Drug Induced Oral Manifestations

Front 1

amitriptyline(antidepressant)

Back 1

dry mouth

Front 2

aspirin (salicylate)

Back 2

ulcerations..stomititis

Front 3

atropine (anticholinergic)

Back 3

dry mouth

Front 4

barbiturates (sedative,anticonvulsant)

Back 4

stomatitis

Front 5

belladonna alkaloids (anticholinergic) (used for ulcers)

Back 5

dry mouth

Front 6

bismuth (antacid)

Back 6

blue-gray discoloration of gums

Front 7

chlorpropamide (hypoglycemic)(used for diabetes)

Back 7

lichenoid eruptions (lacy keratosis)

Front 8

clonidine(antihypertensive)

Back 8

dry mouth,parotid swelling (rare)

Front 9

dyazide (a diuretic)

Back 9

postural hypotension

Front 10

gentian violet (dye used for thrush)

Back 10

ulceration of mucosa

Front 11

gold salts (anti-inflammatory) (used for arthritis)

Back 11

lichenoid eruptions, systemic lupus erythematosus

Front 12

hydrolazine (antihypertension)

Back 12

may induce systemic lupus erythematosus

Front 13

indomethacin (anti-inflammatory) (used for arthritits)

Back 13

ulceration of mucosa

Front 14

iodides (expectorant)

Back 14

parotid swelling (rare)

Front 15

meprobamate (sedative,depressant)

Back 15

stomatitits

Front 16

methyldopa (antihypertensive)

Back 16

salivary gland inflammation (rare)

Front 17

NSAIDS

Back 17

abdominal upset

Front 18

oral contraceptives

Back 18

hypertrophy of gingival tissue

Front 19

penicillame (heavy metal antagonist) (used for arthritis)

Back 19

partial or total loss of taste (25%)

Front 20

penicillin (antibiotic)

Back 20

stevens johnson syndrome

Front 21

phenacetin (analgesic)

Back 21

stomatitis

Front 22

phenolphthalein (laxative)

Back 22

stomatitis

Front 23

phenytoin (anticonvulsant)

Back 23

gingival hyperplasia,occasional lymphadenopathy

Front 24

phenylbutazone (anti-inflammatory)

Back 24

parotid gland swelling,dry mouth,stevens johson syndrome

Front 25

potassium supplements

Back 25

ulceration of mucosa

Front 26

premarin

Back 26

nausea, headache

Front 27

procainamide (antiarrhyhmic)

Back 27

may induce systemic lupus erythematosus

Front 28

procardia

Back 28

gingival hyperplasia

Front 29

prednisone(anti-inflammatory)

Back 29

increases risk of infection

Front 30

probantheline (anticholinergic)(used for ulcers)

Back 30

dry mouth

Front 31

prozac (anti depressant)

Back 31

dry mouth

Front 32

seldane

Back 32

dry mouth

Front 33

sulfonamides (antibiotics)

Back 33

stomatitis,stevens johson syndrome

Front 34

tetracyclines (antibiotics)

Back 34

stomatitis,thrush,staining of teeth

Front 35

warfarin (anticoagulant)

Back 35

gingival bleeding

Front 36

scopalamine

Back 36

anticholinergic...similar to atropine..causes sedation

Front 37

methantheline bromide (banthine)

Back 37

anticholinergic...similar to scopalamine. not commonly used.

Front 38

prpantheline bromide (pro-banthine)

Back 38

anticholinergic...more potent than banthine. fewer side effects. antisialogogue of choice

Front 39

epinephrine hydrocholoride (adrenalin)

Back 39

adrenergic.....powerful alpha and beta stimulator. used in vasoconstriction in l anesth..bronchodilation in asthma,tx of anaphylactic shock..contraindicated in hypertension and signif cardiovascular disease

Front 40

norepinephrine(levarterenol)

Back 40

adrenergic.....principle neurohumoral post ganglionic transmitter of the symp nervous system. mainly an alpha stimulator,. causes vasoconst or non essential vessels

Front 41

levornordefrin (neo-cobefrin)

Back 41

adrenergic.....similar to noeri. but much less potent. mainly an alpha stimulator. used as vasoconstrictor in local anesth. (carbocaine)

Front 42

isoproterenol,albuterol,metaproterenol

Back 42

adrenergic....beta adrenergic stimulator.dilates bronchioles in asthma

Front 43

ephedrine

Back 43

adrenergic.....weak, long acting alpha and beta stimulator. used in tx of asthmy, hypotension, and shock. hallucinogenic

Front 44

phenylephrine hydrochloride (neo-synephrine)

Back 44

adrenergic.....strong alpha stimulator. dilate pupils.otc med for nasal congestion

Front 45

amphetamines

Back 45

adrenergic.....synthetic drugs stimulate alpha and beta receptors as well as CNS. treat depression,suppress appetite,increase alertness

Front 46

dopamine (intropin)

Back 46

adrenergic.....normal CNS neurostransmitter. stimulates alpha and beta receptors inc. circulation to renal , cerebral and coronary vessels. can cause arrhythmia, hypotension

Front 47

Methylodopa (aldomet),metroprolol(lopressor)

Back 47

anti-adrenergic(alpha blocking) agents.....inhibit alpha effect (constricting of blood vessels) allows more blood to flow to periphery. used in hypertension.

Front 48

reserpine

Back 48

anti-adrenergic(alpha blocking) agents.....block heart stimulation. can produce bradycardia

Front 49

propanolol(inderal)

Back 49

adrenergic beta blocking agents... beta stimulation causes vasodilation in vessels lined mostly with beta receptors. beta stimulation causes bronchodilation and heart stiumulation. beta blockers block these effects. is a beta- 1 blocker. tx of arrhythmia, angina mitral valve prolapsed, hypertension,migraine headache

Front 50

atenolol

Back 50

adrenergic beta blocking agents...inhibts beta stimulation which causes blood pressure increase. used to lower BP. also for mitral valve prolapse