Adverse Effects of Medications on Oral Health
|
|
|
- Cornelius Evelyn Thornton
- 10 years ago
- Views:
Transcription
1 Adverse Effects of Medications on Oral Health Dr. James Krebs, BS Pharm, MS, PharmD Director of Experiential Education College of Pharmacy, University of New England Presented by: Rachel Foster PharmD Candidate, Class of 2014 University of New England October 2013
2 Objectives Describe the pathophysiology of various medication-related oral reactions Recognize the signs and symptoms associated with medication-related oral reactions Identify the populations associated with various offending agents Compare the treatment options for medication-related oral reactions
3 Medication-related Oral Reactions Stomatitis Burning mouth syndrome Glossitis Erythema Multiforme Oral pigmentation Tooth discoloration Black hairy tongue Oral Candidiasis Gingival hyperplasia Alterations in salivation Alterations in taste Halitosis Angioedema
4 Medication-related Stomatitis Clinical presentation Aphthous-like ulcers, mucositis, fixed-drug eruption, lichen planus 1,2 Open sores in the mouth Tongue, gum line, buccal membrane Patient complaint of soreness or burning 0
5 Medication-related Stomatitis Offending agents 1,2 Medication Indication Patient Population Aspirin NSAIDs (i.e. Ibuprofen, naproxen) Chemotherapy (i.e. methotrexate, 5FU, doxorubicin, mercaptopurine, bleomycin ACE inhibitors (i.e. captopril, enalapril, lisinopril, etc) Heart health Pain reliever Headache Pain reliever Fever reducer Breast cancer Colon cancer Lung cancer Prostate cancer Hypertension Congestive Heart Failure (CHF) >18 years old Cardiac patients General population Oncology patients High blood pressure and cardiac patients Alendronate (Fosamax ) Osteoporosis Women >40 years old Antibiotics (i.e. tetracylines) Infections, various General population
6 Medication-related Stomatitis Treatment Nonpharmacological Removal of offending agent Good oral hygiene Ice chips Soft, bland diet Cryotherapy Indicated for mucositis Pharmacological 3 Viscous lidocaine Swish and spit 15mL every 3-4 hours Benzocaine 10% - 20% Apply to affected area up to 4 times per day Systemic analgesia if severe (i.e. mucositis) COX2 inhibitors (i.e. Celecoxib) NSAIDs Gabapentin mg PO TID
7 Burning Mouth Syndrome Clinical presentation 1 Chief complaint of burning or scalding mouth Worsening at the end of the day Associated anxiety Dry mouth
8 Burning Mouth Syndrome Offending agents 1,3 Medication Indication Patient Population ACE inhibitors (i.e. captopril, enalapril, lisinopril, etc) Antiretrovirals (i.e. lamivudine, zidovudine, emtricitabine, etc) Cephalosporin antibiotics (i.e. cephalexin, cefdinir, etc) Hormone replacement therapy (i.e. estradiol) Hypertension Congestive Heart Failure (CHF) Human Immunodeficiency Virus (HIV) Infections, various High blood pressure and cardiac patients HIV/AIDS patients General population Menopause Women age 40-60
9 Burning Mouth Syndrome Treatment Nonpharmacological Removal of offending agent Good oral hygiene Avoidance of spicy, acidic foods Ice chips Brush with baking soda and water Pharmacological 1 Pilocarpine 5mg TID, MAX dose 30mg/day Alpha-lipoic acid mg daily Clonazepam 0.5mg BID, target dose of 1mg daily
10 Glossitis Clinical presentation Strawberry tongue Absent papillae Swollen tongue (or patches of swollen tongue) Patient complaints of Soreness Difficulty swallowing, chewing, speaking
11 Offending agents 3 Glossitis Medication Indication Patient Population Atorvastatin (Lipitor ) High cholesterol >30 years old Overweight Cardiac patients Carbamazepine (Tegretol ) Doxepin Gold compounds Xerostomizing medications Bipolar disorder Epilepsy Alcoholism Anxiety Depression Insomnia Pruritis Rheumatoid arthritis General population Psychiatric patients Various Various -- --
12 Glossitis Treatment Nonpharmacological Removal of offending agent Good oral hygiene Pharmacological 2 Lidocaine mouth rinse Swish and spit 15mL every 3-4 hours Diphenhydramine (Benadryl ) mouth rinse Swish and spit 15mL 2-3 times per day Dexamethasone (Decadron )mouth rinse Swish and spit 15mL 1-2 times per day
13 Erythema Multiforme Clinical presentation 1,2 Mucocutaneous inflammation Symmetrical edematous, bullous lesions Ranges from self-limited to life-threatening
14 Erythema Multiforme Offending agents 1 Medication Indication Patient Population Antibiotics (Penicillin, amoxacillin, cefdinir, cephalexin, etc) Infections, various General population Allopurinol Gout Men > Women (3:1) > 40 years old Carbamazepine (Tegretol ) Bactrim (Sulfamethoxazole + Trimethoprim) NSAIDs (i.e. Diclofenac, ibuprofen, indomethacin) Bipolar disorder Epilepsy Infection, various Headache Pain reliever Fever reducer General population Psychiatric patients Various General population Phenytoin Seizure disorder Various
