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Pharmacology in pregnancy, children, elderly dental patients

General and Dental Pharmacology · Dental (BDS)

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A pregnant patient in her first trimester has a toothache. What pharmacology principles apply? Teaching: defer elective treatment to the second trimester when possible; for pain, paracetamol is the preferred analgesic (NSAIDs avoided, especially in the third trimester); avoid tetracyclines entirely (tooth discoloration in the baby); take physician/OB consultation for anything beyond simple measures. The principle: minimum effective drug exposure during pregnancy.

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