1. Oral meds should be taken on an empty stomach but, if GI upset occurs, may be administered with meals.
2. Report any symptoms that may necessitate drug withdrawal such as vaginal itching or drainage, fever, or diarrhea.
3. Yogurt or buttermilk (4 oz) may be prescribed daily for diarrhea related to intestinal superinfections (to restore intestinal flora).
4. Report signs of superinfection (black furry tongue, vaginal itching or discharge, and loose, foul-smelling stools). Nystatin may be ordered for secondary infections.
5. Take meds as ordered; report side effects so appropriate therapy may be initiated.
6. Immediately report any abnormal bleeding or bruising.
7. Avoid alcohol and alcohol-containing products, as a disulfiram-type reaction may occur with some of the cephalasporins.
8. Stress the importance of good oral hygiene in order to prevent or minimize soft tissue inflammation.
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