Anti-biotics Counseling tips

Question 1

doxycycline - monohydrate

Answer 1

-sun sensitivity
- Take with food
- no food with Ca, Zn, Mg, or Fe++ 2h b/a
- Reduce OC effectiveness

Question 2

amoxicillin

Answer 2

• Reduce OC effectiveness
• Contraindicated if penicillin allergy

Question 3

cephalexin

Answer 3

• dont take anything with Zn++ for 3h after dose
• contraindicated if cephalosporin allergy
• caution with penicillin allergy

Question 4

azithromycin

Answer 4

-don’t take with an Al++ or Mg++ containing antacid
-QTc prolongation
- Contraindicated if macrolide allergy

Question 5

ciprofloxacin

Answer 5

• QTc prolongation
• No Ca++ or Fe++ 2h b/a
• sun sensitivity
• increase caffeine sensitivity
• contraindicated if fluoroquinolone allergy

Question 6

sulfamethoxazole/trimethoprim

Answer 6

• sun sensitivity
• drink at least 8 o.z. water
• contraindicated if sulfa allergy

Question 7

nitrofurantoin

Answer 7

• orange or brown urine
• no Mg++ 2h b/a
• take with food/milk to increase absorption

Question 8

metronidazole

Answer 8

-contraindicated if alcohol use during therapy and for 3 days after last dose
- Metallic taste in mouth
- headache common adverse effect

Question 9

Fluconazole

Answer 9

-QTc prolongation
- report any new skin rash to the prescriber

Question 10

valacyclovir

Answer 10

• headache common adverse effect
• doesn’t prevent disease transmission
• drink lots of fluids to prevent accumulation in kidneys