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Medical Forum / General / Dentistry / March 2008Patient anxiety
Are dentists in a position to prescribe anxiety medication on an ongoing basis? I don't take anxiety medication, so I have no idea how they are prescribed normally, but for patients who exhibit strong anxiety surrounding dental appointments can a dentist write a prescription that can be used without renewal by a patient before dental visits? I liken it to my blood pressure medication. Where my cardiologist writes me a 6 month prescription and renews at my bi-annual checkup. Can a dentist (or would it even be recommended) do the same for known anxious patients? Is this something that would be better handled by a patient's doctor? My question is related to the fact that many people I know are very anxious about dental visits but not much else - so taking anxiety medication daily isn't required. However obtaining the medication prior to a visit is often not possible (my dentist has given me Valium before). I realize that medications like Xanax and Valium are/can be abused and habit forming, whereas something like Benicar (my blood pressure medication) is not. > Are dentists in a position to prescribe anxiety medication on an ongoing > basis? [quoted text clipped - 14 lines] > medications like Xanax and Valium are/can be abused and habit forming, > whereas something like Benicar (my blood pressure medication) is not. This varies from state to state. In New York, you now have to be certified to use either enteral or parenteral (oral or injectible) sedation. Was not always so. Steve > This varies from state to state. In New York, you now have to be >certified to use either enteral or parenteral (oral or injectible) >sedation. Was not always so. > >Steve You are so much kinder than me. Don't know how you keep your cool with such ignorant and stupid people. You are a better man than me Dr. B, and as always, you are such a gentleman. Have been giving enteral sedation since '84. Here in Idaho, it's still OKlahoma. Parenteral does require a license, as well as extra mp ins for the prudent practitioner. Pulse-oximeter required. >Are dentists in a position to prescribe anxiety medication on an ongoing >basis? Sure, if they want their DEA license revoked. >I don't take anxiety medication, so I have no idea how they are prescribed >normally, but for patients who exhibit strong anxiety surrounding dental >appointments can a dentist write a prescription that can be used without >renewal by a patient before dental visits? Yes, but a prudent practitioner wouldn't. >I liken it to my blood pressure medication. Where my cardiologist writes me >a 6 month prescription and renews at my bi-annual checkup. Can a dentist >(or would it even be recommended) do the same for known anxious patients? No GD wayl. Short term basis only. >Is this something that would be better handled by a patient's doctor? Un-f.cking-likely. >My >question is related to the fact that many people I know are very anxious >about dental visits but not much else - so taking anxiety medication daily >isn't required. Yeah, sure, doofus... > However obtaining the medication prior to a visit is often >not possible (my dentist has given me Valium before). The practitoner must see you first, to diagnose your condition, and then propose a treatment plan. > I realize that >medications like Xanax and Valium are/can be abused and habit forming, >whereas something like Benicar (my blood pressure medication) is not. No f.cking kidding. You want a medal for figuring that out Einstein ? Perhaps you should write a book about your sudden insights. It's sure to be a best seller, NOT !
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