If amphotericin B is administered, the patient should not be premedicated with:: (A) Diphenhydramine, (B) Ibuprofen, (C) Prednisone, (D) Atazanavir
Answer is D. Amphotericin B infusion is associated with Acute Reaction which consists of chills, fever, aches and pain all over, nausea, vomiting and dyspnoea lasting for 2- 5 hour, probably due to release of cytokines (IL, TNFa). Therefore to prevent this reaction, patient should be premedicated with: H1 antihistaminics like diphenhydramine NSAIDs like ibuprofen Steroids like prednisone