View Post

Naloxone Updates

Update: FDA now recommends prescribing naloxone and requires new labeling changes for opioids In its Drug Safety Communication from July 23, 2020, the Food and Drug Administration (FDA) has announced that it recommends that health care professionals consider prescribing naloxone to patients at increased risk of opioid overdose, including those taking benzodiazepines or other CNS depressants, regardless of whether the …

View Post

Azithromycin Use and The Risk of Cardiovascular and Non-Cardiovascular Death

A recent study, published online in JAMA Network Open on June 17, 2020, found a statistically significantly increased relative risk and absolute risk of cardiovascular death and noncardiovascular death with the outpatient use of azithromycin when compared with the use of amoxicillin (an antibiotic not known to increase cardiovascular events) within a five-day window after exposure. Interestingly, the study found an …

View Post

Codeine and your dental patients

Let’s talk pain control and your patients. Let’s talk about what that means when it comes to codeine. Let’s talk to dental’s pharmacology expert, Tom Viola, RPh, about it so you can get the information you need. #TogetherWeRise Dental Assistant Nation · Episode 160: Codeine and your dental patients

View Post

Gabapentinoids and Potential Respiratory Depression with Dental Drugs

The FDA continues to warn practitioners that respiratory depression may occur in patients taking the drugs gabapentin or pregabalin, especially patients who are also predisposed to respiratory depression due to their concomitant use of other respiratory depressants, such as opioid analgesics, and other drugs that depress the central nervous system, such as benzodiazepines. Patients with underlying respiratory disease (such as …

View Post

Opioid Analgesics vs. Non-Opioid Analgesics For Post-Extraction Dental Pain 

A recent study, published in March 2020 in JAMA Network Open, sought to understand the differences in patient-reported outcomes between patients who used opioids and those who did not use opioids after dental procedures, in an effort to encourage the adoption of more conservative and appropriate prescribing practices in dentistry. The study was conducted in the 14 dental clinics of …

View Post

Who said I can’t take Advil?” Dental Pain Management in a Post Covid-19 World with Tom Viola, R.Ph., C.C.P. – On A Tale of Two Hygienists Podcast

Tom Viola joins Michelle Strange for a Facebook Live chat on dental pain control during and after this pandemic. Listen in as Tom answers some of the viewer questions! This episode is sponsored by Crest + OralB. We thank them for supporting us, amazing educators like Tom, and for supporting dental teams everywhere. Learn more through their social media channels …

View Post

Acetaminophen, supplements, and more: The effects on your dental patients

Tom Viola, RPh, is back to talk about acetaminophen, supplements, and other standard things your patients may be taking … but they may not think about telling you about. What are the effects and what do you need to know? A frank and honest conversation with dental’s pharmacology expert. Dental Assistant Nation · Episode 168: Acetaminophen, supplements, and more: The …

View Post

Acetaminophen/Ibuprofen Combo Coming This Year–At Last

As pharmaceutical companies continue their search for non-opioid pain relief, we’ve made solid, evidence-based progress, and one of the most consistent research findings is this: acetaminophen combined with ibuprofen is a spectacular combination for managing post-procedural dental pain. This combination delivers everything the human system needs for short-term relief of acute, traumatic discomfort: anti-inflammatory action reduces the swelling and pressure …

View Post

Cannabis and your dental patients

Let’s talk about the effects of cannabis on your dental patients. Let’s talk about why they need more anesthetic. Let’s talk about what you need to know about this important topic with dental’s pharmacology expert, Tom Viola, RPh. Dental Assistant Nation · Episode 161: Cannabis and your dental patients

View Post

Oral Antibiotics and Cancer Risk: Is There A Link?

When we talk about the oral-systemic connection, we’re really talking about a subsystem of the human body itself. And while we frequently think of ourselves as 100% human, that isn’t the full picture. That’s right. You are a moving ecosphere. Microbial life forms living in the human body outnumber your own cells, in fact; up to 100 trillion in every …