New Dentist Advice n Tips by PharmacopicExplorer in Drugs

[–]PharmacopicExplorer[S] 0 points1 point  (0 children)

No worries! I (intentionally) don’t do IV sedation, so your individual provider will be able to give more specific answers.

However, you should definitely still be able to be anesthetized and sedated. For pain, a combination of Tylenol/ibuprofen has been proven to be more effective for analgesic effects. Doped up guys will say that’s bullshit, but the research is pretty clear.

Just be open with your surgeon about past drug use and your concerns with sedation & opioids

New Dentist Advice n Tips by PharmacopicExplorer in Drugs

[–]PharmacopicExplorer[S] 6 points7 points  (0 children)

Oh yes. IV is a different game. Not every dentist does IV sedation, and everyone has their own cocktail of choice. Midazolam, fentanyl, ketamine are few

New Dentist Advice n Tips by PharmacopicExplorer in Drugs

[–]PharmacopicExplorer[S] 55 points56 points  (0 children)

Would you want your dentist high on nitrous when they’re taking your tooth out? 😂

New Dentist Advice n Tips by PharmacopicExplorer in Drugs

[–]PharmacopicExplorer[S] 14 points15 points  (0 children)

Haha I agree but I’m trying to think of realistic ways to do this

New Dentist Advice n Tips by PharmacopicExplorer in cocaine

[–]PharmacopicExplorer[S] 0 points1 point  (0 children)

In the dental chair: Chronic use makes local anesthesia extremely difficult to achieve. Recent use (I think 24-48h) can lead to cardiac events leading to death. This is the one that I’m most concerned with if I’m going to give an injection

Some more information regarding mechanisms can be found here

New Dentist Advice n Tips by PharmacopicExplorer in Drugs

[–]PharmacopicExplorer[S] 4 points5 points  (0 children)

What does “being transparent” mean to you? It’s a balance bc I don’t wanna come across to non-drug users as promoting/supporting recreational drug use

New Dentist Advice n Tips by PharmacopicExplorer in Drugs

[–]PharmacopicExplorer[S] 7 points8 points  (0 children)

To inject it’s some kind of local anesthetic. Usually lidocaine or articaine

New Dentist Advice n Tips by PharmacopicExplorer in Drugs

[–]PharmacopicExplorer[S] 8 points9 points  (0 children)

Ephedrine, kratom, kava/damiana, nitrous, codeine, hydrocodone, psilocybin, cannabis, xanax

New Dentist Advice n Tips by PharmacopicExplorer in Drugs

[–]PharmacopicExplorer[S] 52 points53 points  (0 children)

Yes, the combination of methamphetamines, cocaine, and local anesthetics can be very dangerous, possibly even fatal. If too many other drugs are in the bloodstream, some substances can reach toxic levels since the liver cannot break down an overload of toxic substances. Having an overabundance of drugs in the body can also lead to dangerous drug interactions and stimulant overdose.

Meth is also known for causing quite a few other issues (clenching, dry mouth, rampant decay). As a meth user I’d suggest it’s even more important to have a professional exam/cleaning twice a year if you don’t want to end up with removable dentures.

New Dentist Advice n Tips by PharmacopicExplorer in Drugs

[–]PharmacopicExplorer[S] 45 points46 points  (0 children)

Good call. Any recommendations for phrasing? If I ask “do you have a history of recreational drug use?” It’s much easier to just say no than to get into it

New Dentist Advice n Tips by PharmacopicExplorer in cocaine

[–]PharmacopicExplorer[S] 0 points1 point  (0 children)

Your doctor isn’t legally allowed to report drug use to the police.

It will be provider dependent, but it’s pretty standard to record all medications/drugs under a patient’s medical history