15 Erythema Multiforme Treatment Nonpharmacological Removal of offending agent Debridement (if lesions are severe) Avoidance of hot, spicy, acidic foods Pharmacological Lidocaine mouth rinse Swish and spit 15mL every 3-4 hours Diphenhydramine (Benadryl ) mouth rinse Swish and spit 15mL 2-3 times per day Dexamethasone (Decadron )mouth rinse Swish and spit 15mL 1-2 times per day Chlorhexidine mouth rinse Swish and spit 15mL 2-4 times per day Systemic corticosteroids Dexamethasone taper Prednisone taper Antibiotics Amoxacillin 500mg Q12H
16 Oral Pigmentation Clinical presentation Often asymptomatic Bluish-gray to yellowish-brown discoloration of the buccal mucosa, tongue, hard palate, gingiva
17 Oral Pigmentation Offending agents 1-3 Medication Indication Patient Population Doxorubicin Minocycline Breast cancer Colon cancer Lung cancer Prostate cancer Infection, various Acne treatment Phenytoin Seizure disorder Various Quinines (i.e. chloroquinine, mefloquinine, etc) Phenothiazines (i.e. fluphenazine, chlorpromazine, perphenazine, etc) Malaria Schizophrenia Nausea/Vomiting Oncology patients General population Adolescents Travelers Psychiatric patients Chemotherapy patients Other Zidovudine HIV HIV patients Amiodarone Arrhythmias Heart failure Cardiac patients Illicit drugs (i.e. crack, cocaine, heroin) -- Drug abusers
18 Oral Pigmentation Treatment Rule out oral cancers Nonpharmacological Removal of offending agent Laser removal of pigmentation Cryosurgery Abrasion technique
19 Tooth Discoloration Extrinsic and/or intrinsic discoloration of the tooth Yellow Brown Blue-gray
20 Tooth Discoloration Offending agents Medication Indication Patient Population Tetracyclines (i. e. minocycline, tetracycline, doxycycline etc) Acne Infection, general Adolescents General population Ciprofloxacin Infection General population
21 Tooth Discoloration Treatment Removal of offending agent External dental cleaning Bleaching
22 Black Hairy Tongue Clinical presentation Black, hair-like appearance on back of tongue
23 Black Hairy Tongue Offending agents 1-3 Medication Indication Patient Population Broad spectrum antibiotics (i.e. cephalosporins, sulfonamides, tetracyclines) Tricyclic antidepressants (amitriptyline, clomipramine, nortriptyline) Griseofulvin Infection Depression Neuralgia Fungal (tinea) infection General General population Patients with chronic pain children > adults
24 Black Hairy Tongue Treatment Nonpharmacological Patient education Good oral hygiene Smoking cessation Removal of offending agent Pharmacological 3 Nystatin mouth rinse 4-6mL held in mouth one minute before swallowing Continue use for 2 days after symptoms are gone Fluconazole mg daily x7-14 days 50% Trichloroacetic acid
25 Oral Candidiasis Clinical Presentation Whitish, velvety sores in the mouth and on the tongue
26 Oral Candidiasis Offending agents 1 Medication Indication Patient Population Antiretrovirals (i.e. lamivudine, zidovudine, emtricitabine, etc) Antibiotics (Penicillin, amoxacillin, cefdinir, cephalexin, etc) Corticosteroids (dexamethasone, fluticasone, prednisone) Chemotherapy agents Human Immunodeficienc y Virus (HIV) Infections, various Asthma Inflammation Breast cancer Colon cancer Lung cancer Prostate cancer HIV/AIDS patients General population Various Oncology patients
27 Oral Candidiasis Treatment Nonpharmacological Removal of offending agent Good oral hygiene Probiotics (yogurt) Pharmacological 3% hydrogen peroxide rinses Swish and spit 15mL 3-4 times per day Nystatin mouth rinse 4-6mL held in mouth one minute before swallowing Continue use for 2 days after symptoms are gone Fluconazole mg daily x7-14 days
28 Gingival Hyperplasia Clinical presentation Overgrowth of gums Red, swollen gums Displaced teeth and plaque depositions predispose patients to gingival hyperplasia
29 Gingival Hyperplasia Offending agents 1 Medication Indication Patient population Anticonvulsants (phenytoin, valproate, topirimate, phenobarbital) Cyclosporin Seizures Bipolar disorder Heart transplant Liver transplant Kidney transplant Epileptics Psychiatric patients Transplant patients Surgery patients Calcium channel blockers (nifedipine, amlodipine, diltiazem, nicardipine, verapamil) Hypertension Angina Post MI Cardiac patients
30 Gingival Hyperplasia Treatment Nonpharmacologic Removal of offending agent Good oral hygiene Plaque control Pharmacologic Cyclosporin-induced gingival hyperplasia Azithromycin 250mg BID on day 1, then 250mg daily x6 days
31 Alterations in Salivation Clinical presentation Patient complaint (dry mouth, painful salivation) Secondary complications Dental caries, infection, ulcers, dysphagia
