The nurse is taking a medication history from a client who is seeking information about infertility treatments. Which drug taken by this client could potentially contraindicate the use of clomiphene (Clomid)?

Question

1. Cimetidine (Tagamet)
2. St. John's wort
3. Levothyroxine sodium (Synthroid)
4. Amoxicillin (Amoxil)

Answer 1

Correct Answer: 3
Rationale 1: Cimetidine is not a contraindication to the use of clomiphene.
Rationale 2: St. John's wort is not a contraindication to clomiphene.
Rationale 3: Clomiphene should be avoided in clients with thyroid dysfunction. The client who reports taking levothyroxine sodium should be further evaluated for thyroid dysfunction.
Rationale 4: Amoxicillin is not a contraindication to the use of clomiphene.
Global Rationale: Clomiphene should be avoided in clients with thyroid dysfunction. The client who reports taking levothyroxine sodium should be further evaluated for thyroid dysfunction. Cimetidine, St John's wort, and amoxicillin are not contraindications to the use of clomiphene.