The nurse is discharging an asthma client with a new prescription for nedocromil (Tilade). What should the nurse instruct the client about this drug?
Standard Text: Select all that apply.
1. It may cause a bitter taste.
2. It can used to terminate an acute asthma attack.
3. It may take up to a week of therapy before benefits are obtained.
4. It should be used on an as-needed basis for optimal benefits.
5. Headache is a common side effect.
Correct Answer: 1,3
Rationale 1: Nedocromil (Tilade) may cause a bitter taste.
Rationale 2: Nedocromil (Tilade) should not be used to terminate an acute asthma attack; it is to be used for asthma prophylaxis.
Rationale 3: It may take up to a week of therapy before the benefits of Nedocromil (Tilade) are obtained.
Rationale 4: Nedocromil (Tilade) must be taken on a continuous basis for prophylaxis of asthma symptoms.
Rationale 5: Headache is not a common adverse effect of Nedocromil (Tilade).
Global Rationale: Approved in 1992, the profile for this agent is similar to that of cromolyn with the exception of a very bitter taste that causes some people to discontinue it. This is a particularly important consideration for children who will be less willing to taking distasteful medication. Like cromolyn, nedocromil is to be used only for asthma prophylaxis and not to terminate acute asthma attacks. The drug may require a week of therapy before benefits are obtained, and it must be taken on a continuous basis for asthma prophylaxis. Headache is not a common adverse effect.
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