32 Alterations in Salivation Offending agents 1-3 Xerostomia Medication Class Indication Patient population Antihistamines (Benadryl, Claritin, Allegra, etc) Antidepressants (SSRIs, TCAs, MAOIs) Triptans (Imitrex, conivaptan, zolmitriptan, naratriptan) Antihypertensives (Betablockers, calcium channel blockers, alpha-agonists) Allergies Insomnia Depression Neuralgia Insomnia Migraine headaches Hypertension Heart disease General population Various >18 years old Female > male Cardiac patients
33 Alterations in Salivation Offending agents 1 Sialorrhea Medication Indication Patient Population Clozapine (Clozaril ) Schizoprenia Psychiatric patients Digoxin (Digitek ) Pilocarpine (Salagen ) Risperidone (Risperdal ) Atrial fibrillation Heart failure Glaucoma Xerostomia Autistm Bipolar disorder Schizoprenia Cardiac patients Diabetic patients Cancer patients Autistic patients Psychiatric patients
34 Alterations in Salivation Treatment Nonpharmacological Removal of offending agent Good oral hygiene Pharmacological Xerostomia Pilocarpine 5mg TID, MAX dose 30mg/day Bethanechol Sialorrhea Atropine drops 1-2 drops as needed Clonidine patch 0.1mg/day patch» Change every 7 days
35 Alterations in Taste Clinical presentation Patient complaint Loss of taste Decreased salty taste Metallic taste
36 Alterations in Taste Offending agents 1,2 Medication Taste Alteration Indication Patient population Sulfhydryl compounds (Sulfonamides, sulfonylureas, etc) Decreased taste Infection Diabetes Mellitus Penicillamine Decreased to total loss of taste Cystinurea Rheumatoid arthritis (RA) General Diabetics Patients with kidney stones RA: women > men ACE inhibitors (captopril, enalapril) Decreased salty taste Hypertension Cardiac patients Griseofulvin Decreased to total loss of taste Fungal (tinea) infection Proton pump inhibitors (Protonix, Prevacid, Nexium ) Corticosteroids (dexamethasone, fluticasone, prednisone) Altered or decreased taste Decreased taste Heart burn Reflux disease Asthma Inflammation Chemotherapy agents Metallic taste > decreased taste Breast cancer Colon cancer Lung cancer children>adults >18 years old Pregnancy Various Oncology patients
37 Alterations in Taste Treatment Nonpharmacological Removal of offending agent Good oral hygiene Increased water intake with medications Pharmacological treatment Radiation and chemotherapy-induced alterations: Zinc supplementation
38 Halitosis Clinical presentation Patient complaint of constant foul taste in mouth Secondary causes Dry mouth Infection Excessive alcohol consumption Respiratory infection
39 Halitosis Offending agents 1 Medication Indication Patient population Chemotherapy agents Breast cancer Colon cancer Lung cancer Prostate cancer Oncology patients Disulfiram (Antabuse ) Alcoholism Alcoholics Nitrates Angina Heart disease Cardiac patients Xerostomizing medications -- --
40 Halitosis Treatment Good oral hygiene Tobacco cessation Alcohol cessation Keep a food log
41 Angioedema Clinical presentation Sudden onset Swelling, redness Lips Throat (pharynx, larynx) Eyelids
42 Angioedema Offending agents 1,3 Medication Indication Patient Population NSAIDs (i.e. Ibuprofen, naproxen) ACE inhibitors (i.e. captopril, enalapril, lisinopril, etc) Sulfhydryl compounds (Sulfonamides, sulfonylureas, etc) Headache Pain reliever Fever reducer Hypertension Congestive Heart Failure (CHF) Decreased taste General population High blood pressure and cardiac patients Infection Diabetes Mellitus
43 Angioedema Treatment Refer patient to Emergency Department Removal of offending agent Antihistamines Benadryl
44 Summary Most medication-related oral reactions occur within one to two weeks of initiation of therapy 1 The most frequent medication-related oral reactions are xerostomia, dysgeusia and stomatitis 1 The most common offending agents are chemotherapy agents, antibiotics, antihistamines and psychotropic medications First line treatment for most medication-related oral reactions is good oral hygiene
45 Questions
46 More questions? Rachel Foster Dr. Jim Krebs
47 References 1. Abdollahi, Mohammad, and Roja Rahimi. "Current Opinion on Drug- Induced Oral Reactions: A Comprehensive Overview." Journal of Contemporary Dental Practice 9.3 (2008): Print. 2. Tack, Alan, and Roy Rogers. "Oral Drug Reactions." Dermatologic Therapy 15 (2002): Print. 3. Micromedex. Micromedex, n.d. Web. 22 Aug < edex2/librarian>.
Cancer Care Oral Mucositis Managing Oral Care After Radiation or Chemotherapy. May 08
Cancer Care Oral Mucositis Managing Oral Care After Radiation or Chemotherapy May 08 Halton Region Health Department Mission Statement Together with the Halton community, the Health Department works to
6. Do you have an Advance Directive or Living Will? Yes No These are written statements about how you want to be treated if you get very sick.
