A client on nicotinic acid for hyperlipidemia makes a statement indicating understanding of the medication. Which statement is correct?

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The statement regarding taking ibuprofen 30 minutes before nicotinic acid is correct because ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), can help reduce the flushing that typically occurs with nicotinic acid. Nicotinic acid, also known as niacin, is known to cause cutaneous flushing as a common side effect due to the release of prostaglandins. By administering ibuprofen prior to taking the medication, the client can mitigate this flushing response, enhancing comfort while still benefiting from the medication’s lipid-lowering effects.

Other statements may reflect a misunderstanding of nicotinic acid and its effects. For example, avoiding alcohol while on nicotinic acid is recommended as alcohol can exacerbate flushing and may also contribute to other side effects. Taking the medication with meals is beneficial, but primarily to minimize gastrointestinal discomfort rather than flushing. Regarding clay-colored stools, this can indicate liver problems and should not be dismissed easily, as it could signal a serious condition requiring medical attention. Thus, recognizing how to use ibuprofen effectively demonstrates proper understanding of managing side effects associated with nicotinic acid therapy.

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