The nurse is providing instructions to a client being discharged on ciprofloxacin (Cipro). What should be included in the teaching?(Select all that apply.)

Question

1. "Finish the full course of the prescription."
2. "Do not take with antacids."
3. "You might have some dizziness."
4. "Do not take with mineral supplements."
5. "Take the medication only with grapefruit juice."

Answer 1

1, 2, 3, 4

Rationale 1:"Finish the full course of the prescription" is correct. Prematurely stopping antibiotic therapy allows some pathogens to survive, thus promoting the development of resistant strains.
Rationale 2:Antacids should be avoided with ciprofloxacin (Cipro).
Rationale 3: Clients shouldreport dizziness and headache to the prescriber.
Rationale 4: Cipro should not be taken with antacids or mineral supplements, because drug absorption will be diminished.
Rationale 5:The medication can be taken with grapefruit juice. This medication does not have any juice restriction.

Global Rationale: Ciprofloxacin (Cipro) is in the fluoroquinolone class of drugs,most of which are absorbed well, with side effects of nausea, vomiting, and diarrhea. They should not be taken with antacids or mineral supplements because these interact to reduce the absorption of some fluoroquinolones by as much as 90%. Some clients report dizziness and headaches. No dietary restrictions are associated with fluoroquinolones.