Question

question 36
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

Explanation:

Terazosin is an alpha - blocker used for BPH. Dizziness is a side - effect. Taking it at bedtime might lead to drug levels causing dizziness during the day. Moving the dose to morning can help as drug levels will be lower during the active daytime period. Finasteride works differently (reduces DHT) and is not a direct swap for this side - effect. Herbal preparations are not a standard evidence - based replacement. Doxazosin is also an alpha - blocker and would likely have similar side - effect potential.

Answer:

Recommend taking the medication in the morning.