answers 0:I have to have a regular molar extracted with an oral surgeon as it is broken off at the gumline. Because he needs to make an incision, he strongly feels that there should be Epinephrine (epi) contained in my shot. I asked for plain shots, but he refused.However, I have Inappropriate Tachycardia Syndrome (heart rate of 120 bpm, sometimes 170 when stressed) and it gets VERY aggravated along with palpitations when I even THINK about the dentist.**Now that I have to have necessary dental work, and the shots contain adrenaline, my Cardiologist may prescribe a beta blocker (it will be "cardioselective" due to my mild wheezing during allergy season).Can the beta blocker help with tachycardia and sweating during dental treatment, and how would it react with the shot that c! ontains adrenaline?**PS - I am NOT ALLOWED to have "IV sedation" or a sedative such as Valium, Xanax, etc. because they are benzodiazepines and I am a recovering benzodiazepine addict.Thank you.......Show moreanswers 1:Stop Infections Heal Teeth : http://DentalBook.uzaev.com/?sbDganswers 2:If the dosage of the beta blocker taken is more the prescribed one, there is the possibility of getting a very low blood pressure. However, since I guess it is prescribed to be taken everyday, then it will just help regulate the heart rate and keep it within normal limits. It is only during an overdose that the danger of it getting so low is possible.answers 3:The betablocker will help with tachycardia in general, so it would help you during the procedure. But since the procedure would probably cause a more severe tachycardia episode it may not fully take away the rapid heart rate and sweating. You should make sure the cardiologist is ok with you having epinepherine for dental procedure! s, I understand that there isn't a good alternative since you ! can't have IV sedation. It is most important to do what is best for your heart. You could also try getting a second opinion, different doctors feel comfortable using different anesthetics based on previous experiences. You may find a doctor who won't use epinepherine, I am wondering if the oral surgeon you saw is considering the risks of using epinepherine on someone with tachycardia??? I know the shots that don't contain epinepherine aren't as strong and wear off quickly, so that is probably why they want to use epi. A patient in our office is allergic to any anesthetic ending in "caine" so that rules out most of them. But a new dentist she is seeing is researching other anesthetics and they found something that works for her so you may just need to find a doctor willing to do a little research. Hope this helps!...
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