A primary care nurse practitioner (NP) is prescribing once-daily ...

[tth]

A primary care nurse practitioner (NP) is prescribing once-daily azithromycin to a 25-year-old woman. When teaching her about the drug, the NP should tell her to:
 
  a. take the medication on an empty stomach.
  b. use a backup contraception method other than oral contraceptive pills.
  c. expect severe gastrointestinal side effects while taking this drug.
  d. cut the pill in half and take twice daily if side effects are severe.

Question 2

A patient who has Parkinson's disease who takes levodopa and carbidopa reports having drooling episodes that are increasing in frequency. The primary care NP should order:
 
  a. benztropine.
  b. amantadine.
  c. apomorphine.
  d. modified-release levodopa.

[ultraflyy23]

Answer to Question 1

B
Patients who use oral contraceptive pills for birth control should be advised that macrolides can reduce their efficacy and that they should consider using a backup method of contraception. Azithromycin can be taken without regard to food. Severe gastrointestinal side effects are uncommon. The tablets should not be chewed, crushed, or cut.

Answer to Question 2

A
Anticholinergics, such as benztropine, are used to control drooling.

[tth]

TYSM

[aliotak]

Excellent