DrVirgo
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10. A 26-year-old woman has a Trichomonas vaginalis infection and begins metronidazole therapy. The patient should be advised to avoid which of the following during therapy?
A) Cheese
B) Milk
C) Sunlight
D) Tobacco
E) Wine
Please EXPLAIN!  Thanks.
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| r_albayunen
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E
disulfiram like reaction.
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| yasmeen
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| robin082006
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include: Metronidazol, Cefamandole, Cefotitan, Cefoperazone, Chloropamide
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| drpkaur
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E-disullfiram like reaction...
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| DrVirgo
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Agree with all and Robin... also I would add Griseofulvin and other -azoles to the list.
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| DrVirgo
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-Sulfonylureas also cause disulfiram like rxns (NOT seen with second generation drugs)
--So others like tolbutamide and chlorpropamide.
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| mjl1717
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Avoid:
cheese with MAO inhs HTN crisis
milk with tetacycline -divalent cations
sunlight with amniodarone and tetracycline and porphyria cutanea tarda
tobacco with asbestos and diabetes
wine with metronidazole and cefamandole "disulfarim effect" and MAO inhs (HTN crisis)
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