A Patient with Rheumatoid Arthritis Is Taking Leflunomide [Arava] and an Oral

question 2

Multiple Choice

A patient with rheumatoid arthritis is taking leflunomide [Arava] and an oral contraceptive. She tells the nurse she would like to get pregnant. What will the nurse tell her?

• A) That leflunomide is not dangerous during the first trimester of pregnancy
• B) That plasma levels of leflunomide will drop rapidly when she stops taking it
• C) To ask her provider about an 11-day course of cholestyramine
• D) To stop taking leflunomide when she stops using contraception

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