GUINDON-LESSON PLAN

TOPIC: FOOD-DRUG INTERACTIONS WITH COMMON PRESCRIPTION AND OVER-THE-COUNTER MEDICATIONS PRESENTATION DATE: APRIL 1, 2013 GOAL: The participants will be able to identify food-drug interactions for some common prescription and over-the-counter medications. OBJECTIVE
At the conclusion of the session, the participants will be able to: A. Identify populations at risk for food-drug interactions Explain that food-drug interactions are unpredictable and varied because everyone does not follow the same diet and that the following populations have the greatest risk for food-drug interactions: 1. The elderly who are likely to take one or more types of medication and have other health and nutrition problems 2. Gender a. Male versus Female 3. Medical History a. Liver or kidney disease b. Cancer c. HIV/AIDS d. Gastrointestinal disease e. Those who drink alcohol 4. Body Composition B. State foods and medications that should not be mixed and explain adverse effects Explain effects of foods on medications 1. Empty vs. full stomach 2. Medications that interact with: a. Caffeine b. Grapefruit Juice and other acidic juices and foods c. Calcium containing foods d. Alcohol e. Potassium-rich foods and salt substitutes Presentation board Handouts: Quick reference sheets of a. Food-drug interactions b. Acidic foods and juices c. Foods that contain tyramine 20 min PowerPoint Slides 10 min

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OBJECTIVE
At the conclusion of the session, the participants will be able to: C. Identify medications that require specific foods to avoid or require an empty of full stomach for increased medication absorption

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Explain that some medications have special food requirements to avoid or that need food to increase medication absorption 1. Coumadin (warfarin) and Vitamin K 2. Anti-inflammatories a. Alcohol b. Take with food or milk 3. Antihistamines and alcohol 4. Antibiotics a. Tetracyclines and milk b. Macrolides and empty stomach c. Penicillins and empty stomach d. Fluoroquinolones and milk e. Analgesics and alcohol f. Diuretics i. Loop diuretics and potassium ii. Thiazide diuretics and potassium iii. Potassium-sparing diuretics and take with food

Brochure: Food-Drug Interactions With Common Prescription and Over-TheCounter Medications

30 min

D. State important points to remember about food-drug interactions

Discuss 1. Usually best to take medications with full glass of water 2. Do not take medications with hot drinks 3. Read directions, warnings, and interaction precautions on medication containers and in package inserts 4. Inform healthcare provider, pharmacist or nurse of all medications, including over-the-counter medications and herbal remedies

Food and Drug Administration Form FDA 3664: My Medicine Record

15 min