MACE Medication Aide

Category - MACE

When discussing antibiotic treatment (penicillin G, 500 mg, PO, tid) with a patient, which of the following is true?

I. There are no interactions to be concerned about with penicillin G.
II. If a patient is on oral contraceptives, it is strongly suggested that a backup means of contraception is used.
III. If a patient is on oral contraceptives, it is strongly suggested that they stop using the contraceptives immediately.
IV. Taking oral contraceptives along with penicillin is fine as long as you double up on the oral contraceptive.
  1. I only
  2. II only
  3. III only
  4. IV only
Explanation
Answer: B - Oral antibiotics interfere with the efficacy of oral contraceptives, and a backup method of contraception is strongly recommended. It would be incorrect and ethically wrong to recommend stopping contraceptive use or doubling up on the oral contraceptive.
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