Table 2.

The following precautions are recommended when treating patients with SUD

Drug	Precaution(s)
Alcohol	Alcoholism likely results in liver disease. Prior to dental surgery, a medical consult is recommended to establish the ability of the patient to control bleeding
Cocaine, ecstasy and methamphetamines	Use of anesthetics containing epinephrine should be avoided due to a systemic increase in blood pressure that usually follows us
Cannabis (Marijuana)	Use of local anesthetic containing epinephrine can cause prolonged tachycardi
Opioids	Do not prescribe opioids analgesics in suspected abusers of any drug. Consult with the patient’s medical provider re. pain management PRIOR to treating pain-producing procedures