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A Patient with Rheumatoid Arthritis Takes Leflunomide and an Oral

Question 9

Multiple Choice

A patient with rheumatoid arthritis takes leflunomide and an oral contraceptive. When the patient shares that she would like to get pregnant, what change will the provider make in the patient's medication regimen?


A) Taper off leflunomide over two weeks before discontinuing the oral contraceptive.
B) Discontinue the leflunomide and the oral contraceptive and begin folic acid supplementation.
C) Discontinue the lefluonomide and begin an 11-day course of cholestyramine.
D) Discontinue lefluonamide and initiate therapy with methotrexate.

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