A patient with a history of elevated triglycerides and LDL cholesterol begins taking nicotinic acid [Niacin]. The patient reports uncomfortable flushing of the face, neck, and ears when taking the drug. What will the nurse advise the patient?
a. "Ask your provider about taking an im-mediate-release form of the medication."
b. "Ask your provider about assessing your serum uric acid levels which may be ele-vated."
c. "You should stop taking the Niacin im-mediately since this is a serious adverse effect."
d. "You should take 325 mg of aspirin a half hour before each dose of Niacin to prevent this effect."
D
Intense flushing of the face, neck, and ears occurs in practically all patients taking nicotinic acid in pharmacologic doses. Patients should be advised to take 325 mg of ASA 30 minutes prior to each dose to minimize this effect or to use an extended-release form of the drug. Serum uric acid levels may increase with Niacin use, but flushing does not indicate elevated levels. This side ef-fect is not serious and does not warrant discontinuation of the drug.
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