Epinephrine (adrenaline) intramuscularly (0.3–0.5 mg, 1:1000) is first-line. Antihistamines and corticosteroids are adjuncts.
Tetracyclines cause permanent yellow-brown tooth discoloration and enamel hypoplasia due to chelation with calcium in developing teeth.
Prilocaine or mepivacaine without epinephrine is preferred; lidocaine with epinephrine is relatively safe but avoid in uncontrolled arrhythmias.
Metronidazole is reduced by bacterial nitroreductases, forming toxic compounds that damage DNA, effective against anaerobes like Porphyromonas gingivalis.
Ibuprofen (400–600 mg) or diclofenac (50 mg) provides superior analgesia; ketorolac is an option for severe pain short-term.
Aspirin increases risk of Reye’s syndrome—acute encephalopathy and liver failure—in children with chickenpox or influenza.
Levonordefrin and high-dose epinephrine (>0.04 mg) can raise blood pressure; avoid in uncontrolled hypertension or on nonselective beta-blockers.
Miconazole oral gel or nystatin suspension (100,000 U/mL) four times daily for 7–14 days. Fluconazole for refractory cases.
Fluoride promotes remineralization of enamel, inhibits bacterial enolase (reducing acid production), and disrupts plaque biofilm metabolism.
Clindamycin suppresses normal gut flora, allowing Clostridioides difficile overgrowth, producing toxin-mediated colonic inflammation and diarrhea.
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Epinephrine (adrenaline) intramuscularly (0.3–0.5 mg, 1:1000) is first-line. Antihistamines and corticosteroids are adjuncts.
Tetracyclines cause permanent yellow-brown tooth discoloration and enamel hypoplasia due to chelation with calcium in developing teeth.
Prilocaine or mepivacaine without epinephrine is preferred; lidocaine with epinephrine is relatively safe but avoid in uncontrolled arrhythmias.
Metronidazole is reduced by bacterial nitroreductases, forming toxic compounds that damage DNA, effective against anaerobes like Porphyromonas gingivalis.
Ibuprofen (400–600 mg) or diclofenac (50 mg) provides superior analgesia; ketorolac is an option for severe pain short-term.
Aspirin increases risk of Reye’s syndrome—acute encephalopathy and liver failure—in children with chickenpox or influenza.
Levonordefrin and high-dose epinephrine (>0.04 mg) can raise blood pressure; avoid in uncontrolled hypertension or on nonselective beta-blockers.
Miconazole oral gel or nystatin suspension (100,000 U/mL) four times daily for 7–14 days. Fluconazole for refractory cases.
Fluoride promotes remineralization of enamel, inhibits bacterial enolase (reducing acid production), and disrupts plaque biofilm metabolism.
Clindamycin suppresses normal gut flora, allowing Clostridioides difficile overgrowth, producing toxin-mediated colonic inflammation and diarrhea.