I am taking currently 8mg Predisone and 10mg Leflunomide Arava and feel very well with it.
Now I need to extract the last upper tooth because I have an inflammation under the crown. After 6 months my dentist plans a sinus lift, bone augmentation before he will places an implant.
Has anybody done that kind of dental surgery work while on Predisone and Leflunomide???
In the leaflet of the drug Compagny. SANOFI is nothing mentioned about dental treatments.
Thank you for sharing your experience with me.
Orchid47
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Orchid47
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I'm sorry I can't answer your question but I wanted to ask you something. My rheumy has talked about putting me on Arava and I would like to hear your experience being on it.....side effects?.....has it helped with tapering the Prednisone?.....any information would be appreciated, thank you,
There was a pilot study in the UK using leflunomide for PMR which claimed 22 out of 23 patients went into remission. I don't know how soon or how long it lasted. One rheumatologist whose opinion I value says it is the only DMARD he would bother trying. The most recent guidelines for managing PMR does not mention it - so there has obviously not been any other good evidence.
But it too has some serious side effects and I do know several people who had to stop it because of that.
Could you point me to the "most recent guidelines for managing PMR" please? And do you know what the serious side effects were that made people stop it? Thank you.
I'm on 8mg Pred and 10mg Leflunomide and feel as god as I have done for the last 3 years (except for the evil cough and cold!). I have to have a tooth out and am going to Guys -- if the appointment ever comes through. The surgeon there said the risk with Alendronic Acid is if it is given intravenously rather than oral tablets. I confirmed I was own the tabs and she seemed entirely chilled about it. The only reason for going to a hospital to have the tooth out is that should there be a problem then they can inject some drugs into me-which the would have on its -- which a regular high street dentist would not be able to do. However I have been warned I cannot have an inplant because of the AA and will have to have a bridge instead.
I was warned by my dentist 5 or 6 years ago regarding all bisphosphonate drugs like Fosomax and also 2 months ago regarding injections of Prolia Denosumab ,
twice a year .
My Endocrinalog doctor wanted me to start with them. But
I have a few implants and my dentist said that they would all fall out if I should take any of the above mentioned medications for my Osteoporesis.
AA can cause problems even with tablets, I have no idea what grounds she had for saying that. The vast majority of patients take it orally - and some of them have problems.
I realise that this thread relates to dental matters but I was particularly interested in the comments about Leflunomide. I have been on this drug for about 3 months now but I have started to suffer from diarrhoea. My GP has prescribed Loperamide which apparently is the same sort of thing as Immodium. She says to take it when ever I feel the need which so far has been every day! Has anyone had this experience.? Does it diminish as the body gets used to the Lef?
I know that diarrhoea is a common side effect of Leflunomide but are there any adverse side effects of taking Loperamide on a daily basis? I am particularly concerned because we are going on a 3 week coach trip across America shortly and I cannot imagine the potential problems of frequently being caught short on a coach!!
I'm glad the Leflunomide has had a positive side effect for you! I started this medication on 4 Nov when I was on 12 mg Prednisolone. I am now down to 7.5mg as from the beginning if this week. I'm sure you are right about modern coaches but it could be a bit of a problem if there are two of us!
My tum is very uneven on Leflunomide. Some days are better than others and I can't work out what makes the difference. I should have shares in Immodium!
I can't work it out either. I just hope you cant overdose on immodium by taking it every day - I seem to be taking enough tablets as things are already!
I take avara and it has helped me the most after several failed meds. No side effects at all for me. I also had all my teeth removed while on it. Both dentist, rheumatologist and pain dr said it was ok.
I have had a tooth implant whilst on Pred 20mg. No problem whatsoever. I didn't need bone augmentation. I was also on methotrextate at the time. My implant is fine too.
Be very careful, sometimes sinus lifts don't work even when you are healthy. That is a tough area to place an implant, I hope your dentist mentioned that. My husband, who isn't on any medication had the sinus lift done twice and it didn't work. He went through a lot of pain, and not to mention the expense, eventually, he gave up on the implant. Good luck. I truly hope it works for you.
I know and my dentist told me to wait with the extraction as long as I can, but now
I get tooth ache from time to time.
It is the upper last back tooth. I had done the tooth next to it four years ago. I know what to expect. I had sinus lift, bone grafiti before getting the implant. It took a long time to heal, a lot of pain and an expensive business, but at the end, it feels like your own
tooth and not like a denture of false teeth.
Thank you, hope it will be successful also this time.
I have just had my very back lower tooth removed in the chair. My dentist insisted I double my pred dose from 10 to 20 mgs for that day... touching wood, I'm ok. I also had a crown a few months ago with the same advice but I just upped the dose to 15... survived! Good luck
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