Hi, everybody:

I read in various forums that narcotic painkillers can cause teeth problems, such as teeth decay and loss. Does this just apply to fentanyl lollypops (Actiq) because they are sweet, candy-like medical lollypops, or does this apply to ALL narcotic painkillers, in patch, tablet, or capsule form? If it applies to all narcotic painkillers, what is(are) the reason(s) for this and what do they exactly do to teeth?

Thanks for your information.

[Bryanna]

Hi Kitty,

It applies to any medication oral or other wise that dries up the bodies secretions or decreases the output of saliva. Orally, anytime you suck on any lollipop or any sugar coated candy, mints..... you risk developing tooth decay because the sugar in these products erodes the enamel. The more you eat them, the higher the risk. Unless you are thoroughly brushing your teeth after every time you have one of these things.....you will get tooth decay.

In addition to sugar, another cause of tooth decay is having a dry mouth. We need a lot of saliva constantly bathing our teeth to remove some of the debris from our food. Any medication that dries up our oral secretions will promote tooth decay and gum disease. Here is a partial list of them:

ANOREXIANT
Adipex-P, Fastin, Ionamin, Zantryl ............... phentermine
Anorex SR, Adipost, Bontril PDM ................phendimetrazine
Mazanor, Sanorex ....................................... mazindol
Pondimin, Fen-Phen ................................... fenfluramine
Tenuate, Tepanil, Ten-Tab .......................... diethylpropion

ANTICHOLINERGIC / ANTISPASMODIC
Anaspaz .................................................. .. hyoscyamine
Atropisol. Sal-Tropine ................................ atropine
Banthine .................................................. . methantheline
Bellergal .................................................. . belladonna alkaloids
Bentyl .................................................. .... dicyclomine
Daricon .................................................. ... oxyphencyclimine
Ditropan .................................................. . oxybutynin
Donnatal, Kinesed .................................hyoscyamine with atropine,
phenobarbital, scopolamine
Librax ......................................... chlordiazepoxide with clidinium
Pamine .................................................. .. methscopolamine
Pro-Banthine ............................................. propantheline
Transderm-Scop ........................................ scopolamine

ANTIDIARRHETIC
Imodium AD .............................................. loperamide
Lomotil ...........................................dipheno xylate with atropine
Motofen .......................................... difenoxin with atropine

ANTIHISTAMINE
Actifed .............................. triprolidine with pseudoephedrine
Benadryl .................................................. .. diphenhydramine
Chlor-Trimeton ......................................... chlorpheniramine
Claritin .................................................. .... loratadine
Dimetane .................................................. brompheniramine
Dimetapp .............brompheniramine with phenylpropanolamine
Hismanal .................................................. astemizole
Phenergan ................................................ promethazine
Pyribenzamine (PBZ) ............................... tripelennamine
Seldane .................................................. ... terfenadine

ANTIINFLAMMATORY ANALGESIC
Dolobid .................................................. .. diflunisal
Feldene .................................................. .. piroxicam
Motrin, Advil .......................................... ibuprofen
Nalfon .................................................. ... fenoprofen
Naprosyn ................................................. naproxen

ANTI-PSYCHOTIC
Clozaril .................................................. .. clozapine
Compazine ............................................... prochlorperazine
Eskalith .................................................. . lithium
Haldol .................................................. .... haloperidol
Mellaril .................................................. .. thioridazine
Navane .................................................. .. thiothixene
Orap .................................................. ...... pimozide
Sparine .................................................. .. promazine
Stelazine .................................................. trifluoperazine
Thorazine ............................................... chlorpromazine

DIURETIC
Diuril .................................................. .... chlorothiazide
Dyazide, Maxzide ................ triamterine and hydrochlorothiazide
HydroDIURIL, Esidrix ........................... hydrochlorothiazide
Hygroton ............................................... chlorthalidone
Lasix .................................................. .... furosemide
Midamor ................................................ amiloride

NARCOTIC ANALGESIC
Demerol ................................................ meperidine
MS Contin ............................................ morphine

ANTIACNE
Accutane ............................................... isotretinoin

ANTIANXIETY
Atarax, Vistaril ..................................... hydroxyzine
Ativan .................................................. ... lorazepam
Centrax .................................................. .. prazepam
Equanil, Miltown ................................ meprobamate
Librium ......................................... chlordiazepoxide
Paxipam ................................................. halazepam
Serax .................................................. ..... oxazepam
Valium .................................................. ... diazepam
Xanax .................................................. ... alprazolam

ANTICONVULSANT
Felbatol .................................................. felbamate
Lamictal ................................................ lamotrigine
Neurontin .............................................. gabapentin
Tegretol ................................................ carbamazepine

ANTIDEPRESSANT
Anafranil .............................................. clomipramine
Asendin ................................................ amoxapine
Elavil .................................................. . amitryptaline
Luvox .................................................. fluvoxamine
Norpramin ........................................... desipramine
Prozac ................................................. fluoxetine
Sinequan .............................................. doxepin
Tofranil .............................................. imipramine
Wellbutrin ........................................... bupropion

ANTIHYPERTENSIVE
Capoten .............................................. captopril
Catapres .............................................. clonidine
Coreg .................................................. carvedilol
Ismelin ................................................ guanethidine
Minipress ............................................ prazosin
Serpasil ............................................... reserpine
Wytensin ............................................ guanabenz

ANTINAUSEANT/ANTIEMETIC
Antivert ............................................. meclizine
Dramamine ........................................ dyphenhydramine
Marezine ............................................ cyclizine

ANTIPARKINSONIAN
Akineton ............................................ biperiden
Artane ................................................ trihexyphenidyl
Cogentin .................................. benztropine mesylate
Larodopa ............................................ levodopa
Sinemet .................................... carbidopa with levodopa

BRONCHDILATOR
Atrovent ............................................. ipratropium
Isuprel ................................................. isoproterenol
Proventil, Ventolin ............................. albuterol

DECONGESTANT
Ornade ........ phenylpropanolamine with chlorpheniramine
Sudafed ................................................ pseudoephedrine

MUSCLE RELAXANT
Flexeril ................................................ cyclobenzaprine
Lioresal ............................................... baclofen
Norflex, Disipal ................................... orphenadrine

SEDATIVE
Dalmane .............................................. flurazepam
Halcion ................................................ triazolam
Restoril ................................................ temazepam

You can google : list of medications that cause dry mouth and come up with a pretty extensive list of medications.

Do you think your meds are causing you to have less saliva and perhaps contributing to your dental problems?

Bryanna



QUOTE=kittycapucine1974;833812]Hi, everybody:

I read in various forums that narcotic painkillers can cause teeth problems, such as teeth decay and loss. Does this just apply to fentanyl lollypops (Actiq) because they are sweet, candy-like medical lollypops, or does this apply to ALL narcotic painkillers, in patch, tablet, or capsule form? If it applies to all narcotic painkillers, what is(are) the reason(s) for this and what do they exactly do to teeth?

Thanks for your information.[/QUOTE]