Local anesthetics with vasoconstrictors should be used with care in patients taking methamphetamine because they may result in cardiac dysrhythmias, myocardial infarction, and cerebrovascular accident.
I had to be put under with local anaesthesia for a septoplasty and they said I couldn't take Vyvanse. I wasn't going to anyway, it increases your blood pressure. But still good that they tell you.
I’m happy the other person hasn’t had issues, but my dentist called me to let me know they couldn’t put me under because of my prescription… which is Adderall and Vyvanse.
May have just been the Adderall, maybe it was both, but I don’t like going under anyway and was going to use local anesthesia, regardless.
It's a fairly standard thing for dentists to advertise, at least where I am. I've been to multiple dentists that had similar signs or very prominent warnings on the paperwork you sign in the waiting room. These were all suburban dentists.
Wow! I have been absent from the United States for a long time (I'm assuming this is from the USA, where I'm from). What a thing! I had no idea this was typical back home. I guess it's a good thing. I mean, it prevents death, right?
I wonder about other amphetamines. Because there's some things you can take turn into amphetamines when your body processes them, IIRC. There are also medications that are in the same family. I suspect that while people do usually tell their dentist what medications they're taking when prompted, some people are kind of flaky and forget, while other people might have a reason in their head not to. But, not everybody thinks to disclose stuff like "supplements" which are unregulated, variably legal, and could also pose a health risk if they qualify for this particular scenario. Good of them to tell people that though. I never knew that and I've gotten lots of dental work done, although, I've never done hard drugs.
Hell, they still prescribe meth in some instances. It's called Desoxyn. Adderall, a drug so commonly used right now there's a shortage (or was, very recently), is a strong amphetamine. They're used for a quite a lot medically, and all have similar effects on the body by definition.
The issue at play here is amphetamines are doing a number on vasoconstriction and heart contractility, which then boosts heart rate and BP. This increases the chance of all that fun stuff like ischemic/hemorrhagic stroke, heart attack, or a dangerous dysrhythmia. When you add in anesthesia that has similar effects (vasoconstriction), you massively increase the odds of a complication. Thats without considering the already existing damage likely present in those abusing drugs of this sort.
Not a lot of people realise that the lidocaine you get at the dentists also contains epinephrine to make it last long. Which can play merry hell with your blood pressure. I can't have epinephrine for other medical reasons besides the way it messes with your blood pressure and honestly I prefer it, I'm numb long enough to do the surgery and it's all gone in half an hour or so instead of a numb face for half the day.