歯科局所麻酔薬アレルギーが疑われた患者への対応

Local anesthetics are extremely safe drugs when used as recommended. Most of adverse reactions to local anesthetics are generally involved vasovagal or anxiety reaction. In the management of the dental patients with alleged allergy to local anesthetics, medical history taking is most critical. Consultation should be considered if any doubt remains as to the cause of the reaction after the dialogue history. Referral to a doctor who will test for allergy to local anesthetics is recommended. However, whenever any drug including local anesthetics, is used, the potential for unwanted and undesirable responses exist. Most medical history questionnaires contain several questions related to allergy. These questions are important to determine whether the patient has experienced any adverse drug reactions or drug allergy.