abscessed tooth while on methylprednisone--what to do? 
Author Message
 abscessed tooth while on methylprednisone--what to do?

Due to a long-lasting allergic drug reaction, I've had to be on Medrol
(methylprednisone steroid) for 3 weeks.  I still need to be tapering off
the Medrol for at least another week.

In the meantime, a cracked tooth has become abscessed.  I had been
trying to make an appointment to see my dentist before I got the drug
reaction that required me to take Medrol.  (Currently I'm taking 16 mg
Medrol every other day.)

My dentist told me that he can't do much about the tooth while I'm on
Medrol, because there's too much chance that it will bleed and won't
heal.

What to do?  There aren't a lot of antibiotics left that I'm not
allergic to or that don't conflict with another medication I already
take.  The quinolones (Levaquin, Avelox) seem to be all I can take.  Can
they work on an abscessed tooth?

Any ideas?  
Thanx in advance!

--
Steven D. Litvintchouk                  



Mon, 04 Apr 2005 02:58:13 GMT
 abscessed tooth while on methylprednisone--what to do?
Yes the quinolones will work on an abscessed tooth.  Have you tried
Clindamycin? It's a better antibiotic for odontogenic infections.
Nevertheless, bleeding isn't usually the concern when treating someone
that's been on prednisone.  We worry mostly about adrenal suppression and
the chance for shock during long, stressful procedures like full-mouth
extraction.  This can be avoided by supplementing with additional
prednisone.


Quote:
> Due to a long-lasting allergic drug reaction, I've had to be on Medrol
> (methylprednisone steroid) for 3 weeks.  I still need to be tapering off
> the Medrol for at least another week.

> In the meantime, a cracked tooth has become abscessed.  I had been
> trying to make an appointment to see my dentist before I got the drug
> reaction that required me to take Medrol.  (Currently I'm taking 16 mg
> Medrol every other day.)

> My dentist told me that he can't do much about the tooth while I'm on
> Medrol, because there's too much chance that it will bleed and won't
> heal.

> What to do?  There aren't a lot of antibiotics left that I'm not
> allergic to or that don't conflict with another medication I already
> take.  The quinolones (Levaquin, Avelox) seem to be all I can take.  Can
> they work on an abscessed tooth?

> Any ideas?
> Thanx in advance!

> --
> Steven D. Litvintchouk




Mon, 04 Apr 2005 05:10:51 GMT
 abscessed tooth while on methylprednisone--what to do?
I would take your dentist to court for libel and write to yahoo and hotmail
to get their accounts inactivated!  This type of behavior is DISPICKABLE!!!!
I mean who do these dentists think they are?!?  BTW, be sure to send a photo
ID and a valid credit card number with your claims to yahoo, they need it to
cancel accounts!  Oh yeah, you also need to read the studies carried out by
Jan Drew, she is amazing and extremly intelligent!  She has 4 PhD's and an
MD (I think she also has a MSW, but I'm not sure,,,,,she's such a
humanitarian, it just makes sense!)  Perhaps you should just get the tooth
pulled and avoid metals in your environment, they cause PN you know!  Go
metal-free the Jan Drew way!

*PS I get my amalgams out tomorrow, I'm so e{*filter*}d I have runny diarrhea!

Quote:
> Due to a long-lasting allergic drug reaction, I've had to be on Medrol
> (methylprednisone steroid) for 3 weeks.  I still need to be tapering off
> the Medrol for at least another week.

> In the meantime, a cracked tooth has become abscessed.  I had been
> trying to make an appointment to see my dentist before I got the drug
> reaction that required me to take Medrol.  (Currently I'm taking 16 mg
> Medrol every other day.)

> My dentist told me that he can't do much about the tooth while I'm on
> Medrol, because there's too much chance that it will bleed and won't
> heal.

