Review the daptomycin treatment trend and determine the prio… | MyMerci
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Adverse Effects/Contraindications/Interactions

Review the daptomycin treatment trend and determine the priority interpretation and action.

Trend

Choose your responses, then check the answer.

TimeData
Before therapyCPK 88 U/L; creatinine clearance 46 mL/min; no muscle pain; simvastatin listed as a home medication
Day 3CPK 310 U/L; mild thigh aching; creatinine clearance 42 mL/min
Day 5CPK 1480 U/L; new proximal weakness and dark urine; next dose due in 1 hour

Q1. Which complication is most likely?

Q2. Which action is the priority?

Explanation
New proximal muscle pain and weakness with a marked CPK increase during daptomycin therapy suggests myopathy; hold the dose and obtain prompt prescriber and pharmacist evaluation while reviewing renal function and concurrent statin use.
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