A client receives metronidazole (Flagyl) for treatment of a vaginal yeast infection. What should the nurse include in medication education for this client?

Question

1. Do not drink alcohol with this medication.
2. Do not take this medication with milk or milk products.
3. Drink at least 3000 mL of fluid per day with this medication.
4. Do not become pregnant while taking this medication.
5. You may experience a metallic taste while on this medication.

Answer 1

1,4,5
Rationale 1: The interaction of metronidazole and alcohol causes severe nausea, vomiting, and abdominal pain.
Rationale 2: There is no interaction between this medication and milk or milk products.
Rationale 3: Increasing fluids is not necessary.
Rationale 4: This medication is contraindicated during the first trimester of pregnancy.
Rationale 5: Dryness of the mouth and an unpleasant metallic taste may be experienced.
Global Rationale: The interaction of metronidazole and alcohol causes severe nausea, vomiting, and abdominal pain. This medication is contraindicated during the first trimester of pregnancy. Dryness of the mouth and an unpleasant metallic taste may be experienced. There is no interaction between this medication and milk or milk products. Increasing fluids is not necessary.