1. Monitor vital signs at every appointment because of cardiovascular side effects.

2. Have the patient sit up slowly and remain seated for at least two minutes after being supine in order to minimize the risk of orthostatic hypotension.

3. Decreased saliva flow can put the patient at risk for dental caries, perio-dontal disease, and candidiasis.

4. Patients on chronic drug therapy may develop blood dyscrasias. Symptoms include fever, sore throat, bleeding, and poor wound healing.

5. Place patient on frequent recall because of oral adverse effects.

6. Determine the presence of movement disorders such as extrapyramidal symptoms, tardive dyskinesia, or akathisia. They may interfere with the ability of the patient to perform oral health care or they can complicate dental treatment.

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