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Joyce Leinart Find out more about Joyce Leinart
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  • epiniphrine question

    My new dentist requested a release form from my cardiologist and on the form it has not to use epiniphrine. So when my dentist referred me to an endodontist the front desk told me to be sure to tell the endo not to use epiniphrine. The endodontist asked if I would double check with my cardio concerning that information because those in the dental field use 1/100,00 per dose verses the usual 1/1,000 or 1/10,000 –I’m not sure on that one- in the cardiac and GP field. I thought I would check with the experts and see if anyone has this information from one of the HCM specialists. My cardiologist is not an expert on HCM.I’m concerned about the pain factor since apparently the epiniphrine is used in combo with other meds so you get that no pain dental experience (which is what I’m going for) Do others on this board have dental work done without epiniphrine. I would appreciate any feedback anyone can give me. Lisa could you check with the HCM Doctors on the other board and see what they say.
    A grateful thank you to all,
    Joyce
    \"We are not human beings having a spiritual experience. We are spiritual beings having a human experience.\"
    Pierre Teilhard de Chardin

  • #2
    Re: epiniphrine question

    Joyce--My understanding is that the epenephrine makes the novacaine act more quickly so the dentist can get started sooner---and so that the numbness goes away faster. I asked for the "no epenephrine" kind last time and got no flack from my dentist. The reason you don't want epenephrine is that it promotes arrhythmias. Sue

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    • #3
      Re: epiniphrine question

      Joyce , I was told that the epi in the anesthetic numbs up fast and wears off quicker and that is how it works for me. Also one of the big reasons for epi in the anesthetic is that it helps by reducing the bleeding that can often accompany dental work. I had several very severe reactions , 1 at the dentist and 1 at the podiatrist , needless to say they never have used it again. I have been given epi since my diagnosis and treatment for HCM and it is felt that the reactions were vasal vagal? and that instead of the anesthetic staying in the area as a local , it tracked into my blood stream. My reaction was very cardiac and EMS services had to be utilized both times. Shortly after my 1st reaction 20/20 did a show relating to this very problem because many people are not aware of having a heart condition prohibiting the epi use . At that time people were dying and very few dentists were prepared for such an emergency in a dental office. I believe I was a LUCKY ONE. I hope this little bit of info helped . Good luck with this . Pam
      Dx @ 47 with HOCM & HF:11/00
      Guidant ICD:Mar.01, Recalled/replaced:6/05 w/ Medtronic device
      Lead failure,replaced 12/06.
      SF lead recall:07,extracted leads and new device 2012
      [email protected] Tufts, Boston:10/5/03; age 50. ( [email protected] 240 mmHg ++)
      Paroxysmal A-Fib: 06-07,2010 controlled w/sotalol dosing
      Genetic mutation 4/09, mother(d), brother, son, gene+
      Mother of 3, grandma of 3:Tim,27,Sarah,33w/6 y/o old Sophia, 5 y/o Jack, Laura 34, w/ 5 y/o old Benjamin

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      • #4
        Re: epiniphrine question

        Sue and Pam,
        Thank you both so much for the valuable information.
        Joyce
        \"We are not human beings having a spiritual experience. We are spiritual beings having a human experience.\"
        Pierre Teilhard de Chardin

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        • #5
          Re: epiniphrine question

          wow. i've never, ever heard of this! i've had many dental visits with novacaine and never once asked for them to not use epi ---however, i had always told them of my heart condition so perhaps i've had good dentists who know better. or i'm lucky as all get out. ; )

          s

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          • #6
            Re: epiniphrine question

            This is news to me also... i've never heard of a dentist using epinephrine. Is it actually mixed with the novacaine or is it a seperate shot?
            "Some days you're the dog... some days you're the hydrant."

