What dietary instructions should the nurse provide a client who is prescribed repaglinide (Prandin)?
Standard Text: Select all that apply.
1. Do not take with grapefruit juice.
2. Avoid using garlic.
3. Drink decaffeinated beverages only.
4. Avoid green leafy vegetables.
5. Limit the intake of milk products.
Correct Answer: 1,2
Rationale 1: The concurrent intake of grapefruit juice with repaglinide may result in increased drug levels and hypoglycemia.
Rationale 2: Garlic may increase the hypoglycemic effects of the medication.
Rationale 3: This medication does not interact with caffeine.
Rationale 4: This medication does not interact with green leafy vegetables.
Rationale 5: This medication does not interact with milk products.
Global Rationale: The concurrent intake of grapefruit juice with repaglinide may result in increased drug levels and hypoglycemia. Garlic may increase the hypoglycemic effects of the medication. The medication does not interact with caffeine, green leafy vegetables, or milk products.
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