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Dr. Monica
Dr. Monica, Board Certified Physician
Category: Endocrinology
Satisfied Customers: 816
Experience:  Experienced physician with a substantial amount of chronic diabetic patients under my care.
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Hi, I m hoping to have some dental work done under conscious

Customer Question

Hi, I 'm hoping to have some dental work done under conscious intravenous sedation which instead of making me sleep will put me into a dreamlike state.

I have adrenal insufficiency so will need steroid cover. I know the guidelines for local and general anaesthetic but not sedation. Could you please advise?

I'm also type 2 diabetic , approx 23 stone, have sleep apnoea, growth hormone and thyroxine deficient, and registered blind with generic joint and muscle pain due to septo-optic dysplasia, needle phobic and never had any previous dental work so quite anxious.
Submitted: 3 years ago.
Category: Endocrinology
Expert:  Dr. Monica replied 3 years ago.

Dr. Monica :

Hello-

Dr. Monica :

It depends on what your dentist uses for conscious sedation, but usually a benzodiazapine and an opiate drug are used. These should not affect your adrenal insufficiency condition or your other conditions. However, you need to take your medication as usual and make sure your dentist is aware of your conditions. They may or may not recommend a consult with an anesthesiologist but I don't think it will be necessary if they just use a benzo and an opiate like most people do during conscious sedation. Hope this helps.

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