Know The Medications & Supplements That Don’t Mix Well

posted: January 09, 2019

At each visit, we ask patients to update their medical status as well as check the list of all medications – those prescribed as well as taken as supplements. Although this may seem an insignificant part of your oral care, it is vital information.

To the surprise of many, there are a number of medications that contribute to oral problems. For instance, adults taking antidepressants and high blood pressure medications were found to have elevated levels of plaque and signs of gingivitis.

A a side effect of more than 400 medications is ‘dry mouth’, a condition that contributes to higher plaque levels and the development of periodontal (gum) disease. Without a sufficient flow of saliva, oral bacteria can accumulate. Hence, the formation of plaque, which is the sticky film of bacteria that coats teeth and gums.

If you have been prescribed medications that cause oral dryness, ask your physician if an alternative is available. Also, drink plenty of plain, filtered water throughout the day to support oral moisture. (Tea, coffee, and colas don’t count! They actually contribute to oral dryness even more!) Too, oral rinses are available OTC that can also help minimize the risks associated with dry mouth.

People are often surprised to learn just how much sugar exists in cough drops, medications in syrup form and antacids contain sugars that often leave a sticky residue on teeth, making them more susceptible to decay.

Oral contraceptives and blood pressure medications have been linked to mouth sores and inflammation. Certain antibiotics and ibuprofen can cause lesions or ulcers in the mouth. Tetracycline, typically used for treating acne, can discolor teeth as well as supporting bone.

And, the list of problems go on and on. For example, calcium channel blockers used to control high blood pressure can contribute to gum tissue overgrowth. Gingival enlargement, a condition that causes the gums to swell and grow over teeth, can lead to severe periodontal infection.

As more and more people turn to herbal supplements as a ‘safe’ alternative to synthetic medications, be aware that what is not known CAN hurt you. And, much is NOT known about many of the companies packaging these supplements or what they’re putting into the mix.

Too, it is important to know that some dental patients can have serious side effects these supplements. For example, Ginkgo Biloba and Vitamin E can act as blood thinners. When combined with aspirin, the combination may cause difficulties in blood clotting. For patients undergoing surgical procedures, this can be a serious problem.

Taking high dosages of vitamins before undergoing anesthesia can also put you at risk. For instance, high doses of Vitamin C can weaken the efficiency of anesthesia. On the flip side, supplements such as Kava and St. John’s Wort can accentuate anesthesia’s effectiveness. (Kava has actually been banned in the U.S. but still attainable through some online vendors.)

Especially concerning are the herbal supplements with a high risk of interfering with medications. In addition to Kava, Gingko, and St. John’s Wort, these include Black Cohosh, Dong Quai, Hawthorn, Evening Primrose Oil, and Yohimbe. Be sure, also, that your prescribing physician is aware you are taking these supplements.

It is also risky to ‘bargain hunt’ online for herbal supplements, lured by low cost with unknown manufacturers. Some unregulated distributors in foreign countries could be shipping you unsafe ingredients, including lead and mercury. It is best to shop U.S. based companies with familiar brand names.

As your Summerville dentist, it is important that we are aware of all prescription and over-the-counter medications you take. This way, we can help you avoid issues that can be risky or leave you vulnerable to undesirable reactions or future problems. Keep us informed of any new medications you are taking as well as those that have been eliminated from those listed in your file.

While not all side effects create high risk, we want to ensure each dental visit provides you with an individualized approach to your care. Working together, we can achieve this! Bring current medication information (including dosage) to every appointment.

Need an appointment to update your smile? Call 843-871-6351 or tap here to begin.