Have any of you had any problems with having the novacaine at the dentist with epinephrine? Prior to getting diagnosed with afib, I had cavities filled and after the shot, my blood pressure and heart went up. The dentist at the time thought it was due to it accidently getting in a blood vessel. Now I wonder if it is from afib?
What do you do when you need dental work?
Most of us AFers ask for non adrenaline injections as they often trigger AF. The non type are less effective dentists claim but can be made to work OK.
I have had one very bad experience with adrenaline in local anaesthetic at the dentist. It made my heart go into overdrive.
The dentist who now looks after me has a big note on my record stating ‘Must use adrenaline free anaesthetic’.
I have found that in my case it is every bit as effective as the one with adrenaline.
Pete
agreed always ask for it and I have had implants so it the non adrenaline stuff must have worked fine.
I'm the same as Pete. Many years ago I had an adrenaline injection and the procedure had to be aborted as it sent my heart rate all over the place. The adrenaline free injections I have now are every bit as effective.
Sandra
I always ask for adrenaline free dental injections too. A few years ago I had to have nasal packing with adrenaline anaesthetic to treat a severe nosebleed. My heart went into a prolonged bout of tachycardia but no AF, thankfully. It is not something I would risk again willingly.
Don’t be put off by advice that adrenaline free isn’t so effective because the adrenaline holds the anaesthetic in the tissues - and helps to control bleeding. I had a large back tooth taken out - I felt nothing and had minimal bleeding (even with Apixaban).
I recently had to have preparation for a crown and my dentist insisted on the non adrenaline anaesthetic
I also had a very bad experience after local anaesthetic - thankfully my dentist just took one look at me and realised exactly what happened and made me call a friend to come help me. It was all very inconvenient as I had moved and travelled 200 miles to return to complete treatment. It was several days before I felt OK again.
No locals with adrenaline in for me since!
PS - if your dentist has taken a medical history and knows you have AF then they should be aware of that people with AF should avoid adrenaline in local anaesthetics.
If they didn’t take a history - why not?
Either way sounds like a lack of competence.
My dentist makes me sign a declaration every time I go in to say that nothing has changed since my last appointment health and medication wise.
My dentist knows my medical history, he knows to be careful else I bleed out all over his new clinic!
He assured me that it’s only lidocaine, nothing else, but that’s 🇯🇵
Think the non adrenaline jab is called something like carbocaine. Insist on it or find another dentist.
I'm wondering if it was the lidocaine init and not the epinephrine?
Anticoagulant and dental appointment
Dental procedure
Apixaban and "Major" Dental Work
