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Is It Safe To Take Ativan Before Oral Surgery?

Posted on Wed, 2 Jul 2014

Question: I am currently on flecainide and I will be having oral surgery tomorrow. I am having two molar extractions and will be having anesthetic without epinephrine. Is it ok to take extra Ativan before my oral surgery? if post surgery an antibiotic is prescribed, which ones are safe to use while taking flecainide?

Answered by Dr. Dipti Singh (38 minutes later)

Brief Answer:
You can start with amoxicillin after surgery.

Detailed Answer:
Hello,XXXX

This is Dr. Dipti Singh here to answer your query.

Actually flecainide is given to control improper heartbeat or you can say improper heart rhythm. It helps to maintain control on heart beat. Please discuss with your doctor.

And Ativan is an anti anxiety medication. We sometimes prescribe it before surgery to control anxiety. There is no problem to take it before surgery as long as you don't feel discomfort with the medications.

There are list of antibiotics, which you can use, but amoxicillin is the safest.

Hope it will help you.
Thank you.
Regards
Dr. Dipti Singh

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Dipti Singh (6 hours later)

Hello. I am allergic to amoxicillin. What is the next best option for antibiotic after oral surgery while on flecainide?

Answered by Dr. Dipti Singh (1 hour later)

Brief Answer:
You can go for azithromycin but under observation

Detailed Answer:
Hello,XXXX
Actually most of the antibiotics are not indicated in flecainide users, but you can go for azithromycin, ofloxacin, ciprofloxacin or erythromycin only in observation of your oral surgeon.
If there is no allergic or any other reactions, then you can continue it.
Hope it will help you.
Thank you.
Regards
Dr. DIPTI XXXXXXX

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj