<?xml version='1.0' encoding='utf-8'?>
<regulation prefix="Regulation" num=".04" citation="COMAR 10.44.12.04" title_num="10" subtitle_num="44" chapter_num="12" heading="Anxiolysis.">
  <paragraph num="A.">
    <text>A permit is not required for a dentist to administer anxiolysis.</text>
  </paragraph>
  <paragraph num="B.">
    <text>The administering, prescribing, or dispensing of more than one type of sedative, narcotic, class of drug, or medication for the purpose of anesthesia to be taken the evening before a procedure, or the morning of a procedure, is not anxiolysis and shall require the appropriate anesthesia or sedation permit.</text>
  </paragraph>
  <paragraph num="C.">
    <text>A dentist who intends to administer anxiolysis shall indicate the intent to administer anxiolysis in the patient's records.</text>
  </paragraph>
  <paragraph num="D.">
    <text>A dentist who administers anxiolysis may not administer a dose that is inappropriate for a patient's:</text>
    <paragraph num="(1)">
      <text>Age;</text>
    </paragraph>
    <paragraph num="(2)">
      <text>Weight;</text>
    </paragraph>
    <paragraph num="(3)">
      <text>Medical condition;</text>
    </paragraph>
    <paragraph num="(4)">
      <text>Infirmities; or</text>
    </paragraph>
    <paragraph num="(5)">
      <text>Other propensities.</text>
    </paragraph>
  </paragraph>
  <paragraph num="E.">
    <text>Medications used to produce anxiolysis may not exceed current limits set by the manufacturer for unmonitored use by the individual.</text>
  </paragraph>
  <paragraph num="F.">
    <text>A dentist who administers anxiolysis shall maintain a margin of safety and a level of consciousness that does not approach moderate sedation and other deeper states of sedation and general anesthesia.</text>
  </paragraph>
</regulation>