Welcome to Indian Dental Academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy has a unique training program & curriculum that provides students with exceptional clinical skills and enabling them to return to their office with high level confidence and start treating patients
State of the art comprehensive training-Faculty of world wide repute &Very affordable.
8.
Opioid or Centrally acting or Narcotic
Nonopioid or Peripheral acting or non- narcotic
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9.
Produce inhibition of neuronal activity
Inhibit release of neurotransmitters by closing voltage gated calcium
channels
Activate descending inhibitory systems
Inhibit post synaptic neurons by increasing potassium channel
conductance
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11. Inhibit synthesis of prostaglandins
Inhibition of free radical formation
Inhibition of cytokine synthesis or cellular signaling
mechanisms mediating inflammation
Inhibition of prostaglandins in hypothalamus, spinal
cord and inhibiting nitric oxide synthesis in
macrophages-PARACETAMOL
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13. NSAIDS
peptic ulcers, GI bleeding
Na & water retention, renal failure
Bleeding, agranulocytosis
Asthma, skin rashes, pruritis, angioedema
ASPIRIN: salicylism at doses of 3-6gms/day
Reyes syndrome
Acute salicylate poisoning
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14.
Persistent pain requires prophylactic therapy
Use oral medication whenever possible
Doses should be determined on individual basis
Keep it simple
Insomnia must be treated vigorously
Admission is sometimes necessary to achieve pain control
Balance between degree of relief and unwanted side effects
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15.
Efficacy and ceiling effect
Speed of onset and duration of action
Specific side effects and metabolism
Dysphoria
Toxic metabolites
Partial agonists and mixed agonists and antagonists
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16.
Clinician should know minimal number of drugs
Analgesic and antipyretic uses
Anti-inflammatory use
Consider substitution if there is no response with one drug
Avoid using multiple nsaids
Topical or systemic administration
Nsaids in pregnancy
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22. Essentials of medical pharmacology 5th edition- KD Tripathi
Post graduate medical journal(dec 1984)-Robert G Twycross
Clinical implications of cox-2 inhibitors for acute dental pain
management-JADA 2005(136)
The efficacy of combination analgesic therapy for relieving dental painJADA 2002(133)
Drugs for pain management in dentistry- Australian dental journal
2005 (50)
Newer NSAIDS-A review of their therapeutic potential and adverse
drug reactions Journal, Indian academy of clinical medicine 2002(3)
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