A patient with coronary heart disease is prescribed niacin (Nicobid). What should the nurse instruct the patient about this medication?
Select all that apply.
1. Take with meals and a cold beverage.
2. Take with prescribed statin medication.
3. Keep routine appointments for blood work.
4. Report facial flushing to the healthcare provider.
5. Drink 4 ounces of alcohol if facial flushing occurs.
Correct Answer: 1, 2, 3
The medication should be taken with meals and accompanied by a cold beverage to minimize GI effects. Because the doses required to achieve significant cholesterol-lowering effects are associated with multiple side effects, nicotinic acid generally is used in combination therapy, particularly with the statin drugs.
Because this medication can have adverse effects routine monitoring of blood glucose, uric acid levels, and liver function tests should be done during treatment. Flushing of face, neck, and ears may occur within 2 hours following dose; these effects generally subside as treatment continues. Alcohol use during nicotinic acid therapy may worsen facial flushing.
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