A nurse is reviewing home medication teaching with a patient who has been prescribed prazosin. Which patient statement is most concerning and requires further teaching?

Introduction: Prazosin is a selective alpha-1 adrenergic antagonist used for hypertension and benign prostatic hyperplasia. It is notorious for the "first-dose phenomenon," causing significant orthostatic hypotension. Consistent adherence is vital to maintain stable blood pressure and prevent the complications of hypertensive urgency or rebound effects. A. Feeling tired or drowsy is a common and expected side effect when initiating alpha-blocker therapy. This statement shows the patient understands the potential impact on their energy levels. As long as the patient is aware of this, it does not represent a misunderstanding of the safety or adherence protocols. B. Monitoring blood pressure regularly at home is an appropriate and encouraged behavior for any patient on antihypertensive therapy. This statement reflects good self-management and allows the patient to provide the healthcare provider with accurate data regarding the medication's effectiveness in controlling their systemic vascular resistance. C. Taking medication at the same time each day is fundamental for maintaining a steady-state plasma concentration. For prazosin, the first dose is often recommended at bedtime to minimize the risks of syncope. This statement indicates the patient understands the importance of a consistent dosing schedule for management. D. The statement about STOPPING THE MEDICATION is highly concerning. Abrupt cessation of antihypertensives like prazosin can lead to REBOUND HYPERTENSION. Patients must be educated that hypertension is often a "silent" condition and that ADHERENCE is required even when they feel asymptomatic to prevent cardiovascular complications and strokes.