Barbara Madej, RPh

Patient Communication
Thyroid disorders affect 1 in 10. Here’s what that means for your dental chair.
Thyroid medications are more than just another line on your patient’s med list. They can affect anesthesia tolerance, post-op healing, and more, writes a trio of experts in the field.
June 9, 2025
Thyroid
Opioids
Tramadol: The stealthy tyrant lurking behind pain relief
Despite its effectiveness in managing pain, Tramadol poses significant risks, especially in dental settings. Barbara Madej, RPh, tells you what you need to know.
December 5, 2024
Madej Barbara 400
Public Health
Neffy nasal spray: A new era for allergy safety in dentistry
Neffy is a nasal spray, removing the need for injections, which may provide critical advantages for dental patients who fear needles or hesitate during emergencies.
November 1, 2024
Madej Barbara 400
Anesthesia
Epinephrine's risky relationship with beta blockers
Epinephrine plays a critical role in pain management, but it must be used with caution in people with certain medical conditions and who are taking certain medications, including beta blockers.
October 10, 2024
Adobe Stock/dimik_777.
Oral-Systemic Link
Metformin: What dentists need to know
Metformin, a commonly prescribed drug, can have a big impact on your dental patients. Here are the special considerations you need to know.
August 21, 2024
Metformin
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