Adult Health History Name: First Last Name you like to be called: Today s Date: Date of Birth: Male Female Transgender Male to Female Transgender Female to Male Other Filling out this form Answering these
Clinical Quality Measure Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW
Clinical Crosswalk: HEDIS, Meaningful Use, PQRS, PCMH, Beacon, 10 SOW NQF 0105 PQRS 9 NQF 0002 PQRS 66 Antidepressant Medication Management Appropriate Testing for Children with Pharyngitis (2-18 years)
Preconception Clinical Care for Women Medical Conditions
Preconception Clinical Care for Women All women of reproductive age are candidates for preconception care; however, preconception care must be tailored to meet the needs of the individual. Given that preconception
Dallas Neurosurgical and Spine Associates, P.A Patient Health History
Dallas Neurosurgical and Spine Associates, P.A Patient Health History DOB: Date: Reason for your visit (Chief complaint): Past Medical History Please check corresponding box if you have ever had any of
CICLOSPORIN. What are the aims of this leaflet?
CICLOSPORIN What are the aims of this leaflet? This leaflet has been written to help you understand more about ciclosporin. It tells you what it is, how it works, how it is used to treat skin conditions,
For the Patient: CHOP-R Other names: LYCHOP-R
1 For the Patient: CHOP-R Other names: LYCHOP-R C H O P R Cyclophosphamide Doxorubicin (also known as ADRIAMYCIN ) Vincristine (also known as ONCOVIN ) Prednisone (taken by mouth) Rituximab (also known
PHRC 6430 Pharmacotherapy III
Green Tobacco cessation, also present in PT1 (This was due to a rearrangement of the PT sequence schedule. Smoking Cessation is now in PT1 only). CO01: Describe patient and environmental characteristics
Patient Information. Patient s First and Last name: Preferred Name: Mailing Address: City: State: Zip Code: Date of Birth: Gender:
Patient Information: Patient Information Patient s First and Last name: Preferred Name: Mailing Address: Date of Birth: Gender: Best Number to Confirm Your Appointments: Alternate Phone Number: Social
Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL
Marilyn Borkgren-Okonek, APN, CCNS, RN, MS Suburban Lung Associates, S.C. Elk Grove Village, IL www.goldcopd.com GLOBAL INITIATIVE FOR CHRONIC OBSTRUCTIVE LUNG DISEASE GLOBAL STRATEGY FOR DIAGNOSIS, MANAGEMENT
WELCOME Thank you for taking the time to fill out this form. It will enable us to provide quality, personalized dental care for you.
HIRSHFIELD DENTAL CARE 50 NORTH ST. MEDFIELD, MA 02052 Today s date WELCOME Thank you for taking the time to fill out this form. It will enable us to provide quality, personalized dental care for you.
Protocol for the treatment of oral candida at E.M.H.
Protocol for the treatment of oral candida at E.M.H. Introduction Candidosis and Xerostomia [a dry mouth] are the two most common oral problems found in palliative care. Cancer patients are very susceptible
Galerie Dental Care. Patient Information. Emergency Contact Relationship: Phone:
Galerie Dental Care Patient Information Date: Patient Name: Last First Middle Initial (Preferred Name) Gender: Birth Date: Marital/Family Status Address: Street Apartment # City Province Postal Code Phone
Pharmacology 260 Online Course Schedule Spring 2012
Pharmacology 260 Online Course Spring 2012 The topics listed below do not necessarily correspond to a 1 - hour lecture period. You should cover the topics for each week at some time during that week. Readings
NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only)
PAGE 1 NEURO-OPHTHALMIC QUESTIONNAIRE NAME: AGE: DATE OF EXAM: CHART #: (Office Use Only) 1. What is the main problem that you are having? (If additional space is required, please use the back of this
U.S. Department of Health and Human Services National Institutes of Health National Institute of Dental and Craniofacial Research
U.S. Department of Health and Human Services National Institutes of Health National Institute of Dental and Craniofacial Research What do I need to know about dry mouth? Dry mouth is the feeling that
MEDICAL HISTORY AND SCREENING FORM
MEDICAL HISTORY AND SCREENING FORM The purpose of preventive exams is to screen for potential health problems and provide education to promote optimal health. It is best practice for chronic health problems
Patient Intake Form. Patient Information. How did you find out about our office?
Atlanta Injury and Wellness Center 2740 Greenbriar Parkway Suite A 3 Atlanta, GA 30331 404 629 9999 Patient Intake Form Welcome to our office of chiropractic. Thank you for taking a moment to fill in our
VAD Chemotherapy Regimen for Multiple Myeloma Information for Patients
VAD Chemotherapy Regimen for Multiple Myeloma Information for Patients The Regimen contains: V = vincristine (Oncovin ) A = Adriamycin (doxorubicin) D = Decadron (dexamethasone) How Is This Regimen Given?
