IV Sedation Fears

A

Aurora10

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Hi everyone. I would really appreciate support from anyone who is willing!
I have had IV sedation twice before, last year in fact, and it was really amazing-I had no problems at all. Well I did have a couple of very unpleasant nightmares after a couple of weeks but that could be coincidence.
I have a phobia about taking meds, I hate them and i distrust them. Probably due to my allergy to penicillin and an anaphylactic reaction to food once, it's developed into an intense dislike of even tylenol.
I have to have 2 crowns and a small filling at the end of this month under sedation and I can't believe it myself but I'm anxious again. I am scared of having an allergic reaction, even of dying while undergoing the procedure. I know that's irrational honestly I do, but it's starting to fill my head every day.
I keep wondering if I should just get at least the filling done in just with LA but I have had trouble getting numb in the past and I'm scared that I will have a panic attack if I keep having to have more and more injections, as that's what happened last year before I gave in and had IV sedation.

I dont like the fact that they use fentanyl in the IV, as well as midozolam, it just frightens me.
Can anyone give me some reassuring words of wisdom? I feel a fool for being anxious even after I've had great experiences with IV both times...
 
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Mugz

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Pretty sure they can just do midazolam by itself. Especially for crowns. Not a dentist but I know I've had it before for procedures with and without other drugs. Do you feel comfortable asking your dentist if it's possible to only use midazolam?
 
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Aurora10

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Pretty sure they can just do midazolam by itself. Especially for crowns. Not a dentist but I know I've had it before for procedures with and without other drugs. Do you feel comfortable asking your dentist if it's possible to only use midazolam?
Hi Mugz! Thanks for sharing your thoughts on this. I don't know if they would do it with just that; I did talk to my dentist when I first decided to go for sedation and you know, asked him lots of questions about the procedure. I asked him about the safety margin with using 2 drugs instead of 1 and he said that using the 2 enables them to use less of both so that it's actually safer. But I think I will ask and see what they say about it, maybe they would just use the midozolam?
Do you live in N. America? You say you've had midozolam with and without orger drugs? Can you tell me more about that and what difference it made-and which way if doing things did you prefer?
Thanks so much!
 
Enarete

Enarete

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Hi Aurora,

sorry to read about how much you worry and there is certainly nothing silly about that! Given your past experiences I do not even think this is an irrational fear. As far as I know, in US (not sure how about in Canada) using multiple drugs for sedation is the standard, while in Europe they only use midazolam. It sounds (from you other post) that you had fentanyl and midazolam together during your last sedation as well so there is hardly any chance of you being allergic to it. As with any fears, the best way is to talk to your dental team and ask lots of questions. Maybe they can do a kind of test to find out / demonstrate to you that you are not allergic. Maybe getting some information (from your dentists, not internet etc.) about how exactly the drugs work might help. Also how about asking them about the level of monitoring that will be provided and what will they be doing to make sure you will be fine?

Again, do not feel like a fool for having anxiety, surely every member will confirm that we all struggle with pre-appointment anxieties, even after we have made good experiences in the past. By the way, after having an anaphylactic reaction to food I can only imagine that your fear is stronger than two successful experiences with sedation. Our unconscious mind works really slowly and we need many many positive experiences to slowllet go of deep seated issues.

Hang on there, feel free to vent as much as you like and do keep us posted (and if I haven't said that before, it's lovely to hear of you again:)
 
krlovesherkids777

krlovesherkids777

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I can see how after having the previous experience with midazolam and fentanyl you would be cautious. I had a certain type of GA years ago and fainted after and always ask to make sure they will not give me that same type. well they barely do it, so never had it mentioned again.. I think it is sooo true what Enarete says about having many positive experiences to slowly let go of bad past experiences and issues.. this is so true.. That being said.. I can say, I've had the mix of Fentanyl and midzolem on like 4 different occasions and they have all went smoothly with no side effects other than being very tired on the way home a time or two.
 
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Aurora10

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I can see how after having the previous experience with midazolam and fentanyl you would be cautious. I had a certain type of GA years ago and fainted after and always ask to make sure they will not give me that same type. well they barely do it, so never had it mentioned again.. I think it is sooo true what Enarete says about having many positive experiences to slowly let go of bad past experiences and issues.. this is so true.. That being said.. I can say, I've had the mix of Fentanyl and midzolem on like 4 different occasions and they have all went smoothly with no side effects other than being very tired on the way home a time or two.
Sorry for the late reply, I have been away for a few days. Thank you so much, you are always so kind and nurturing and I am grateful for it! I have come to the conclusion that it is probably natural to be a little apprehensive about going through this again, for me anyway. So I'm trying to keep busy and turn those catastrophic thoughts away and keep grounded in reality. 🙂👍
 
A

Aurora10

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Hi Aurora,

sorry to read about how much you worry and there is certainly nothing silly about that! Given your past experiences I do not even think this is an irrational fear. As far as I know, in US (not sure how about in Canada) using multiple drugs for sedation is the standard, while in Europe they only use midazolam. It sounds (from you other post) that you had fentanyl and midazolam together during your last sedation as well so there is hardly any chance of you being allergic to it. As with any fears, the best way is to talk to your dental team and ask lots of questions. Maybe they can do a kind of test to find out / demonstrate to you that you are not allergic. Maybe getting some information (from your dentists, not internet etc.) about how exactly the drugs work might help. Also how about asking them about the level of monitoring that will be provided and what will they be doing to make sure you will be fine?

Again, do not feel like a fool for having anxiety, surely every member will confirm that we all struggle with pre-appointment anxieties, even after we have made good experiences in the past. By the way, after having an anaphylactic reaction to food I can only imagine that your fear is stronger than two successful experiences with sedation. Our unconscious mind works really slowly and we need many many positive experiences to slowllet go of deep seated issues.

Hang on there, feel free to vent as much as you like and do keep us posted (and if I haven't said that before, it's lovely to hear of you again:)
Thank you so much for great advice, I really appreciate it. I went to see the dentist who will be doing the procedure on the 30th, he's not my usual dentist but he's got a good reputation in the office and my dentist is away for holidays.
He was lovely and friendly, and listened to my concerns and answered everything. The drugs they use are the 2 you mention, you are correct. I read about the UK not using two different types of drugs and this was for and/or safety concerns and also because the level of training is higher over here apparently. My dentist told me that when these two drugs are used, the levels needed are lower than with just midozolam and that is why they mix the two. My practice thankfully takes a lot of precautions, even ones they dont need to by law-they health screen each patient and they have a paramedic start the IV and they are present in the room all the way to the end of the appointment, which most offices don't do and they have a heart monitor etc. So I know they are doing all they can to put the patient first. It's not even that expensive.
You are absolutely right, I have had no allergic reaction whatsoever with these drugs and the chances are small that I would become allergic in the future. But I like the way you explain how the mind holds on to negative experiences, so true!
I have to have this work done, there's a good way to manage it with sedation so I just want to think on just how good it was and that it really was a 'no-event event'. I have to have invisalign after this work is complete, as my jaw became misaligned after my bridge was placed, so there is quite a journey still ahead and I need to be strong. You and other friends here make it all easier to bear however so thank you 🙏💞🌺
 

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