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Canadian Pharmacist Qualifying Exam Practice · Question

A patient reports experiencing a metallic taste and dark urine after starting metronidazole. What is the appropriate pharmacist action?

Metallic taste and dark urine are common, usually harmless side effects of metronidazole that do not typically require discontinuation. Patient reassurance is a

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Question: A patient reports experiencing a metallic taste and dark urine after starting metronidazole. What is the appropriate pharmacist action?

Answer options:

  • Advise the patient to discontinue the medication immediately ✅ Reassure the patient these are common and usually benign side effects
  • Recommend increasing fluid intake to flush the drug
  • Suggest switching to a different antibiotic

Correct answer: Reassure the patient these are common and usually benign side effects

Explanation: Metallic taste and dark urine are common, usually harmless side effects of metronidazole that do not typically require discontinuation. Patient reassurance is appropriate.

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