Beta Blockers and dental problems, is there any correlation?

[TWR]

Question came up regarding taking beta blockers and dental problems. Has anyone found a correlation between the 2?

[Just Steve]

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2213250/

[h=3]"Dental Implications for Patients Medicated with Beta-blockers[/h]Essential information regarding commonly prescribed beta-blockers is summarized in Table 2. Patients medicated with nonselective beta-blockers have a significant risk for acute hypertensive episodes if they receive vasopressors contained in local anesthetics, ie, epinephrine or levonordefrin. The explanation for this interaction was thoroughly addressed in a previous continuing education article provided in this journal.⁵ While treating patients medicated with nonselective beta-blockers, it is wise to record blood pressure and heart rate before administering local anesthetic-vasopressor formulations, then reassess those parameters 3–5 minutes after each cartridge is administered before giving another.

The use of nonsteroidal anti-inflammatory drugs (NSAIDs) for more than 5 days may diminish the antihypertensive efficacy of most drug classes used to manage hypertension. This includes any of the beta-blockers.^2"

[jdant]

I found the information regarding the decreased effectiveness of various anti-hypertensie medications when used with chronic NSAIDS to be very interesting. Thanks for posting.

 

Jared Dant

 

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2213250/

"Dental Implications for Patients Medicated with Beta-blockers

 

Essential information regarding commonly prescribed beta-blockers is summarized in Table 2. Patients medicated with nonselective beta-blockers have a significant risk for acute hypertensive episodes if they receive vasopressors contained in local anesthetics, ie, epinephrine or levonordefrin. The explanation for this interaction was thoroughly addressed in a previous continuing education article provided in this journal.⁵ While treating patients medicated with nonselective beta-blockers, it is wise to record blood pressure and heart rate before administering local anesthetic-vasopressor formulations, then reassess those parameters 3–5 minutes after each cartridge is administered before giving another.

The use of nonsteroidal anti-inflammatory drugs (NSAIDs) for more than 5 days may diminish the antihypertensive efficacy of most drug classes used to manage hypertension. This includes any of the beta-blockers.^2"