Medication Guidance: Which Heart Drugs to Stop Before Tooth Extraction? - Cardiology

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When it comes to dental procedures like tooth extractions, it's crucial to manage the medications that a patient is taking, especially if they are on cardiovascular drugs. Your mother is currently taking several medications, including Bokey (likely a beta-blocker), 保栓通 (likely a blood thinner), 好悅您 (a diuretic), 樂壓定 (an antihypertensive), and 百適歐 (another antihypertensive).
Based on the information provided, it is generally recommended to stop certain medications before a tooth extraction to minimize the risk of excessive bleeding and other complications. Specifically, the medications that may need to be paused include:
1. Bokey (Beta-blocker): This medication is typically not required to be stopped before dental procedures. However, it is essential to consult with the prescribing physician, as stopping beta-blockers can lead to rebound hypertension or other cardiovascular issues.

2. 保栓通 (Antiplatelet agent): This medication should be stopped at least one week prior to the extraction. If your mother has had a coronary artery stent placed within the last month, it is crucial to consult her cardiologist before discontinuing this medication, as stopping it could increase the risk of a thrombotic event.

3. 好悅您 (Diuretic): This medication can usually be continued, but it is essential to monitor blood pressure and hydration status, especially if the patient is undergoing sedation.

4. 樂壓定 (Antihypertensive): This medication should typically be continued to maintain blood pressure control. Abruptly stopping antihypertensives can lead to rebound hypertension.

5. 百適歐 (Another antihypertensive): Similar to 樂壓定, this medication should be continued unless otherwise directed by a physician.

In summary, the primary medications to consider stopping before a tooth extraction are the antiplatelet agent (保栓通) for at least one week prior, while the beta-blocker (Bokey) and antihypertensives (樂壓定 and 百適歐) should generally be continued. However, it is crucial to have a thorough discussion with her healthcare provider to tailor the medication management plan to her specific health needs and the nature of the dental procedure.

Additionally, it is essential to ensure that the dental team is aware of all medications your mother is taking, as this will help them manage her care effectively during the extraction. They may also want to monitor her vital signs closely during the procedure, especially if she is on multiple cardiovascular medications.

Lastly, it is important to consider the timing of stopping these medications. For the antiplatelet agent, stopping it one week prior allows for the body to clear the medication and reduce bleeding risk. For other medications, they should be continued to maintain cardiovascular stability. Always consult with her healthcare provider for personalized advice and to ensure her safety during the dental procedure.