PATIENT REGISTRATION
PATIENT REGISTRATION Patient s Last Name: Patient s First Name: MI: Address: City, State Zip code: Patient s Date of Birth: Patient s Social Security: Best Number to contact: Secondary Number: Marital
Cancer Treatment & Dental Health
SYMPTOM MANAGEMENT Patients: please give this booklet to your dentist Cancer Treatment & Dental Health A Resource For Dental Health Professionals In this booklet you will learn about: Importance and Objectives
PLEASE PRINT LEGIBLY
Patient Information PLEASE PRINT LEGIBLY Patients Name: Date of Birth: Sex: Patients Address: City: State: Zip: Home Phone: Cell: Work: Email: SSN: Employer: Occupation: Marital Status: Employed: Full
Pulmonary Associates of Richmond
Pulmonary Associates of Richmond Name: Address One: City: Home Phone#: Work Phone#: Cell Phone#: State: Zip: Sex: Social Security Number: Referring Doctor: of Birth: Employer: Primary Care Doctor: Employment
1. What Xylocaine with adrenaline is and what it is used for
Package leaflet: Information for the user Xylocaine 1% and 2% with adrenaline (epinephrine) 1:200,000 Solution for Injection lidocaine, adrenaline (epinephrine) Read all of this leaflet carefully before
New England Pain Management Consultants At New England Baptist Hospital
New England Pain Management Consultants At New England Baptist Hospital Pain Management Center Health Assessment Dear New Pain Management Patient, Welcome to the New England Pain Management Consultants
Excerpt from Food-Medication Interactions 13th edition by Zaneta M. Pronsky, MS, RD, LDN, FADA INTRODUCTION
Excerpt from Food-Medication Interactions 13th edition by Zaneta M. Pronsky, MS, RD, LDN, FADA INTRODUCTION The study of the absorption, distribution, metabolism and excretion of drugs is referred to as
POINCIANA INTERNAL MEDICINE PA. Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address:
Patient Name: Social Security Number: Date of Birth: / / Sex: M/F (Circle One) Married/Single/Divorced/Widow Address: (Street) (City/State/Zip) Home Phone: ( ) E Mail Address: Would you be interested in
Dental health following cancer treatment
Dental health following cancer treatment Treatment for cancer often increases the risk for dental problems. As a cancer survivor, it is important for you to understand the reasons why dental care is especially
Ask Your Doctor if There May Be a SMARTER CHOICE
If you have osteoarthritis, rheumatoid arthritis or ankylosing spondylitis, Could Your NSAID Pain Medicine Be Hurting Your Stomach? Ask Your Doctor if There May Be a SMARTER CHOICE 1 of 8 Making Smart
Douglas G. Benting, DDS, MS, PLLC Practice Limited to Prosthodontics
Douglas G. Benting, DDS, MS, PLLC Practice Limited to Prosthodontics Patient s Name Birthdate Who referred you to this office? Social Security # Address City ST ZIP Home Phone Work Phone Ext Cell Phone
READ THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION. sacubitril/valsartan film-coated tablets
READ THIS FOR SAFE AND EFFECTIVE USE OF YOUR MEDICINE PATIENT MEDICATION INFORMATION Pr ENTRESTO TM sacubitril/valsartan film-coated tablets Read this carefully before you start taking ENTRESTO TM and
San Luis Dermatology & Laser Clinic, Inc.
San Luis Dermatology & Laser Clinic, Inc. Patient Name: Pharmacy Name: LOCATION Health History Intake Form The federal government has defined a complete electronic medical record (EMR) or electronic health
Drospirenone and Ethinyl Estradiol Tablets USP, 3 mg/ 0.03 mg
FDA Approved Patient Labeling Drospirenone and Ethinyl Estradiol Tablets USP, 3 mg/ 0.03 mg Rx only Guide for Using Drospirenone and Ethinyl Estradiol Tablets WARNING TO WOMEN WHO SMOKE Do not use drospirenone
NEW PATIENT HISTORY Mark L. Prasarn, M.D.
NEW PATIENT HISTORY Mark L. Prasarn, M.D. Date: Name: Age: Height: Weight: Pharmacy: Phar. Phone#: Primary Care M.D. Referring M.D.: What is your Chief Complaint? What makes the pain better? Neck Pain
There is a risk of renal impairment in dehydrated children and adolescents.
PACKAGE LEAFLET: INFORMATION FOR THE USER MELFEN 200mg FILM-COATED TABLETS MELFEN 400mg FILM-COATED TABLETS Ibuprofen Read all of this leaflet carefully before you start taking this medicine because it
PATIENT INFORMATION PATIENT NAME (LAST, FIRST, MIDDLE) SEX DOB MAILING ADDRESS CITY STATE ZIP SSN
PATIENT INFORMATION PATIENT NAME (LAST, FIRST, MIDDLE) SEX DOB MAILING ADDRESS CITY STATE ZIP SSN STREET ADDRESS (IF DIFFERENT FROM ABOVE) CITY STATE ZIP HOME PHONE NUMBER EMPLOYER CELL PHONE NUMBER WORK
Welcome to Dr. Moritis Dental Office
Welcome to Dr. Moritis Dental Office Patient Information First Last M.I. Address City State Zip Home Phone Work Phone Cell Phone Email Social Security # Birth date Gender M F Marital Status Single Married
For the Patient: Paclitaxel injection Other names: TAXOL
For the Patient: Paclitaxel injection Other names: TAXOL Paclitaxel (pak'' li tax' el) is a drug that is used to treat many types of cancer. It is a clear liquid that is injected into a vein. Tell your
Patient Information. Name: Social Security Number: Birth date: Email: Address: Phone #: House: Cell: Work: Primary Care Physician: Address:
Patient Information Name: Social Security Number: Birth date: Age: Email: Address: Phone #: House: Cell: Work: Primary Care Physician: Phone #: Date Last Visit: Address: Emergency Contact: Emergency Phone