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            • #7
              Re: epiniphrine question

              Good question!! I assumed it was a mixture but that is only an assumption on my part. I will call the endo office today and ask.
              Joyce
              \"We are not human beings having a spiritual experience. We are spiritual beings having a human experience.\"
              Pierre Teilhard de Chardin

              Comment


              • #8
                Re: epiniphrine question

                Joyce,

                I'll be very interested in finding out the answer to that one myself... i'll be sure to ask my dentist when i see him. Perhaps i've been getting epinephrine with my novacaine all these years and didn't even know it? I have had shots of epi in the past (allergic reactions to drugs) and i don;t recall having a problem with it.

                Thanks,

                Jim
                "Some days you're the dog... some days you're the hydrant."

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                • #9
                  Re: epiniphrine question

                  One more thing about epiniphrine - If you are on beta blockers, the effects of the drug will be masked. That's why they don't recommend allergy shots and testing for people on beta blockers, because the antidote for anaphylactic shock - epi - will be ineffective.
                  Daughter of Father with HCM
                  Diagnosed with HCM 1999.
                  Full term pregnancy - Son born 11/01
                  ICD implanted 2/03; generator replaced 2/2005 and 2/2012
                  Myectomy 8/11/06 - Joe Dearani - Mayo Clinic.

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                  • #10
                    Re: epiniphrine question

                    I'm pretty sure it is part of the standard novacaine shot and you have to ask to not have it if you don't want it to be administered to you. Sue

                    Comment


                    • #11
                      Re: epiniphrine question

                      Hi,
                      I just got off the phone with the endo office. It is a mixture ( Sue you are right) and I was told most of the mixtures used contain epiniphrine. So, like Sue said request a mixture without epiniphrine. I gave the endo the information about this site. Hope he takes advantage and chats with the doctors.
                      Joyce
                      \"We are not human beings having a spiritual experience. We are spiritual beings having a human experience.\"
                      Pierre Teilhard de Chardin

                      Comment


                      • #12
                        Re: epiniphrine question

                        I checked with my dentist -he said that there are 2 medications that are used with novocaine - both of which are 'vaso constrictors" - epiniphrine and neocoepephrine (sp).
                        These drugs are more often used in bigger procedures like extractions and root canals.

                        Simply ask your dentist for plain old novocaine and you should be OK.

                        Lisa
                        Knowledge is power ... Stay informed!
                        YOU can make a difference - all you have to do is try!

                        Dx age 12 current age 46 and counting!
                        lost: 5 family members to HCM (SCD, Stroke, CHF)
                        Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
                        Therapy - ICD (implanted 97, 01, 04 and 11, medication
                        Currently not obstructed
                        Complications - unnecessary pacemaker and stroke (unrelated to each other)

                        Comment


                        • #13
                          Re: epiniphrine question

                          Hi Lisa,
                          The endodontist office is the one that told me most of their mixtures contain epiniphrine, the guy who does those oh so wonderous root canals. Just wanted to make that clear.
                          Anyway I checked out the pictures from the upcoming TV show. I was delighted to see what you look like-it is hard for me to see the picture you use when posting. I'm going to tell my sister in NJ about the show and maybe she can watch, unless it is only being broadcast locally.
                          Thank you so much for all of the hard work you do.Best wishes to you! Joyce
                          \"We are not human beings having a spiritual experience. We are spiritual beings having a human experience.\"
                          Pierre Teilhard de Chardin

                          Comment


                          • #14
                            Re: epiniphrine question

                            You will alll be able to see the show live on Feb 23 6:30-7pm on line at www.cn8.tv.

                            Best of luck at the dentist!

                            Lisa
                            Knowledge is power ... Stay informed!
                            YOU can make a difference - all you have to do is try!

                            Dx age 12 current age 46 and counting!
                            lost: 5 family members to HCM (SCD, Stroke, CHF)
                            Others diagnosed living with HCM (or gene +) include - daughter, niece, nephew, cousin, sister and many many friends!
                            Therapy - ICD (implanted 97, 01, 04 and 11, medication
                            Currently not obstructed
                            Complications - unnecessary pacemaker and stroke (unrelated to each other)

                            Comment

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