The health care provider has just prescribed tetracycline for an adolescent with acne vulgaris. The client takes oral contraceptive pills. The clinic nurse should educate the teen about which topics? Select all that apply.

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The following should be taught to clients taking tetracyclines (eg, tetracycline, doxycycline, minocycline): Take on an empty stomach - for optimum absorption, tetracyclines should be taken 1 hour before or 2 hours after meals (Option C) Avoid antacids or dairy products - tetracyclines should not be taken with iron supplements, antacids, or dairy products as they bind with the drug and decrease its absorption (Option A) Take with a full glass of water - tetracyclines can cause pill-induced esophagitis and gastritis; the risk can be reduced by taking with a full glass of water and remaining upright after pill ingestion Photosensitivity - severe sunburn can occur with tetracycline. The client should use sunblock (Option E). Medications such as tetracycline and rifampin can decrease the effectiveness of oral contraceptives; additional contraceptive techniques will be needed (Option D). (Option B) Tetracycline taken at bedtime has been associated with esophageal irritation and stricture development as it increases reflux of the gastric contents into the esophagus. This can be prevented by taking the medicine with plenty of water and during the day when upright. Educational objective: Tetracyclines should be taken 1 hour before or 2 hours after meals with plenty of water. They should not be taken with dairy products or within 2 hours of taking antacids. Clients should use sunblock due to photosensitivity and plan to use additional contraceptive techniques.

The Health Care Provider Has Just Prescribed Tetracycline for an Adolescent