I know alot of dentists require pre-medication before performing a cleaning service on a client with Mitral Valve Prolapse but this seems extreme... I was perscribed to take 4 500mg Amoxicillin Pills 1 hour before my appointment (all four have to be taken at the same time... that is a total of 2000mg of antibiotics)! I know this is a precaution to avoid endocarditis (which is a no good situation)! My question ... Is this too much? I am a petite girl (5' & 100 ibs) and I fear that I will react to such a high dosage (nausea, etc) I have serious digestive issues and worry this may set them off (my dentist is aware of these conditions)! I know I have to take them (a requirement by my dentist) but would 2 be suffice or should I suck it up take all four (or get a second opinion from a pharmacist and/or physician)?
2007-03-14 09:46:43 · 4 answers · asked by Anonymous in Health ➔ Dental
Right! I know it needs to kill of all bacteria that enters the bloodstream (plaque etc) but doesnt plaque and so on enter the bloodstream daily when we brush or floss our teeth? Some Cardiologists strongly stand by pre-medication and some say it is not required at all! My cardiologist told me I didnt need any pre-meds (first she said I did, and then she changed her mind and said I didnt)! When I told the dentist this he was shocked and upset by her analysis!
2007-03-14 10:16:35 · update #1
Yeah no need for smart a** remarks its a simple question!
2007-03-15 02:09:38 · update #2
The pediatric dose of amoxicillin for dental prolapse is 50mg per kilogram body weight, with a maximum of 2000mg. Based on weight your dosage would be 2275mg, over the recommended maximum. Therefore, no, you are not being overdosed.
The reason for the high dosage one hour prior to dental cleaning is to have a high blood level of amoxicillin in your system at the time the procedure is being carried out. This is designed to kill those bacteria likely to colonize on the valve walls.
2007-03-14 10:07:51 · answer #1 · answered by greydoc6 7 · 3⤊ 0⤋
as they all have been saying..the dose which you were given is correct.as for your cardiologist saying you don't need the premedication, if that is the case and you really don't want to take the prescribed meds then have your cardiologist write you medical clearance which you hand to your dentist stating that you do not need the premedication.in that way if anything happens to you doing the procedure your dentist will not be held liable because you were cleared by your cardio.but i think its better to be safe then sorry...so take the pills!!!
2007-03-14 13:17:38 · answer #2 · answered by gandagrl 1 · 4⤊ 0⤋
i become clinically determined in February of this 3 hundred and sixty 5 days and have been on Toprol XL that's a beta blocker ever for the reason that. I certainly have bouts with intense blood rigidity and intense heart fee. they have had to enhance my dosage additionally. I certainly have purely had one echo completed that's how they discovered my mvp and the record mentioned it become gentle additionally. My record informed me that mvp in lots of cases would not worsen yet there's a threat that it ought to. i'm meant to have an echo completed as quickly as a 300 and sixty 5 days. i'm getting a 2d opinion next week to make optimistic my heart professional now could be doing his job wisely. in case you're no longer seeing a heart professional focusing on MVP i might strongly evaluate it.
2016-11-25 20:17:38 · answer #3 · answered by ? 4 · 0⤊ 0⤋
No that is the normal dose. It is not a large dose. You must take the prescribed amount. You do not want to risk DYING from having your teeth cleaned. Just take the pills and shut up about it.
2007-03-14 12:31:21 · answer #4 · answered by Educated 7 · 3⤊ 1⤋