Patient/caregiver was educated on the precautions to be observed while taking doral as follows:
- Patients are at risk to experience hallucinations and mood disturbances, such as, exacerbation of anxiety and depressive symptoms, with doral use. Any changes in the mood and behavior following doral intake must be reported to the physician, for any change in plan of care to be considered.
- Observe a regular sleep time every evening, as sleep is a habit that can be trained. Take the dose of doral about an hour before the sleep time, as it needs about 30 – 45 minutes to show the desired effect of sleep induction. Maintaining compliance with the sleep time and medication intake an hour before the sleep time can help avoid forgetting the medication intake.
- Doral use in expectant mothers could harm the unborn baby and result in pregnancy complications and birth defects in newborn. So, doral use should best be avoided during pregnancy and in women planning to get pregnant. Women in the child-bearing age group, taking doral, must employ effective contraceptive measures in order to avoid getting pregnant. The possibility of a woman being pregnant should be explored before initiating therapy with doral.