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Pharmacology

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CDA Oasis Conversation: EpiPen Efficacy & Safety – What Every Dentist Needs to Know with Dr. Mark Donaldson

Dr. Mark Donaldson, Director at VHA, US health care network of not-for-profit hospitals, speaks about the safety and efficacy of the long-used EpiPen. Highlights Epinephrine is one of the most important medications in an emergency kit. It is the reversal agent required for anaphylactoid reactions. EpiPen In most cases, there should be 3 EpiPens or EpiPen, Jr. in the office if treating an adult or pediatric patient, respectively. An ampule of epinephrine has a longer shelf life than an EpiPen. There is a high risk and incidence of auto-injection of health care professionals when attempting to administer the medication to the ...

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Dr. Aviv Ouanounou: How important is polypharmacy in the elderly population?

Dr. Aviv Ouanounou discusses the topic of polypharmacy including the causes and ways to reduce this phenomenon in the video below. Video Highlights Polypharmacy is fairly common in the elderly, affecting approximately 1 in 3 elders and is one of the leading causes of death in North American geriatric patients. The term polypharmacy refers to patients who take more than 9 medications than are clinically warranted. As patients take more medications, they incur a corresponding cost increase, a higher probability of prescription errors given the multiple medications, as well as an increased incidence of drug interactions and adverse drug reactions. Polypharmacy can lead ...

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Drugs

CDA Oasis Conversations: Managing adverse drug reactions in the elderly

Dr. Aviv Ouanounou speaks with Dr. Suham Alexander about adverse drug reactions and their management in the elderly population. Interview Highlights Adverse drug reactions are undesired or unexpected effects which occur in patients at therapeutic dosages. These differ from side-effects of medications which are known ahead of time through clinical trials and have been detailed in drug monographs. Causes of adverse drug reactions Use of multiple medications (polypharmacy). Many medications are not trialed in the elderly therefore, there is no information about reactions or side-effects that may occur in this population. Altered physiology, metabolism and pharmacokinetics in the elderly. Common Adverse ...

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Case Conference: Diagnosis and management of the white lesion with Dr. Aviv Ouanounou

Dr. Aviv Ouanounou from the University of Toronto comes back to present the diagnosis and management of the white lesion case that we presented in September on oasis Discussions.   View the initial case presentation            Watch the video presentation

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Case Conference: How would you manage this case?

This case is presented by Dr. Aviv Ouanounou from the Faculty of Dentistry at the University of Toronto. Watch the Case Presentation   We welcome your input about this topic. You have the option to remain anonymous in leaving your feedback. Please note that all your comments are moderated by the CDA Oasis Team and no comments go live immediately. Your feedback is sent to us in the form of an email which is accessed by the CDA Oasis Team and is not shared by a third party. You can safely leave your name and email allowing us to contact you, ...

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Acetaminophen: a new foe?

This summary is based on the article published in the Journal of Endodontics: Acetaminophen: Old Drug, New Issues (May 2015) Anita Aminoshariae, DDS, MS, and Asma Khan, BDS, PhD Context The Food and Drug Administration (FDA) Drug Safety Communication states that ‘‘acetaminophen-containing prescription products are safe and effective when used as directed, though all medications carry some risks’’ (2). During the past decade, acetaminophen has been identified as the leading cause of acute liver failure in the United States, and up to 50% of the cases are caused by an unintentional overdose (3–6). In 2011, confirming acetaminophen as a dose-dependent ...

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CDA Oasis Resource: Understanding Substance Use Disorders, Drug Diversion and Pain Management

This resource is provided courtesy of Wiley Publishing and the American Dental Association.  Read and download the resource in PDF     Watch the video presentation  

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CDA Oasis Conversations: Dr. Aviv Ouanounou speaks about medication abuse among the elderly population

Dr. Aviv Ouanounou spoke with Dr. Suham Alexander about medication abuse among the elderly population and what considerations should the oral health care professional take when treating an elderly patient. Dr. Aviv Ouanounou is Assistant Professor, Pharmacology, in the Faculty of Dentistry at the University of Toronto.     Watch the vide interview  

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