A high school male athlete reports that he is taking creatine supplements to enhance his athletic performance and bulk up his muscles
Which important teaching point(s) and/or recommendation(s) should be made for this supplement? (Select all that apply.)
a. Adverse effects may include muscle cramping, dehydration, GI bloating, and diarrhea.
b. Inform the health care provider of usage, should future nephrotoxic medicines be prescribed.
c. It is important to limit fluid.
d. Creatine causes a weight gain of 3 to 6 lb because of water retention.
e. Recommended dosage is 5 to 6 g four times daily for 5 to 7 days, followed by doses of 2 g/day.
ANS: A, B, D, E
Adverse effects of creatine may include muscle cramping, dehydration, GI bloating, and diarrhea. Because creatine is nephrotoxic, the addition of another drug with this effect could produce serious renal complications. Cell volumization occurs because of a process linked to increased muscle protein synthesis. Recommended dosages are a loading dose of 5 to 6 g four times daily for 5 to 7 days, followed by doses of 2 g/day to maintain elevated creatine concentrations in the muscle. Restricting fluids is not recommended.
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