Question

The nurse in a clinic is contributing to a teaching plan for clients with fibromyalgia who have been prescribed pregabalin (Lyrica). Which would the nurse recommend for inclusion in the teaching plan? A. The drug can cause extreme hyperactivity. B. Constipation can require discontinuation of the drug. C. Take as directed and do not stop or skip doses. D. Expect weight loss while taking the drug.

Short answer

A. The drug can cause extreme hyperactivity. B. Constipation can require discontinuation of the drug. C. Take as directed and do not stop or skip doses. D. Expect weight loss while taking the drug. Answer: C. Take as directed and do not stop or skip doses.

Step-by-step solution

Evaluate Statement A: The drug can cause extreme hyperactivity.

Pregabalin (Lyrica) is known to cause side effects like drowsiness and dizziness, but it is not known for causing extreme hyperactivity. So, statement A is not accurate to include in the teaching plan.

Evaluate Statement B: Constipation can require discontinuation of the drug.

Constipation is a possible side effect of pregabalin, but it does not typically require discontinuation of the drug. Instead, the healthcare provider may recommend strategies to manage the side effect, such as increasing dietary fiber, water intake, and physical activity. Thus, statement B is also not accurate enough to include in the teaching plan.

Evaluate Statement C: Take as directed and do not stop or skip doses.

This statement is accurate and important for clients with fibromyalgia taking pregabalin. It is essential for clients to take the medication as prescribed by their healthcare provider, and not to stop or skip doses to ensure the best results. Abrupt discontinuation or irregular dosing can lead to withdrawal symptoms and reduced effectiveness of the drug. Therefore, statement C would be a recommended addition to the teaching plan.

Evaluate Statement D: Expect weight loss while taking the drug.

While taking pregabalin, some people may experience weight gain as a side effect, not weight loss. Hence, statement D is not accurate to include in the teaching plan. Based on the evaluation of the given statements, the correct answer is: C. Take as directed and do not stop or skip doses.

Key concepts

Fibromyalgia Management

Fibromyalgia is a chronic condition characterized by widespread pain, fatigue, and a variety of other symptoms. Managing fibromyalgia often requires a comprehensive approach that includes medication, lifestyle changes, and other therapies.

Medication like pregabalin (Lyrica) can be part of this approach. Pregabalin works by affecting the way that nerves send pain signals to your brain. It is important that patients understand the role of such medications in their overall treatment plan. Regular exercise, sleep hygiene, dietary modifications, and stress management techniques also play critical roles in managing fibromyalgia symptoms effectively.

When educating patients, it's crucial to explain the importance of consistency with these management strategies, including the reliable use of prescribed medications like pregabalin. Additionally, staying engaged with healthcare providers for regular assessments and adjustments in treatment strategies is key to successfully managing fibromyalgia.

Medication Adherence

Adherence to prescribed medication is a critical aspect of the effective management of any condition, including fibromyalgia. Skipping doses or stopping medication like pregabalin abruptly can not only exacerbate symptoms but also lead to withdrawal effects.

To maintain medication adherence, patients should be encouraged to:

• Understand their dosage schedule and the importance of maintaining it.
• Set reminders or use pill organizers to take their medication at the same time every day.
• Discuss any challenges, such as side effects or financial concerns, with their healthcare provider.

Healthcare providers should educate patients on the risks associated with non-adherence and provide support systems, like follow-up appointments and easy access to medical advice, to promote consistent medication use.

Managing Drug Side Effects

While medications like pregabalin are beneficial for fibromyalgia management, they can also cause side effects. Common side effects include dizziness, drowsiness, and weight gain, among others.

To manage these side effects, patients should be guided on:

• Reporting side effects to their healthcare provider.
• Adopting lifestyle habits that can mitigate side effects, such as staying hydrated, eating fiber-rich foods to counteract constipation, and engaging in light exercise if possible.
• Not discontinuing the medication without consulting their healthcare provider, even if side effects occur.

When side effects are managed effectively, patients are more likely to adhere to their medication schedule, thereby improving their overall treatment outcomes for fibromyalgia.