A patient who will begin taking colchicine for gout reports taking nonsteroidal anti-inflammatory drugs, simvastatin, amoxicillin, and digoxin. What will the nurse do?
a. Contact the provider to discuss using a different antibiotic while this patient is taking colchicine.
b. Notify the provider about the potential risk of muscle injury when simvastatin is taken with colchicine.
c. Request an order for cardiorespiratory monitoring, because the patient is taking digoxin.
d. Suggest that the nonsteroidal an-ti-inflammatory drugs (NSAIDs) be with-drawn during colchicine therapy.
B
Colchicine can cause rhabdomyolysis, and this risk is increased in patients who also take sim-vastatin or other statin drugs. Amoxicillin does not interact with colchicine. The side effects of digoxin are not increased by concurrent use with colchicine. NSAIDs can safely be taken with colchicine.
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