Patient was educated on precautions to be exercised while taking Advil as follows:

  1. Observe compliance with any regular lab work ordered. As Advil is metabolized by the liver and carries the risk for damage to the liver, hepatic function could be periodically monitored, to prevent risk for toxicity. Watch closely to report any symptoms of itching, jaundice with yellowing of skin and sclera, dark urine, altered metabolism with nausea and vomiting, pain in the right upper abdominal quadrant, and fatigue suggesting damage to the liver.
  2. Advil is significantly excreted in the urine. Individuals with compromised renal functions tend to retain the drug in the circulation longer, thus resulting in toxicity. Advil should be avoided or used with extreme caution in such individuals. Any symptoms of renal injury and altered kidney function, such as, altered levels of consciousness and reduced urine formation, should be closely watched for and reported to the physician. Discuss with your physician regarding your history of compromised renal function, if any, and your safety with using Advil.
  3. Advil can sometimes result in ringing in the ears and hearing loss, especially, when taken with Lasix. Avoid taking this medication with Lasix to prevent this drug interaction.
  4. Evenly space out the doses of Advil and take the dose at the scheduled time every day. Keeping to the schedule helps to avoid forgetting the medication.