An Alternative Over-The-Counter Medicine For Dental Pain: Arnica Montana

Popular in holistic medicine, Arnica Montana is gaining traction in North America. It has similarities to ibuprofen and this article is meant to describe some additional details if you consider it when managing dental pain. This is not a complete list of instructions, risks, or considerations. Follow the manufacturer’s instructions and recommendations for use, as well as your provider. This is to serve as an additional reference.

Confirm your medication matches the name above.

Prolonged use can cause liver damage. Contact your provider if use is needed for more than 3 days.

DO NOT consume/ingest alcohol while taking this medication. Arnica montana and alcohol are sensitive together and can lead to serious liver damage or failure.

Do not take if you have a history liver or kidney disease or injury.

Arnica may cause an allergic reaction in people who are sensitive to the Asteraceae/Compositae family.

Do not take with aspirin or NSAIDs (Ibuprofin, Motrin, Naproxen, Celecoxib, etcetera) because their effects can combine, risking complications such as excessive bleeding, stomach/GI ulceration, or decreased kidney function.

Do not take arnica on an empty stomach or after an acidic beverage/meal. Arnica increases the risk for stomach ulcers, gastric bleeding, or a gastric perforation. Take arnica with non-acidic food to reduce this risk. Elderly patients will have a greater risk for serious gastrointestinal events. Caffeine and tobacco smoking are also large risk factors for developing an ulcer.

Do not take arnica montana if:
– You are pregnant or nursing. Arnica should be be strictly avoided. Acetaminophen is best during pregnancy (Tylenol regular or extra strength).
– You have a history of a hiatial hernia, a bleeding disorder, long-term steroid use, or are on a blood thinner.
– If you have a history of a stroke or myocardial infarction – as the risk of another occurrence is increased with arnica.

Arnica can raise blood pressure and inhibit antihypertensive medications. Avoid prolonged use (>1 week).

Kidney function is lowered when taking arnica. Do not take arnica if you have advanced renal disease unless consulting with your doctor, as well as heart failure, uncontrolled diabetes, or liver disease.