Which instructions do you include in the teaching care plan for a patient with cystitis receiving phenazopyridine (Pyridium)?
A. If the urine turns orange-red, call the doctor.
B. Take phenazopyridine just before urination to relieve pain.
C. Once painful urination is relieved, discontinue prescribed antibiotics.
D. After painful urination is relieved, stop taking phenazopyridine.
Correct Answer: D. After painful urination is relieved, stop taking phenazopyridine.
Pyridium is taken to relieve dysuria because it provides an analgesic and anesthetic effect on the urinary tract mucosa. The patient can stop taking it after the dysuria is relieved. Symptomatic treatment with analgesics may be used in patients who present with severe dysuria. Phenazopyridine is a urinary analgesic used in short-term treatment of urinary dysuria or discomfort.
Option A: The urine may temporarily turn red or orange due to the dye in the drug. Patients should be informed that Phenazopyridine HCl produces a reddish-orange discoloration of the urine and may stain fabric. Staining of contact lenses has been reported.
Option B: The drug isn’t taken before voiding, and is usually taken 3 times a day for 2 days. Treatment of a urinary tract infection with Phenazopyridine HCl should not exceed two days because there is a lack of evidence that the combined administration of Phenazopyridine HCl and an antibacterial provides greater benefit than administration of the antibacterial alone after two days.
Option C: Antibiotics should not be discontinued without indication from the physician. The analgesic action may reduce or eliminate the need for systemic analgesics or narcotics. It is, however, compatible with antibacterial therapy and can help to relieve pain and discomfort during the interval before antibacterial therapy controls the infection.
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