Prior to administering donepezil (Aricept) to a client diagnosed with Alzheimer disease, the nurse notes that the client is prescribed medications that will react with this drug. Which medications interact with donepezil (Aricept)?

Standard Text: Select all that apply.
1. Phenytoin (Dilantin)
2. Rifampin
3. Quinidine
4. Penicillin
5. Aspirin


Correct Answer: 1,2,3
Rationale 1: Decreased effects of donepezil (Aricept) will occur with concurrent administration of phenytoin (Dilantin).
Rationale 2: Decreased effects of donepezil (Aricept) will occur with concurrent administration of rifampin.
Rationale 3: Metabolism of donepezil (Aricept) may be inhibited by quinidine.
Rationale 4: Donepezil (Aricept) does not interact with penicillin.
Rationale 5: Donepezil (Aricept) does not interact with aspirin.
Global Rationale: Decreased effects of donepezil (Aricept) will occur with concurrent administration of phenytoin (Dilantin), rifampin, and quinidine. Donepezil (Aricept) does not interact with penicillin or aspirin.

Nursing

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