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Private consultation/
Graduates expect more immunization rooms
Clinical decision making in
from the workplace rounds
in clinical, retail, Clinical services:
hospital, and specialty health testing
pharmacy Medication Therapy
Management
immunizations
specialty drug therapy
More involvement in patient care
Bedside consultations
before discharge
Reassurance and
integrating new therapy to
current lifestyle
Retail ‘window’ consults
Balance of optimal therapy,
lifestyle changes, insurance
limitations, and customer
service
Comprehensive Medication
Therapy Management
(MTM, ‘brown bag’
consult)
Thorough sit-down therapy
optimization
Counseling your patients
Disease
Pre-op
state
specific
meds
Surgery
Maintenance
meds meds OTC
Adherence
Diabetes Mellitus:
Severe hyperglycemia with insulin resistance, ketoacidosis
Increased risk for gum disease and tooth decay
Blood disorders: Leukemia, sickle-cell anemia
Increased risk of gingivitis
Immunocompromised patients: Sjorgen’s syndrome, viral
infections
Increased risk for oral disease
Pulmonary conditions: TB, purulent infections, tonsillitis, rhinitis
Increased risk for halitosis
Renal or hepatic failure
Increased risk for gum disease and tooth decay
Pre-op Regimen
Anesthesia/ Sedation
Anti-anxiety
Anti-inflammatories
Pain relievers
Mepergan Fortis: no
longer available
FDA & DEA request to
have hydrocodone
reclassified to a
scheduled 2 controlled
substance
Hydrocodone/APAP combo
Anticholinergics
oxybutinin,
diphenhydramine, Decreased saliva flow
dicyclomine, atropine
Antidepressants
amitriptyline, doxepin, Increased risk for gingivitis
desipramine & halitosis
Diuretics
hctz, furosemide
Typically dose related
Stimulants
pseudoephedrine
Antipsychotics
chlorpromazine,
thioridizine, clozapine
Meds that affect oral health
Fluoride products
Topical anesthetics
Peroxide & pain-relief washes
Dry mouth products
Nightguard
Filling repair kits
Whiteners
Floss
Sensitivity products
Denture products
Dental wax
New Developments in medicine
Improve adherence
Improve outcomes
Improve quality of life
jessica.haskins@walgreens.com
Thank you!!!