A patient who was recently diagnosed with hypertension and placed on propranolol

A patient who was recently diagnosed with hypertension and placed on propranolol (Inderal) is seen in the clinic for an unrelated issue. When the nurse notes that his blood pressure is elevated, she asks if the patient has been taking his medication and he says he quit because “I didn’t like how I felt when I took it.” Based on this statement, what would be an appropriate response?
1. “Many male patients can experience side effects of this drug, which include altered libido and impotence. This is common. Tell me how you felt when you took the drug.”
2. “You shouldn’t stop taking the drug without first talking to the doctor!”
3. Write a note in the patient’s record but say nothing to the patient.
4. “I’m going to give you some information about this medication for you to take home and read. At your next visit, I’ll have the doctor talk to you about it.”