MEDizzy - An otherwise healthy 33-year-old man sees his physician for

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Comprehensive Questions

An otherwise healthy 33-year-old man sees his physician for a routine physical examination. The patient has no complaints and is planning on vacationing in Mexico next month. However, he is afraid of developing traveler’s diarrhea. You recommend that he take which of the following drugs for prophylaxis?

ExplanationBismuth subsalicylate is effective for both the treatment and prophylaxis of traveler’s diarrhea, most often due to Escherichia coli (E. coli)-contaminated water. Loperamide and diphenoxylate are good to treat diarrhea but generally are not used for prophylaxis. Glucocorticoids are for diarrhea refractory to normal treatment.