tooth extraction - can i use indomethacin?
 

i am having a tooth extracted today. presumably i will be told to take some sort of prophylactic treatment for pain.

in the past i have always used ibuprofen for tooth-related pain.

thing is i have a migraine ongoing. i use indomethacin for migraines. i took some this morning - i timed it so next dose should be about the time of the extraction, so that i can switch med if need be.

i am wondering if if indomethacin will appropriate for the extraction also. i mean, i would think so - it is still an NSAID.

if anyone here knows, please advise.

because, i would prefer to take the indomethacin than the (high) dose of ibuprofen i would need to control the migraine. but if i am not sure, and the dentist doesn't know, i guess i will have to go with the ibuprofen.

thank you

~ waves ~

Dear Waves,
I just got on here.
Give me about 15 minutes and I will see what I can find.

M.

thought it was cox-2 specific but double checked and it is not. i can't find anything regarding teeth. i will tell him i took it as there may be more bleeding.
now i am wondering if i should call and see if he even wants to take me. geez if not i hope they don't make me pay for the appointment.

~ waves ~

i called and left a message
 

i called and the dentist is busy but the receptionist wrote it down i gave her the time and dose i took and told her i would have to keep taking it because of the migraine as well, so ideally if he is going to do this i would need stitches too (here not everyone gives stitches) - she is going to call me as soon as she can find out.
:Dunno:
i hope the dentist gets free before i have to get on the bus or it will be expensive even if they don't charge me.

:Bang-Head::Bang-Head:

stupid stupid me i should have thought to call as soon as i took the med. idiot idiot.

:Doh:

~ waves ~

sorry about your headache
 

Dear Waves,

I found almost nothing on it.
http://en.wikipedia.org/wiki/Indometacin
-- wikipedia says should always be taken with food
--wikipedia says psychosis has been reported with long term use
-apparently it interferes with lithium

I don't much of anything about this re bipolar, mania, mood disorders, or depression.

I found a study about prolonged use:
http://www.springerlink.com/content/25qfqpvf8ghct602/
Non-steroidal Anti-inflammatory Drugs with Adverse Psychiatric Reactions: Five Case Reports

Here is an article about two days of use:
Mania and Indomethacin


Here is my two cents.
The decision to take the medicine might depend on how complicated the tooth extraction is expected to be. Also it depends on the severity of the headache.

I think if you need one or two doses of the pill you could be ok. You can watch yourself and take a benzo as soon as you feel the med giving you too much energy.

You and I have gone through this will my wisdom teeth extractions. My dentist at the time had me ice that part of the mount (from the out side of course) for part of the day after the extraction and he asked me to eat ice cream (no pieces in it like fruit or nuts) for about 24 hours. That much milk protein upsets my stomach so I really did eat ice cream and froz yogurt for about 36 hours. In other words, stay away from hot foods.

This is taking longer than I thought it would.

Good luck.

M.

Sometimes the pharmacist know more about medications than a doctor does. Can you check with one in your neck of the woods?

barbara

Waves,
What is your concern?
Is it mood?
Headache and toothache?
Bleeding?

Sorry. I think I am trying to read your posts too quickly.
Also I am very unfamiliar with the meds you are talking about.

That is good that you called the dentist.

M.

Waves,
I missed the part that you already took it.

I think you will be fine.

I will look some more.

M.

Waves,

I've got "stupid" working today and I am sorry I am not being helpful.

If indomethacin is a blood thinner, it might not be good if you are having an extraction.

http://avidpurehealth.com/health/Con...ethacincd.html
This should be something the dentist can handle -- we are talking about potential bleeding here, not mood probs.

M.

Dear Mari

thank you for your help. i appreciate it because right now i am googling how to get to the dentist because i have forgotten! :eek:

this stuff does not cause mania for me - i have taken up to 100 mg at a time.

i use it regularly for migraines. regularly means about 2ce a month. typically 50mg tid covers the migraine. very occasionally i might need a dose of 75mg. 100 is extremely rare.

this migraine is "out of place" meaning it did not fall in the usual period when i have my two monthly migraines (indeed, i would not schedule a tooth extraction then!:rolleyes:)

issues with having taken it are:
- it thins blood same as any other NSAID, so taking it before can be an issue especially if stitches are not to be given
- it has a a longer half-life (4.5 hours compare to about 1.8 for ibuprofen)

again thanks for your help i will check back...

~ waves ~