مريض بعد زراعة كلية يأخذ تاكروليموس. أي تعليم صحيح؟

A kidney transplant client takes tacrolimus. Which teaching is correct?

1. Double the dose if yesterday’s dose was missed entirely
2. Take any pharmacy antibiotic without checking first
3. Avoid grapefruit and take doses at the same time every day
4. Stop the drug if kidney function is good after a year

Answer: C) Avoid grapefruit and take doses at the same time every day. Tacrolimus has a narrow therapeutic range and interacts with grapefruit and many drugs. Take it consistently with level monitoring and do not stop it without the team.