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An Arizona woman calls her boyfriend and says, "Please>> > come over here and help me.>> > I have this killer jigsaw puzzle, and I can't>> > figure out how to get it started.">> >>> >>> > Her boyfriend asks, "What is it supposed to be>> > when it's finished?" The Arizona woman says, "According to the picture on>> > the box, it's a tiger.">> >>> >>> > Her boyfriend decides to go over and>> > help with the puzzle.>> > She lets him in and shows him to where she>> > has the puzzle spread all>> > over the table. He studies the pieces for a>> > moment, then looks at the box,>> > then turns to her and says, "First of all, no>> > matter what we do, we're not>> > going to be able to assemble these pieces into>> > anything resembling a tiger.">> >>> >>> > "Second, I'd advise you to relax. Let's have a>> > cup of coffee, and then we>> > will put all these Frosted Flakes>> > back in the box."

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  • 6 years later...

I have a puzzle for anyone interested. I can't take SSRIs - I get hyper, muscles get frozen and I stay awake for hours until the Paxil wears off. Then when I go to the dentist I can't take norepinephrine because it will cause days to weeks of extended pain. Any idea what is going on? If my dentist 15 months ago forgot and gave me norepinephrine could this have precipitated the constant pressure headache for a year? - a Carnes

http://www.lexi.com/web/dentistrymailers.jsp?id=wynn_january06

Adverse effects of dental interest The antidepressants all have the potential to cause a variety of adverse effects and some are of concern if present in the dental patient. These include sedation, anticholinergic effects leading to dry mouth, and postural hypotension. Postural hypotension is a concern because of the possibility of an orthostatic hypotensive episode and syncope as the patient is getting up from the reclining position after treatment. Some antidepressants such as the TCAs also have the potential to interact with vasoconstrictor used in the local anesthetic regimen to result in possible increases in blood pressure.

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