General

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. Vasoconstrictors should be used with caution and in low doses. Avoid epinephrine-containing gingival retraction cords.

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

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

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