Question 19 of 46

That response is incorrect.

The correct answer is that it could cause slightly elevated blood levels and an increased potential for toxicity.

Sigificant renal impairment, as seen with chronic glomerulonephritis and/or pyelonephritis or for those patients undergoing renal dialysis, is a relative contraindication to the use of either esters or amides.

If a case poses a relative contraindication, it is preferable to avoid adminstering the drug in question since it can lead to an adverse response. If an acceptable alternative is available, that is the drug of choice. But if there is no acceptable alternative, then the drug in question may be used. Caution should be exercised and the minimal dose should be administered to the patient.