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Medications for Dentures

Disinfecting Solution for Fungal Infection

1 teaspoon of household bleach
2 teaspoons of Calgon (water softener)
8 oz of cool water

For complete dentures, soak overnight and then brush with soap and rinse.
For dentures with temporary reliners, avoid soaking for > 10min.

For partial dentures, use cotton swab to clean the denture flanges with 1:10 diluted household bleach. Avoid contacting the metal surface.

Intraoral Fungal Infection

Rx: Mycostatin (Nystatin) oral suspension 100,000IU/ml
Mitte: 48ml bottle with calibrated dropper
Sig: 1ml q.i.d., swish mouth for 1min then swallow, continue for a minimum of 2 weeks

Rx: Peridex/Perioguard (chlorhexidine) 0.12% oral rinse (0.2% alcohol free)
Mitte: 475ml bottle
Sig: 15ml b.i.d, rinse mouth for 30sec then expectorate, continue for 1 week

Angular Cheilitis

Rx: Mycostatin (Nystatin) ointment 100,000units/gm
Mitte: 30gm tube
Sig: Apply to corners of mouth q.i.d., continue for a minimum of 2 weeks

Part F: Schedule F Drugs

FDA - Food & Drug Act

  • Part A: administration
  • Part B: Foods
  • Part C: Drugs
  • Part D: vitamins, minerals, amino acids
  • Part E: Cyclamate, saccharin, sweeteners
  • Part F: schedule F - part I and II drugs

What is a Part F Schedule F Drug?

  • Part F Schedule F Part I
      - Vitamin A > 10,000 IU
      - Vitamin D > 1,000 IU
      - Folic Acid > 1.0mg
  • Part F Schedule F Part II
      - Vitamin K
      - Sodium Fluoride > 1mg of fluoride ion
  • If for human use: verbal or written Rx is required, refills are allowed
  • Exception: can be sold without Rx to practitioner, pharmacist, drug manufacturer, wholesaler, hospital

CDS Act (Controlled Drugs & Substances Act)

Controlled Drugs

  • Schedule I: opium and derivatives (cocaine, methadone, pentazocine)
  • Schedule II: cannabis (not stalks or non-viable seed) and its preparations
  • Schedule III: amphetamines, methyphenidate, LSD
  • Schedule IV: barbiturates, appetite suppressants, anti-anxiety/hypnotics, benzodiazepine, anabolic steroids
  • Schedule V: phenylpropanolamine, propylhexedine
  • Schedule VI: precursors (ie, ephedrine, pseudoephedrine, lysergic acid
  • Schedule VII: cannabis resin (3kg), cannabis marihuana (3kg)
  • Schedule VIII: cannabis resin (1g), cannabis marihuana (30g)

What is “Straight Narcotic”?

Straight narcotic contains:

  • ONE of the drugs in schedule I (narcotic)
  • ONE of the drugs in schedule I (narcotic) plus ONE active non-narcotic ingredient
  • ALL narcotics for parenteral use
  • ALL products containing any one of the followings:
      - diamorphine (heroin)
      - hydrocodone
      - oxycodone
      - methadone
      - pentazocine
  • Dextropropoxyphene, propoxyphene: single entity (no other ingredient)

Legal Requirements of “Straight Narcotic”?

  • Written Rx only (verbal Rx not allowed)
  • Part-fills allowed (no refills)
  • Transfers not allowed (ie, parts have to be filled with the same pharmacy)
  • Keep records for 2 years
  • Report any loss or theft within 10 days to the Office of Controlled Substances

What is “Narcotic Preparations”?

  • aka “Verbal Prescription Narctoic”
  • Contains ONE narcotic plus TWO or more medicinal ingredients other than a narcotic in a recognized therapeutic dose
  • Is not intended for parenteral administration
  • Does not contain:
      - diamorphine (heroin)
      - hydrocodone
      - oxycodone
      - methadone
      - pentazocine
  • Contains dextropropoxyphene or propoxyphene plus other active ingredients

Legal Requirements of “Verbal Prescription Narctoic”

  • Written or verbal Rx allowed
  • Part-fills allowed (no refills)
  • Transfers not allowed (ie, parts have to be filled with the same pharmacy)
  • Keep records for 2 years
  • Report any loss or theft within 10 days to the Office of Controlled Substances

What is “Exempted Codeine Product”?

  • Contains codeine up to 8mg/solid dosage form or 20mg/30ml liquid, PLUS TWO or more active non-narcotic ingredients
  • Sold over-the-counter (no Rx required)
  • Contains a cautionary statement “This preparation contains codeine and should not be administered to children except on the advice of a physician or dentist.”

Tylenol Prescription

Straight Narcotic

Written Rx only, no refills, part-fills allowed - more info
Tylenol #4 (acetaminophen 300mg, codeine 60mg)

Verbal Prescription Narcotic

Verbal or written Rx, no refills, part-fills allowed - more info
Tylenol #3 (acetaminophen 300mg, codeine 30mg, caffeine 15mg)
Tylenol #2 (acetaminophen 300mg, codeine 15mg, caffeine 15mg)

Exempted Codeine Product

Sold OTC—Schedule 2 (NAPRA) - more info
Tylenol #1 (acetaminophen 300mg, codeine 8mg, caffeine 15mg)

Pharmacy Prescription Abbreviations

Understanding Your Prescription

Here is a list of abbreviations commonly seen on prescription of medication.

μg    microgram, mcg
AD, AS, AU    right ear, left ear, each ear
OD, OS, OU    right eye, left eye, each eye
BT    bedtime
cc    ml
D/C    discharge or discontinue
IJ    injection
IN    intranasal
HS    half-strength
hs    at bedtime (hours of sleep)
IU    units (international unit)
o.d. or OD    once daily
OJ    orange juice
Per os    by mouth, orally
PO    by mouth, orally

q.d. or QD    every day
q.o.d. or QOD    every other day
bid    twice a day
tid    three times a day
qid    four times a day
q6h    every six hours
q4-6h    every four to six hours
qhs    at bedtime
qn    nightly
q1d    every day
q6PM    every 6 PM
SC, SQ    subcutaneous
ss    sliding scale (insulin) or 1/2 (apothecary)
SSRI    sliding scale regular insulin
SSI    sliding scale insulin
1/d    one per day
TIW or tiw    three times a week
U or u    unit
T3    Tylenol #3
a.c.    before meals
p.c.    after meals
gtt.    drop(s)
p.r.n.    take as needed
m.d.s. or m.d.u.    take as directed

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