Surgery Health Survey
Surgery Health Survey Name: Social Security Number: Date of Birth: Please tell us which physician(s) we should contact regarding your visit: REFERRING PHYSICIAN Name: Address: PRIMARY CARE PHSYICIAN Name:
More details >>> HERE <<<
More details >>> HERE http://urlzz.org/conitp/pdx/cc8648/ Tags:
Roswell Ear, Nose, Throat, & Allergy 342 W. Sherrill Lane Suite A, Roswell, New Mexico 88201 (575)-622-2911 Fax: (575)-622-2598
Roswell Ear, Nose, Throat, & Allergy 342 W. Sherrill Lane Suite A, Roswell, New Mexico 88201 (575)-622-2911 Fax: (575)-622-2598 Patient Registration Form: (Please Print all Pertinent Information) Last
For Pediatric Oncology Patients and Families
Atlantic Provinces Pediatric Hematology Oncology Network Réseau d oncologie et d hématologie pédiatrique des provinces de l Atlantique 5850/5980 University Avenue, PO Box 9700, Halifax, NS, B3K 6R8, 1.902.470.7429,
PATIENT INFORMATION / / OTHER CONTACT NUMERS: (CIRCLE ONE) CELL, HOME OR OTHER. ENTER NUMBER BELOW. ( ) EMPLOYER ( )
PATIENT INFORMATION PATIENT S LEGAL NAME DATE OF BIRTH AGE DATE / / / / HEIGHT AND WEIGHT SEX REASON FOR VISIT: MARITAL STATUS FT IN LBS MALE FEMALE S M D W ADDRESS CITY STATE ZIP CODE THE BEST NUMBER
$4, 30-day $10, 90-day
$4 Prescriptions - Choose from hundreds of generic drugs and over the counter medications. Free Home Delivery Mailed right to your home Free shipping Prescription Program includes up to a 30-day supply
1960 Ogden St. Suite 120, Denver, CO 80218, 303-318-3840
Dear Valued Patient, 1960 Ogden St. Suite 120, Denver, CO 80218, 303-318-3840 Thank you for choosing Denver Medical Associates as your healthcare provider. We strive to provide you with the best possible
Medications for chronic pain
Medications for chronic pain When it comes to treating chronic pain with medications, there are many to choose from. Different types of pain medications are used for different pain conditions. You may
Migraine The Problem: Common Symptoms:
Migraine The Problem: A combination of genetic and environmental factors alter pain mechanisms in your brain Transient changes in brain chemicals such as serotonin and neuropeptides affect the membranes
Home Delivery Prescription Program Drug List
Home Delivery Prescription Program Drug List Low-cost prescriptions, right in your mailbox. Now you can have your generic prescriptions mailed right to your home, no matter where you live. Because we think
PATIENT INFORMATION (Please Print) Patient First Middle Initial Last. Email : ( Please avoid using Work Email Address)
PATIENT INFORMATION (Please Print) Date: Patient First Middle Initial Last Birthdate: / / Marital Status: Address: City: State: Zip Code: Primary Phone: ( ) Secondary Phone: ( ) By supplying your email
Managing Mouth Sores
Managing Mouth Sores The following information is based on the general experiences of many prostate cancer patients. Your experience may be different. If you have any questions about what prostate cancer
AUBURN DERMATOLOGY PATIENT DEMOGRAPHIC (Please print legibly)
AUBURN DERMATOLOGY PATIENT DEMOGRAPHIC (Please print legibly) Patient Legal Name: DOB: M/F Home Phone: Work Phone: Cell Phone: Mailing Address: City: State: Zip: Preferred Email: Married: Single: Widowed:
1MFBTF GJMM PVU GPSNT BOE GBY 'PSNT XJMM CF TJHOFE BU ZPVS BQQPJOUNFOU
CELL PHONE: PATIENT HISTORY FORM - CONFIDENTIAL DATE: PATIENT: (LAST NAME) (FIRST NAME) (Ml) (NICKNAME) DOB: Primary Physician/ Family Doctor: Phone: Past Medical History (Click all that apply) High blood
Retail Prescription Program Drug List
Retail Prescription Program Drug List Price Matters New Men s Health Category Convenience Free Home Delivery Our 4 prescriptions have saved our customers over 3 billion The program is available to everyone,
MEDICATION GUIDE. Bupropion Hydrochloride (bue-proe-pee-on HYE-droe-KLOR-ide) Extended-Release Tablets, USP (SR)
MEDICATION GUIDE Bupropion Hydrochloride (bue-proe-pee-on HYE-droe-KLOR-ide) Extended-Release Tablets, USP (SR) Read this Medication Guide carefully before you start taking bupropion hydrochloride extendedrelease
For the Patient: BRAJFECD Other Names: Adjuvant Therapy for Breast Cancer Using Fluorouracil, Epirubicin and Cyclophosphamide and Docetaxel
For the Patient: BRAJFECD Other Names: Adjuvant Therapy for Breast Cancer Using Fluorouracil, Epirubicin and Cyclophosphamide and Docetaxel BR = BReast AJ = AdJuvant F = Fluorouracil E = Epirubicin C =
Patient & Medical Professional US Online Panel
Patient & Medical Professional US Online Panel Patient & Medical Professional US Online Panel Over 500K validated US online double opt-in panelists motivated to share their opinions in research! Since
Daily aspirin therapy: Understand the benefits and risks
Daily aspirin therapy: Understand the benefits and risks Is an aspirin a day the right thing for you? It's not as easy a decision as it sounds. Know the benefits and risks before considering daily aspirin
Directory of Generic Medications Eligible for Rx Savings Program Flat Fees
Directory of Generic Medications Eligible for Rx Savings Program Flat Fees CONNECTICUT VERSION If you re already enrolled in the FREE* Rx Savings Program, use this guide to find your best choices. And,
Tooth Decay. What Is Tooth Decay? Tooth decay happens when you have an infection of your teeth.
