Med List 1 - Counseling Points

Question 1

Doxycycline (monohydrate or hyclate)

Answer 1

• Sun-sensitivity
• Take with food to prevent upset stomach (will also decrease the absorption)
• Separate products containing Ca, Mg, Al, & Fe 2 hours before or 4 hours after (ask what OTC products they are taking)
• Use additional form of birth control during and 1 week following last dose

Question 2

Amoxicillin

Answer 2

• Use additional form of birth control during and 1 week after last dose
• CONTRAINDICATION: penicillin allergy

Question 3

Cephalexin (Keflex)

Answer 3

• CAUTION: penicillin allergy

Question 4

Azithromycin (Zithromax)

Answer 4

• Do not swallow with Al or Mg

- Take with food to prevent upset stomach

Question 5

Ciprofloxacin (Cipro)

Answer 5

• Dizziness (caution driving)
• Separate dairy products, antacids, & minerals 2 hours before or 6 hours after dose
• Sun-sensitivity
• Increase caffeine sensitivity

Question 6

SMZ-TMP: Sulfamethoxazole/trimethoprim (Bactrim DS)

Answer 6

• Sun-sensitivity
• Drink lots of water to avoid kidney stones
• CONTRAINDICATION: Sulfa allergy

Question 7

Nitrofurantoin (Macrobid)

Answer 7

• Brown urine may occur
• Avoid Mg during entire time
• Take with food or milk to increase absorption

Question 8

Metronidazole (Flagyl)

Answer 8

• CONTRAINDICATION: Alcohol will cause profuse vomitting, avoid during therapy and 3 days following last dose
• Temporary metallic taste in mouth may occur
• Headache may occur

Question 9

Fluconazole (Diflucan)

Answer 9

• If skin rash occurs, report to prescriber

Question 10

Valacyclovir (Valtrex)

Answer 10

• Headache may occur
• Does not prevent transmission of STD, avoid sex while sores are present
• Drink lots of water to prevent accumulation in the kidneys