A young woman will begin taking minocycline. The primary care NP ...

[mwit1967]

A young woman will begin taking minocycline. The primary care NP should tell this patient to:
 
  a. avoid taking antacids while taking this drug.
  b. expect headaches while taking this medication.
  c. always take the medication on an empty stomach.
  d. use a backup form of contraception if currently taking oral contraceptive pills.

Question 2

A patient who has Parkinson's disease and who takes levodopa reports that the drug effects wear off more quickly than before. The primary care NP should:
 
  a. add carbidopa.
  b. add amantadine.
  c. increase the dose of levodopa.
  d. add a monoamine oxidase B inhibitor (MAO-B).

[amandalm]

Answer to Question 1

D
Tetracyclines may decrease the effects of oral contraceptive pills, so patients should use a backup form of contraception. Headaches are uncommon. Minocycline may be taken with food and is not affected by antacids.

Answer to Question 2

D
When an MAO-B is given, it appears to enhance and prolong the response to levodopa, reducing the wearing-off effect. Carbidopa does not alter this effect. Amantadine is not indicated. Increasing the dose of levodopa is not indicated.

[mwit1967]

Excellent

[dantucker]

TYSM