Tooth Decay What Is Tooth Decay? Tooth decay happens when you have an infection of your teeth. When you eat food and drink, it is broken down into acid. This acid helps to make plaque (a sticky substance).
Medication Guide EQUETRO (ē-kwĕ-trō) (carbamazepine) Extended-Release Capsules
Medication Guide EQUETRO (ē-kwĕ-trō) (carbamazepine) Extended-Release Capsules Read this Medication Guide before you start taking EQUETRO and each time you get a refill. There may be new information. This
Section II When you are finished with this section, you will be able to: Define medication (p 2) Describe how medications work (p 3)
Section II When you are finished with this section, you will be able to: Define medication (p 2) Describe how medications work (p 3) List the different medication effects (p5) List the ways that medications
LOW T NATION TESTOSTERONE INTAKE FORM NAME: DATE: ADDRESS: CITY: STATE: ZIP: CELL #: HOME #: SOC SECURITY #: DATE OF BIRTH:
LOW T NATION TESTOSTERONE INTAKE FORM NAME: DATE: ADDRESS: CITY: STATE: ZIP: CELL #: HOME #: SOC SECURITY #: DATE OF BIRTH: DRIVERS LICENSE NUMBER: STATE: EMAIL ADDRESS: MARITAL STATUS: ( ) SINGLE ( )
(Please fill this out to the best of your ability) Baker Eye Institute Conway, Arkansas 501-329-3937 NAME: Today s Date:
Page 1 of 5 (Please fill this out to the best of your ability) Baker Eye Institute Conway, Arkansas 501-329-3937 NAME: Age: What is the main reason for today s visit? Today s Date: Who referred you to
Taking Over-the-Counter (OTC) Medicines Safely
Taking Over-the-Counter (OTC) Medicines Safely This chart contains information about some of the more frequent drug interactions that may occur when you are taking over-the-counter (OTC) medicines with
Patient Information Once Weekly FOSAMAX (FOSS-ah-max) (alendronate sodium) Tablets and Oral Solution
Patient Information Once Weekly FOSAMAX (FOSS-ah-max) (alendronate sodium) Tablets and Oral Solution Read this information before you start taking FOSAMAX *. Also, read the leaflet each time you refill
MEDICATION GUIDE WELLBUTRIN (WELL byu-trin) (bupropion hydrochloride) Tablets
MEDICATION GUIDE WELLBUTRIN (WELL byu-trin) (bupropion hydrochloride) Tablets Read this Medication Guide carefully before you start using WELLBUTRIN and each time you get a refill. There may be new information.
UW MEDICINE PATIENT EDUCATION. Xofigo Therapy. For metastatic prostate cancer. What is Xofigo? How does it work?
UW MEDICINE PATIENT EDUCATION Xofigo Therapy For metastatic prostate cancer This handout explains how the drug Xofigo is used to treat metastatic prostate cancer. What is Xofigo? Xofigo is a radioactive
PATIENT HISTORY FORM
PATIENT HISTORY FORM If you are new to the office, have not been seen in over one (1) year, or are returning for a new problem, please complete this form in full. If there have been any changes since your
CHOP Chemotherapy Regimen for Lymphoma Information for Patients
CHOP Chemotherapy Regimen for Lymphoma Information for Patients The Regimen Contains: C: Cytoxan (cyclophosphamide) H: Adriamycin (hydroxy doxorubicin) O: vincristine (Oncovin ) P: Prednisone How Is This
Diagnosis and Treatment of Common Oral Lesions Causing Pain
Diagnosis and Treatment of Common Oral Lesions Causing Pain John D. McDowell, DDS, MS University of Colorado School of Dentistry Chair, Oral Diagnosis, Medicine and Radiology Director, Oral Medicine and
All product claims should be truthful, not misleading, and should be backed by scientific evidence.
