Can I Take Antibiotics Before Wisdom Tooth Extraction While Using Eye Drops?

Q: Can I Take Antibiotics Before Wisdom Tooth Extraction While Using Eye Drops?

Dear Ms. Z： 1. "Timolol Maleate Eye Drops 0.5%"： The active ingredient is Timolol maleate 6.8 mg; it belongs to the class of beta-blockers. 2. "Neostigmine Methylsulfate Eye Drops"： The active ingredient is Neostigmine Methylsulfate; Neostigmine temporari

Medication Consultation

Doctor, I am using 0.5% dorzolamide eye drops, methacholine sulfate and phenylephrine eye drops, and "Excelvision" antihistamine eye drops.
Recently, I need to have my wisdom teeth extracted.
Can I take antibiotics? Thank you, doctor.

Ms. Z, 20~29 year old female. Ask Date: 2020/05/03

Dr. Xiao Yongxun reply Family Medicine

Dear Ms.
Z:
1.
"Timolol Maleate Eye Drops 0.5%": The active ingredient is Timolol maleate 6.8 mg; it belongs to the class of beta-blockers.

2.
"Neostigmine Methylsulfate Eye Drops": The active ingredient is Neostigmine Methylsulfate; Neostigmine temporarily inactivates Cholinesterase to inhibit the breakdown of Acetylcholine, thereby indirectly increasing the action of Acetylcholine.
It acts as a natural stimulant similar to Acetylcholine, functioning as a parasympathetic agonist.
3.
"Zaditen Eye Drops 'Excelvision'": ZADITEN®, with the active ingredient ketotifen fumarate; Ketotifen is an H1 histamine receptor antagonist that inhibits the release of mediators (such as histamine, leukotrienes, prostaglandins, and platelet-activating factor) from type I (immediate) allergic reaction cells (mast cells, eosinophils, basophils, and neutrophils).
Ketotifen can reduce the chemotaxis, activation, and degranulation of eosinophils.
The increase in cAMP (cyclic adenosine monophosphate) concentration, due to the inhibition of Phosphodiesterase, is the primary reason for ketotifen's cell-stabilizing effects.
4.
Generally, topical eye drop treatments do not usually cause systemic reactions.
However, I am unaware of your specific eye conditions and the reasons for using these eye drops.
Therefore, please discuss this with your ophthalmologist and inform your dentist so they can consider it in assessing potential risks.
5.
As for whether antibiotics are necessary after wisdom tooth extraction, this decision must be made by your dentist based on your individual health status and clinical needs.

Reply Date: 2020/05/03

More Info

When it comes to the question of whether you can take antibiotics before a wisdom tooth extraction while using eye drops, the answer is generally yes, but there are several important considerations to keep in mind.

Firstly, it is essential to understand that the use of eye drops, such as the ones you mentioned (Kersiv pressure eye drops, Methacholine sulfate eye drops, and Antistin eye drops), typically does not interfere with the effectiveness of antibiotics. These medications serve different purposes: eye drops are primarily for treating eye conditions, while antibiotics are prescribed to prevent or treat infections, especially in the context of dental procedures like wisdom tooth extraction.

However, there are a few factors to consider:
1. Consult Your Dentist or Oral Surgeon: Before taking any antibiotics, it is crucial to consult with your dentist or oral surgeon. They will assess your specific situation, including your medical history, the medications you are currently taking, and any potential interactions. They may prescribe a specific antibiotic that is appropriate for your dental procedure.

2. Timing of Antibiotics: If your dentist prescribes antibiotics, they may recommend starting them a day or two before the extraction and continuing for a few days afterward. This is particularly important if you have a history of infections or if the extraction is expected to be complicated.

3. Eye Drops and Systemic Absorption: While the eye drops you are using are localized treatments, it is important to ensure that you are using them as directed. If you experience any adverse reactions or if your eye condition worsens, inform your dentist. They may need to adjust your treatment plan accordingly.

4. Potential Allergies or Reactions: If you have any known allergies to antibiotics or other medications, make sure to inform your healthcare provider. They can choose an antibiotic that is safe for you.

5. Post-Extraction Care: After the wisdom tooth extraction, you may need to continue using your eye drops, especially if you have an ongoing eye condition. Ensure that you follow the post-operative instructions provided by your dentist, including any recommendations regarding medications.

6. Monitoring for Infections: After the extraction, keep an eye out for any signs of infection, such as increased pain, swelling, or discharge. If you notice any concerning symptoms, contact your dentist immediately.

In summary, taking antibiotics before a wisdom tooth extraction while using eye drops is generally safe, but it is essential to consult with your dentist or oral surgeon for personalized advice. They will provide guidance based on your specific health needs and ensure that both your dental and eye care are managed effectively. Always prioritize clear communication with your healthcare providers to ensure the best outcomes for your health.

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