Oral Sedation Information and Consent

Oral Sedation Information and Consent Form
Triazolam (halcyon) is usually prescribed as a sleeping pill. It is also a medication that can greatly minimize the anxiety that may be associated with going to the dentist. In a relaxed state, you will still be able to communicate with the dentist while treatment is being performed. Even though it is safe, effective, and wears off rapidly after the dental visit, you should be aware of some important precautions and considerations.

  1. This consent form and the dental treatment consent form should be signed before you take the medication. They are invalid if signed after you take the medication.
  2. The onset of Triazolam is 15 to 30 minutes. Do not drive after you have taken the medication. The peak effect occurs between 1 and 2 hours. After that, it starts wearing off and most people feel normal after 6 to 8 hours. For safety reasons and because people react differently, you should not drive or operate machinery for the remainder of the day. Wait until tomorrow.
  3. This medication should not be used if: You are hypersensitive to benzodiazepines (Valium, Ativan, Versed, Etc.) You are pregnant or breastfeeding; you have liver or kidney disease. Tell the doctor if you are taking the following medications as they can adversely interact with Triaolam: nefazodone (Serzone); cimetidine (Tagamet, Tagamet HB, Novocimetine, or Peptal); Levodopa (Dopar or Levodopa) for Parkinson’s disease; antihistamines (such as Benadryl and Travis); verapamil (Calan); diltiazem (Cardizem); erythromycin and the azole antimycotics (Nizoral, Biaxin, or Sporanox); HIV drugs indinavir and nelfinavir; and alcohol. Taking recreational/illicit drugs can also cause untold reactions.
  4. Side effects may include light-headedness, dizziness, visual disturbances, amnesia, and nausea. In some people, oral Triazolam may not work as desired.
  5. Smokers will probably notice a decrease in the medications’ ability to achieve desired results.
  6. You should not eat or drink prior to your appointment.
  7. Nitrous oxide may be used in conjunction with triazolam and local anesthetic.
  8. On the way home from the dentist, your seat in the car should be in a reclined position. When at home, lie down with your head slightly elevated. Someone should stay with you for the next several hours because of possible disorientation and possible injury from falling.

I understand these considerations and am willing to abide by the conditions stated above. I have had an opportunity to ask questions and have had them answered to my satisfaction.

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Patient Reviews

Awesome company
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Carina Barros

Awesome company and super friendly staff!

Very good team!
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Breanna Thorn

I went to Stroud dental on monday for the first time in 13 years..... I was so afraid to go. The experience was amazing. They made me feel comfortable. Jess is very good at her job and gentle. I didnt feel embarrassed or shamed at all. They made sure I got my x Ray's up to date and informed me, my old x Ray's had baby teeth in them. Very good team! Happy I went in and faced my fears.

We highly recommend Stroud Dental!
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Shawna Toole

My husband is terrified of going to the dentist and after convincing him to go to Stroud Dental for the first time he has now been 3 times! The staff is absolutely amazing and made him feel safe and comfortable! He actually looks forward to going to the dentist now. Dr. Peleg rocks and the girls are a hoot. We highly recommend Stroud Dental!

The best experience I have ever had!
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Cassandra Dickson

Stroud dental was the best experience I have ever had! The staff are very knowledgeable and friendly, it was very clean, fast and efficient. thank you for making my smile beautiful! I would highly recommend this dental office.

A wonderful place to bring your children.
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Logan Beau

Stroud Dental is a wonderful place to bring your children. The staff are amazing with my sons, one of which is on the autism spectrum. They are patient and understanding of his quirks. If you’re looking for a great place for dental work check out Stroud Dental.

We couldn’t be more happy.
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We have been patients of Stroud Dental for over five years!
They have the most amazing team, who make you feel comfortable, welcomed and part of their family!
They are so patient with our 15 month old daughter, and us!
We couldn’t be more happy with everyone at Stroud Dental!

Family, friendly!
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Dana Donaldson

Family, friendly! Have always been great with my kids. Always a pleasant experience.

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