> What to do?  There aren't a lot of antibiotics left that I'm not
> allergic to or that don't conflict with another medication I already
> take.  The quinolones (Levaquin, Avelox) seem to be all I can take.  Can
> they work on an abscessed tooth?

> Any ideas?
> Thanx in advance!

> --
> Steven D. Litvintchouk




Mon, 04 Apr 2005 10:15:36 GMT
 abscessed tooth while on methylprednisone--what to do?

Quote:

> Yes the quinolones will work on an abscessed tooth.  Have you tried
> Clindamycin? It's a better antibiotic for odontogenic infections.

I mentioned the quinolones to my dentist, and he thinks that
tetracycline is a better choice, so that's what he put me on.  I already
had gotten a scrip from my primary care physician for Doxycycline, and
that didn't work, so I can't understand why tetracycline will work.  But
he's the boss.

I'm allergic to Clindamycin too.

The only antibiotics I can take now are the quinolones, the
tetracyclines, and the sulfas.  That's it.  

I'm allergic to penicillins and cephalosporins, and the macrolides (like
Biaxin) conflict with both the methylprednisone and the sleep medication
(Seroquel) that I take.

--
Steven D. Litvintchouk                  



Mon, 04 Apr 2005 22:28:01 GMT
 abscessed tooth while on methylprednisone--what to do?

Quote:

> Yes the quinolones will work on an abscessed tooth.  Have you tried
> Clindamycin? It's a better antibiotic for odontogenic infections.

I'm allergic to Clindamycin, the cephalosporins and the penicillins.
And Biaxin and erythromycin conflict with both the methylprednisone and
Seroquel, a medication I take for anxiety and sleep.

The only antibiotics I can take now are:  the tetracyclines; the sulfas;
Zithromax (not Biaxin or erythromycin); and possibly the quinolones like
Cipro and Levaquin.  (Even those are iffy because they prolong the QT
interval of heart rhythm, which can add to the QT prolongation I already
get from the Seroquel.)

I'm on a low dose of methylprednisone--currently 8 mg every other day.

Even if the tooth were extracted, won't I still need some kind of
antibiotic to get the infection out of my cheek?  Or will that go away
after the tooth infection is stopped?

What options do I have?  I'm worried that there's no way to stop this
infection from spreading thru my body, because I'm unable to tolerate
most antibiotics.

--
Steven D. Litvintchouk                  



Thu, 07 Apr 2005 07:39:07 GMT
 abscessed tooth while on methylprednisone--what to do?
On Sat, 19 Oct 2002 23:39:07 GMT, Steven Litvintchouk

Quote:


>> Yes the quinolones will work on an abscessed tooth.  Have you tried
>> Clindamycin? It's a better antibiotic for odontogenic infections.

>I'm allergic to Clindamycin, the cephalosporins and the penicillins.
>And Biaxin and erythromycin conflict with both the methylprednisone and
>Seroquel, a medication I take for anxiety and sleep.

>The only antibiotics I can take now are:  the tetracyclines; the sulfas;
>Zithromax (not Biaxin or erythromycin); and possibly the quinolones like
>Cipro and Levaquin.  (Even those are iffy because they prolong the QT
>interval of heart rhythm, which can add to the QT prolongation I already
>get from the Seroquel.)

>I'm on a low dose of methylprednisone--currently 8 mg every other day.
>Even if the tooth were extracted, won't I still need some kind of
>antibiotic to get the infection out of my cheek?  Or will that go away
>after the tooth infection is stopped?

My browser indicates no answer to this question yet, so...

AFAIK, when an absessed tooth is removed, the infection will go
away.

Quote:
>What options do I have?  I'm worried that there's no way to stop this
>infection from spreading thru my body, because I'm unable to tolerate
>most antibiotics.

Are you having the tooth pulled soon?  

- Show quoted text -

Quote:
>--
>Steven D. Litvintchouk                  




Fri, 08 Apr 2005 00:28:38 GMT
 
 [ 6 post ] 

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