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
Medical anatomical visualization of thyroid gland in human neck.
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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Top Stories
Close-up of two business professionals meetings; one holds a pen and a clipboard while the other has his hands clasped.
Legal Issues
Pediatric dentist gets probation for lax infection control
Multiple infection control failures were exposed at a pediatric dental practice, resulting in a dentist's probation.
Female dentist wearing blue scrubs and a mask examines a patient sitting in a dental office chair.
Oral-Systemic Link
When dental disease delays surgery: A case for closer medical-dental communication
Headshot of Kelly Tanner, PhD, RDH, DrBicuspid's hygiene editor.
Oral Cancer
What the oral cancer guidelines don’t tell you: How to talk to the patient in the chair
DrBicuspid.com Podcast cover featuring microphone icon and dental professional logo
Podcasts
Gen Z, boomers, and AI: A generational researcher on what dental leaders are missing
Close-up of a document titled 'Lawsuit,' with glasses and a fountain pen resting on top.
Legal Issues
Fired dental worker files lawsuit
More in Authors
Adwait Rajhans
November 2, 2026
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Dr. Jessica Shireman
October 28, 2026
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Dr. Anna K. McGuire
October 28, 2026
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Hanna Aronovich
October 26, 2026
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Dr. Megan Peterson Boyle
October 26, 2026
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Dr. Elsie Joel-Morse
October 20, 2026
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Dr. Katelyn Gunn
October 19, 2026
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Dr. Alex Sharp
October 16, 2026
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Dr. Kim Ledermann, MS
October 15, 2026
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Dr. Marie Alejandrino- Buell
October 14, 2026
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Kim Milleman, PhD, MS, RDH
October 13, 2026
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Dr. Robert Frey, MPH
October 12, 2026
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