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Conscious Sedation and Breastfeeding: Recommendations for Patients (page 2)The medications often uses for sedation procedures in dental offices include:
Many medical professionals use these same or similar drugs for other surgical or diagnostic procedures requiring sedation. Oral Agents Triazolam and diazepam are used as oral pre-operative sedatives, often taken one hour prior to a procedure with a sip of water. If a patient is breastfeeding, the oral sedative of choice would be triazolam with a half life of 1.5-5.5 hours compared to diazepam's half life of 43 hours. Some pediatric concerns of poor suckling, lethargy and sedation have been reported with Valium. The milk to plasma ratio with Valium has been reported to be as high as 2.8. Inhalation AgentsThe inhalation agent of choice in dentistry is nitrous oxide blended with oxygen, also know as "laughing gas". A nitrous oxide/oxygen blend helps to reduce anxiety and works as a sedative. In the dental office, the patient breathes the gas through a nasal mask. Patients describe a sense of well being and relaxation. It works quickly and wears off quickly, making it a good choice for breastfeeding mothers and breastfed babies. It's half life is less than 3 minutes. |
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