Medication to be used in conjunction with Implant Procedures Pre-op Antibiotics Amoxicillin is the antibiotic of choice for patients undergoing implant surgery Usual dosage for patients who are not allergic to penicillin: 3g 1 hour before surgery If your patient is allergic to penicillin, erythromycin (250mg tabs) is to be administered: 1g 1 hour before surgery Analgesics Ibuprofen is the drug of choice in patients the have no contraindications. 400600mg can be give just before surgery Paracetamol is suitable where ibuprofen contraindicated. 500mg is given. Anesthesia Articaine 4% (with adrenaline 1:100 000) is first choice Lignocaine 2% (with adrenaline 1:80 000) is an acceptable alternative Citanest (prilocaine with octapressin) can also be used Antiseptic Corsodyl mouthwash 10ml for 1 minute before treatment Post-op Antibiotics Post op antibiotics are indicated if grafting has been carried out or if surgery is complicated. Amoxicillin: 500mg tds for 7 days Erythromycin: 500mg qds for 7 days Analgesics Ibuprofen is first choice: 400-600mg qds for 3-4 days OR Co-codamol 30/500 is an alternative to paracetamol for moderate to severe pain (must not be prescribed if paracetamol is already being taken): 1-2 tablets qds for 3-4 days Antiseptic Corsodyl mouthwash 10ml bd for 1 week (must leave an interval of at least 30 minutes between using mouthwash and toothpaste) Anesthesia Bupivicaine hydrochloride (0.5%) can be used for prolonged nerve block anesthesia following surgery. It is not available in dental cartridges, only ampoules, hence disposable needles and syringes have to be used. Other medications Oral Sedation Diazepam can be used for management of anxiety. Recommended dosage varies with patient body weight, age, other medical conditions and medications. Usual dosage for a 70kg individual is 15mg 30 minutes prior to surgery Steroids Dexamethasone can be used for additional anti-inflammatory treatment if large grafting procedures are carried out or if surgery complex. Usual dosage is 2mg bd for 3 days Nasal decongestant Xylometazoline hydrochloride 0.1% 10ml drops (Otrivine, Otradrops) 2-3 drops into each nostril 2-3 times daily for 1 week.