Nitrofurantoin

Description

Nitrofurantoin is a bactericidal antibiotic that helps treat urinary tract infections. It is used with caution in patients with kidney injury.

Side effects

Major & minor side effects for Nitrofurantoin

  • changes in facial skin color
  • Skin rash
  • Fever and chills
  • Burning or tingling sensation
  • Headache
  • Drowsiness
  • Diarrhea
  • Excessive gas in stomach

Uses of Nitrofurantoin

What is it prescribed for?

  • Urinary Tract Infection
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Concerns

Commonly asked questions

  • Onset of action
    This medicine is well observed orally. Food may increase the bioavailability of the medicine.
  • Duration of effect
    The effect of this medicine lasts for an average duration of 1 to 3 hours.
  • Safe with alcohol?
    Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
  • Is it habit forming?
    No habit forming tendencies were reported
  • Usage in pregnancy?
    This medicine is recommended for pregnant women. It is contraindicated in pregnant patients at term (38 to 42 weeks' gestation), during labor and delivery.
  • Usage while breast-feeding?
    This medicine is known to excreted through breast milk. This medicine is not contraindicated in children less than 3 months and glucose-6-phosphate dehydrogenase (G-6-PD) deficient infants.

Allergy

Not recommended in patients with allergy to Nitrofurantoin.

Impaired Kidney function

Not recommended in patients with CrCl less than 60 ml/min
Warnings for special population

Pregnancy

This medicine is recommended for pregnant women. It is contraindicated in pregnant patients at term (38 to 42 weeks' gestation), during labor and delivery.

Breast-feeding

This medicine is known to excreted through breast milk. This medicine is not contraindicated in children less than 3 months and glucose-6-phosphate dehydrogenase (G-6-PD) deficient infants.
General warnings

Lung toxicity

This medicine is known to cause acute, subacute and chronic pulmonary reactions. The treatment should be discontinued if these reactions appear.

Impaired liver function

This medicine is known to cause serious liver injuries like hepatitis and cholestatic jaundice. Any signs of elevated liver enzymes should be informed to the doctor. Discontinue the treatment if the signs and symptoms appear.

Peripheral neuropathy

This medicine may cause nerve damage especially in elderly patients with kidney impairment and diabetes mellitus. Any symptoms of tingling or burning sensation should be reported to the doctor. Close monitoring of kidney function is necessary.

Hemolytic anemia

This medicine may cause abnormal breakdown of blood cells. Close monitoring of blood cell count and hemoglobin is necessary. Discontinue the treatment if any signs of decreased hemoglobin and red blood cell count appear.

Drug-resistance

Usage of Nitrofurantoin without sufficient proof or suspicion of a bacterial infection should be avoided. Irrational dosing might fail in providing the benefits and even cause toxicity. It may also increase the risk of development of bacteria that is drug resistant.

Missed Dose

If you miss a dose of Nitrofurantoin, take the missed dose as soon as you remember. If it’s almost time for your next dose, skip the missed dose. Do not double your dose to make up for the missed dose.

Overdose

Seek emergency medical treatment or contact the doctor in case of an overdose.
All drugs interact differently for person to person. You should check all the possible interactions with your doctor before starting any medicine.
Interaction with Alcohol

Description

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.

Instructions

Interaction with alcohol is unknown. It is advisable to consult your doctor before consumption.
Interaction with Medicine

Ethinyl Estradiol

Cholera Vaccine

Atorvastatin

Disease interactions

Glucose-6-phosphate dehydrogenase deficiency

This medicine may cause abnormal breakdown of blood cells. Close monitoring of blood cell count and hemoglobin is necessary. Discontinue the treatment if any signs of decreased hemoglobin and red blood cell count appear.

Peripheral Neuropathy

This medicine may cause nerve damage especially in elderly patients with kidney impairment and diabetes mellitus. Any symptoms of tingling or burning sensation should be reported to the doctor. Close monitoring of kidney function is necessary.
Food interactions
Information not available.
Lab interactions
Information not available.
Take Nitrofurantoin as advised by your doctor. Do not take in larger amounts than advised. It is advised to take this medicine at the same time every day. Consult the doctor if you experience any undesirable effects. Do not stop taking the medicine without consulting your doctor.
Miscelleneous

To be taken with food

To be taken as instructed by doctor

May cause sleepiness

How it works
It works by interfering with the bacterial wall synthesis and thus stops the growth of the bacteria.
Legal Status

Approved

Approved

Approved

Approved

Classification

Category

Urinary anti-infectives

Schedule

Schedule H

[Internet]. 2017 [cited 2 May 2017]. Available from:

https://www.medicines.org.uk/emc/medicine/29701

Nitrofurantoin: MedlinePlus Drug Information [Internet]. Medlineplus.gov. 2017 [cited 2 May 2017]. Available from:

https://medlineplus.gov/druginfo/meds/a682291.html

DailyMed - Nitrofurantoin (macrocrystals) capsule [Internet]. Dailymed.nlm.nih.gov. 2017 [cited 2 May 2017]. Available from:

https://dailymed.nlm.nih.gov/dailymed/drugInfo.cfm?setid=944c0e5f-88ff-4a46-95ef-2ea7d55063ce

Prescribing medicines in pregnancy database [Internet]. Therapeutic Goods Administration (TGA). 2017 [cited 2 May 2017]. Available from:

https://www.tga.gov.au/prescribing-medicines-pregnancy-database#searchname

[Internet]. Toxnet.nlm.nih.gov. 2017 [cited 2 May 2017]. Available from:

https://toxnet.nlm.nih.gov/cgi-bin/sis/search2/f?./temp/~7SChWZ:1

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Information on this page was last updated on 21 Nov 2019

Disclaimer

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