Does novacaine interact badly with Parkinson's drugs ? I need dental work done..

[jenniferdunstan]

I currently take Sinemet, gabapentin and clonopin on a daily basis. Please post any side effects experienced when mixing novacaine with these drugs. I propose to take extra gabapentin and clonopin for the procedure so as not to move about, plus whatever novacaine the dentist uses.

I will ask the dentist directly about the risk, but he may not have had much experience with Parkinson's patients...

I have no known allergies to novacainebut of course I hadn't yet been diagnosed with the disease, it was many years ago.

[Astra7]

The dentist should know.

[akgirlsrock]

Novocaine has a stimulant for wearing off sooner, which exasperates tremor. Their is an alternative which last longer but wont affect tremor, I can't remember the name but your dentist will know.

[Pauldmd in reply to akgirlsrock]

The stimulant, epinephrine, constricts blood vessels and prolongs the anesthesia. Local anesthetic without epinephrine wears off more quickly. Neither should have a negative effect on PD symptoms as the effects are mainly confined to the injection site, unlike sedation anesthesia.

[jenniferdunstan in reply to Pauldmd]

Thanks very much that's reassuring.

[jenniferdunstan in reply to akgirlsrock]

Thank you for taking the time to respond.

[Hidden]

I had four crowns and two teeth replaced this past year. The biggest problem I had was it left me "dumb" for a week or more after the novacaine. When I mentioned this to the dentist, he acted surprised and said thanks for mentioning that. Then he said it was no big deal and used a different kind that worked better. So be sure to talk to yor dentist. Lots of luck.

[jenniferdunstan in reply to Hidden]

Thanks!

[MBAnderson]

I had two wisdom teeth taken out last month with Novocain with no ill effects.

[Sandmanliz]

Practiced anesthesia for 30 years. I know the chemistry. Should not bother you. You can ask them to go without the epinephrine if you want . Usually just stays in the gum tissue but if you absorb it quickly It May feel like speed . Pretty rare occurrence but I have had a couple of patients have the heart race for a few minutes. Not uncomfortably though . The epinephrine Vasoconstricts the area so that the block lasts longer. Depends on how long your case is.

[gigiwillms in reply to Sandmanliz]

I have always wanted to ask someone who may know... when I take epinephrine, my heart beats slower and pounds very hard in my chest (I later came to find it raises my blood pressure) and I feel lethargic. I always have to ask the dentist for no epinephrine. I take amino acid therapy (large doses of mucuna among other things) and have this same side effect daily, though to a lesser degree. So, I think dopamine must raise epinephrine levels in the body? Is this an allergy or am I just weird?

[jenniferdunstan in reply to Sandmanliz]

Thank you. Very useful info to have.

[allimart]

I had Novocain this morning for a crown and came to this site to see about reactions. I have had brain fog ever since. Very odd. I’m in relatively good health for a parki so this was a shock. I drove myself home but should not have been on the road. In the past, I had surgery, and had a major brain fog situation afterward for about a month. I didn’t even think I might have the same problem with Novacain. Learning experience…