Root canal without Epinephrine

I’m confused, are you allergic to Epi?

I'm a NETs patient on monthly Lanreotide. I just had a tooth pulled using Lidocaine at a local pain killer. As I understand it, Epinephrine is blood vessel constrictor used to reduce bleeding and it also extends the effectiveness of a pain killer like Lidocaine. Maybe you could get the tooth pulled with only Lidocaine? Also, have you had a carcinoid crisis before? Is there evidence that pulling a tooth has caused one? Interesting situation.

I have carcinoid syndrome per my surgeon. I just went and got a tooth pulled. Didn't take Octreotide or anything else. Didn't have any problem with it. Good luck with this.

No I am not
When you have neuroendocrine cancer you have a risk of having a carcinoid crisis if you take epi

Was it a bottom wisdom tooth?
From what the dentist told me bottom wisdom teeth are a whole other situation and in order for the pain killer to work you have to use epi
If it was an upper there wouldn’t be a problem
I am only getting it pulled because I can’t do a root canal because I can’t take epi
There always seems to be another hurdle

It was an infected bottom Molar I had pulled. I wonder if there is a NETs specialist dentist out there somewhere? I wonder what's the chance of having a crisis due to epi? That's gotta be rare.

I was hoping putting the situation out there someone would now a NRT dentist
As for the crisis being rare it probably is but then again I have a rare cancer
I am not taking any chances I have too much to stay ahead
Thank you

Only if the give me anesthesia will I have to get an injection of octreotide
I see the oral surgeon on Monday
Hopefully he has a plan
Thank you everyone for replying
I will keep you posted
As always I wish everyone good luck

Wow, was unaware of this!
Thank you

I just had 2 root canals and had epinephrine. I called my oncologist before them and he checked with a pharmacist and both said it was fine.

Are you not supposed to have epinephrine? Fortunately I was fine after but want to find out as I need more dental work.

Thanks

The dentist called my oncologist and he said absolutely no epinephrine so I need to have the tooth pulled under anesthesia and get a dose of octreotide before they give me the anesthesia which they did with 2 previous surgeries I had a few years ago
All so I don’t have a carcinoid crisis situation
Very odd because awhile ago I got an emergency card from one of the groups and the main NoNo was No epi
I have no idea what’s make me different
Maybe because I have carcinoid symptoms of flushing and diarrhea
Glad all went well with you