Dental-Oral manifestations of anti-Parkinson Meds

on 26.3.08 with 0 comments



L-dopa: orthostatic hypotension, probably a vascular effect; tongue thrusting, dysphagia, dysguesia (altered taste), increased cardiac epi effect (although many texts will say to avoid epi for pts on L-dopa, this is not valid… we want good anesthesia to prevent a huge release of endogenous epi if pain occurs. Just don’t inject a couple of carps of 1:100,000 epi lidocaine into a blood vessel, and you’ll be ok.)

Selegiline: rarely, transient nausea

Anticholinergics: xerostomisa (severe), dysphagia, vagolytic effects

Category: Pharmacology Notes

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