PijnvizierPain relief in dental care
EN
Situations

When taking antithrombotics

Pain relief after a procedure that causes bleeding.

Prescription options

Scope

The recommendation applies to patients who take antithrombotics and have undergone a dental procedure that causes bleeding. It also applies if antithrombotic therapy was temporarily interrupted before the procedure.

Pain relief after a procedure that causes bleeding

If needed, choose paracetamol if appropriate for the patient. Check patient-specific precautions and include paracetamol from all medicines. Use Extraction & antithrombotics for management around the procedure.

Prescription options

Drafts for adults. Check the indication, contraindications and current medicines before prescribing.

With repeated use alongside a vitamin K antagonist, check the interaction with paracetamol.

Paracetamol aloneAfter a procedure that causes bleeding, if paracetamol is suitable

First option for acute nociceptive pain. This example applies to adults weighing more than 55 kg without risk factors for hepatotoxicity.

Checks before prescribing

Include all paracetamol from over-the-counter and combination products. Adjust the dose if there are risk factors.

  • R/ Paracetamol 500 mg tablet

    Per dose
    1,000 mg by mouth (2 tablets)
    Frequency and interval in this example
    If necessary up to 3 times a day, approximately 8 hours between intakes
    Maximum per 24 hours
    3,000 mg (6 tablets)
    Quantity in this draft
    Maximum 12 tablets

Duration in this example: 2 days. Stop earlier if the medicine is no longer needed. Reassess if pain relief is inadequate or pain worsens.

Sources for this topic

Reference for dentists on acute dental pain and pain after treatment.