must have an escort even if you're walking! It's easy to become disoriented and miss your stop if going by bus, or walk straight in front of a car - or you might even forget that you're on your way to your dentist's office. So find someone to physically escort you. Your escort must stay during the entire procedure to assist you to the restroom, in/out of the dental chair, and outside the office. We advise NO INTAKE of FLUID 6 HOURS before your appointment. You will have difficulty going to the restroom under the influence. Only take enough fluid to ingest the anti-anxiety medication.
FEMALES who have possibility of conceiving. You should NOT use these medications if you are PREGNANT, breastfeeding, or have significant liver or kidney disease. You will need written approval from your physician to take any of the medications prescribed for the purpose of reduced anxiety during your endodontic procedure.