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Question
question 36
1 pts
a patient has been taking terazosin daily at bedtime to treat benign prostatic hyperplasia (bph) and reports persistent daytime dizziness. what should the nurse practitioner do?
prescribe finasteride instead of terazosin
recommend taking the medication in the morning
suggest using herbal preparations
switch the prescription to doxazosin
previous
Terazosin is an alpha - blocker used for BPH. Dizziness is a side - effect. Taking it in the morning can help reduce daytime dizziness as the initial hypotensive effect (which can cause dizziness) will occur when the patient is more active and can adapt better compared to taking it at bedtime and having the effect linger into the day. Finasteride works via a different mechanism (inhibiting 5 - alpha reductase) and is not a substitute for addressing the side - effect. Herbal preparations are not a reliable or evidence - based replacement. Switching to doxazosin (another alpha - blocker) is likely to cause similar side - effects.
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Recommend taking the medication in the morning.