SHARING YOUNG LIVING the Right Way The U.S. and most other countries have regulations in place designed to protect consumers. Many of these specifically regulate how natural wellness companies like Young
Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology
Demonstrating Meaningful Use Stage 1 Requirements for Eligible Providers Using Certified EMR Technology The chart below lists the measures (and specialty exclusions) that eligible providers must demonstrate
PATIENT INFORMATION LEAFLET Phor Migraine (Ibuprofen)
PATIENT INFORMATION LEAFLET Phor Migraine (Ibuprofen) Read all of this leaflet carefully before you start taking this medicine. Keep this leaflet. You may need to read it again. If you have any further
UBISTESIN 1:200,000 and UBISTESIN FORTE 1:100,000
UBISTESIN 1:200,000 and UBISTESIN FORTE 1:100,000 Articaine hydrochloride and adrenaline hydrochloride Consumer Medicine Information WHAT IS IN THIS LEAFLET Please read this leaflet carefully before you
For the Patient: Protocol LUAJNP Other names: Adjuvant Treatment of Non-Small Cell Lung Cancer with Cisplatin and Vinorelbine
For the Patient: Protocol LUAJNP Other names: Adjuvant Treatment of Non-Small Cell Lung Cancer with Cisplatin and Vinorelbine LU = LUng AJ = AdJuvant NP = Navelbine (vinorelbine), cisplatin ABOUT THIS
Upstate University Health System Medication Exam - Version A
Upstate University Health System Medication Exam - Version A Name: ID Number: Date: Unit: Directions: Please read each question below. Choose the best response for each of the Multiple Choice and Medication
Periodontal (Gum) Disease: Causes, Symptoms, and Treatments
Periodontal (Gum) Disease: Causes, Symptoms, and Treatments Introduction If you have been told you have periodontal (gum) disease, you're not alone. An estimated 80 percent of American adults currently
Patient Information Form Pain Management Center at Phoebe
Patient Information Form Pain Management Center at Phoebe Please complete the following form, so that we may facilitate your visit Occupation: or (circle) Retired, Disabled Homemaker, Full time student
Trileptal (Oxcarbazepine)
Brand and Generic Names: Trileptal Tablets: 150mg, 300mg, 600mg Liquid Suspension: 300mg/5mL Generic name: oxcarbazepine What is Trileptal and what does it treat? Trileptal (Oxcarbazepine) Oxcarbazepine
Measuring Generic Efficiency in Part D
Measuring in Part D Rates among Medicare Part D Generic efficiency rate is a measurement of the total number of prescrip=ons filled as a generic for products with a direct generic subs=tute within a therapeu=c
Common medicines given to neurosurgery patients on discharge from hospital
Common medicines given to neurosurgery patients on discharge from hospital This leaflet contains brief information about some of the medicines we commonly supply on discharge to patients who have been
PATIENT HEALTH QUESTIONNAIRE Radiation Oncology (Patient Label)
REVIEWED DATE / INITIALS SAFETY: Are you at risk for falls? Do you have a Pacemaker? Females; Is there a possibility you may be pregnant? ALLERGIES: Do you have any allergies to medications? If, please
Oral Health. Steps to a healthy mouth Use good oral hygiene. least twice each day with fluoride toothpaste. (ADA) Seal of Acceptance.
Oral Health Oral refers to the mouth, which includes the teeth, gums, and supporting tissues. And having a healthy mouth means more than just having nice-looking teeth your whole mouth needs care. It is
! 1220 Howell Street Ste. 110, Seattle, WA 98101 (206) 464-9002
! 1220 Howell Street Ste. 110, Seattle, WA 98101 (206) 464-9002 PATIENT INFORMATION PATIENT NAME (Last, First, Middle Initial) DATE OF BIRTH AGE ADDRESS SOCIAL SECURITY NUMBER CITY, STATE, ZIP Male GENDER
RIVERTOWN DENTAL CENTER
PATIENT INFORMATION RIVERTOWN DENTAL CENTER DATE PATIENT NAME DATE OF BIRTH S.S.N AGE SEX M F MARRIED SINGLE SEPARATED DIVORCED WIDOWED SPOUSE S NAME ADDRESS CITY ZIP PHONE ( ) CELL PHONE ( ) EMAIL DENTAL
Got Pain? 11/19/2013. Pain Kill Beyond The Pill. Yet it is often inadequately treated.
Pain Kill Beyond The Pill An Innovative & Personalized Approach to Pain Treatment MAZEN BAISA, PharmD, RPh., MBA, ABAAHP, FAARM, CPE Director of Clinical Services BioMed Specialty Pharmacy Pain Kill Beyond
GASTROESOPHAGEAL REFLUX DISEASE (GERD)
GASTROESOPHAGEAL REFLUX DISEASE (GERD) Gastroesophageal reflux disease is a clinical scenario where the gastric or duodenal contents reflux back up into the esophagus. Reflux esophagitis, however, is a
SHREVEPORT-BOSSIER FAMILY DENTAL CARE
SHREVEPORT-BOSSIER FAMILY DENTAL CARE Patient's Name: Patient's Birthdate: (FIRST, MIDDLE, LAST) Patient's SSN #: Patient's Email Address: _ Patient's Phone #: Home:_ Cell: Work: Patient's Address: Patient's
Lithium. Generic name = lithium carbonate (tablets and capsules), or lithium citrate (liquid)
Lithium Brand and Generic Names Eskalith - Capsules: 300 mg Eskalith CR slow release - Tablets: 450 mg Lithobid slow release - Tablets: 300 mg Generic name = lithium carbonate (tablets and capsules), or
PROVERA (medroxyprogesterone acetate) Product Monograph Page 34 of 38
PART III: CONSUMER INFORMATION PR PROVERA* (medroxyprogesterone acetate) This leaflet is part III of a three-part "Product Monograph" published when PROVERA was approved for sale in Canada and is designed
