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Formulas

Nitrofurantoin 12.5 mg/ml Oral Liquid

Description: Nitrofurantoin 12.5 mg/ml Oral Liquid is a specially compounded medication designed for oral use, offering a precise and accessible means of administering the active ingredient, nitrofurantoin, in liquid form. This formulation is particularly beneficial for patients who experience difficulty swallowing pills, such as children and the elderly. Nitrofurantoin is an antibiotic agent commonly used to treat and prevent urinary tract infections (UTIs) caused by susceptible strains of bacteria. The liquid dosage form ensures accurate dosing and provides a user-friendly alternative to traditional solid dosage forms, enhancing patient compliance and therapeutic outcomes in the management of UTIs.

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Oral Liquid
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Formula Information

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Nitrofurantoin 12.5 mg/ml Oral Liquid is a specially compounded medication designed for oral use, particularly beneficial for patients who experience difficulty swallowing pills, such as children and the elderly. This liquid formulation ensures precise dosing and ease of administration, which is critical for maintaining the effectiveness of the treatment regimen. Nitrofurantoin is an antibiotic that is primarily used to treat and prevent urinary tract infections (UTIs) caused by susceptible strains of bacteria. It works by inhibiting the synthesis of bacterial cell wall proteins and other macromolecules, leading to the elimination of the infecting bacteria.

The liquid form of Nitrofurantoin is absorbed by the gastrointestinal tract and is quickly distributed to the renal tissue and urine, where it exerts its antibacterial effects. It is particularly effective against common pathogens responsible for UTIs, such as Escherichia coli and Enterococci. By providing a lower dosage strength of 12.5 mg/ml, this formulation allows for flexible dosing that can be adjusted according to the patient's weight, age, and renal function, ensuring both safety and efficacy.

Patients and prescribers should be aware that Nitrofurantoin should not be used for treating systemic bacterial infections or those caused by organisms that are not susceptible to the drug. It is also contraindicated in patients with significant renal impairment due to the risk of accumulation and potential toxicity. As with any antibiotic, it is important to complete the full course of therapy to prevent the development of resistance. Side effects may include gastrointestinal discomfort, allergic reactions, and, in rare cases, pulmonary reactions. Regular monitoring of the patient's condition and renal function is recommended during treatment.

For optimal results, the medication should be taken with food to enhance absorption and reduce the risk of gastrointestinal upset. The liquid formulation should be shaken well before each use to ensure uniform distribution of the active ingredient. It is important to measure doses accurately using an appropriate measuring device provided by the pharmacy.

Bayview Pharmacy is committed to providing high-quality, patient-specific compounding services. Our team of knowledgeable compounding pharmacists is available to answer any questions and provide guidance on the use of Nitrofurantoin 12.5 mg/ml Oral Liquid. We are dedicated to ensuring that each patient receives the most appropriate and effective treatment for their condition. If you have any questions or require further information, please do not hesitate to reach out to us.

Drug Interactions

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Nitrofurantoin is an antibiotic that is primarily used to treat and prevent urinary tract infections (UTIs) caused by certain bacteria. It works by damaging bacterial DNA, ultimately leading to the death of the bacteria. When considering the use of nitrofurantoin in a 12.5 mg/ml oral liquid formulation, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or the health of the patient.

One significant interaction is with antacids containing magnesium trisilicate, which can decrease the absorption of nitrofurantoin, leading to reduced effectiveness. Patients should avoid taking these antacids concurrently with nitrofurantoin. Similarly, drugs that cause urine to become acidic, such as ammonium chloride and ascorbic acid, may reduce the drug's efficacy by increasing its excretion in the urine.

Probenecid and sulfinpyrazone, medications used to treat gout, can inhibit the renal excretion of nitrofurantoin, leading to increased blood levels and potential toxicity. Caution should be exercised when these drugs are used concomitantly. Additionally, nitrofurantoin should not be used in conjunction with quinolone antibiotics, as they may antagonize each other's antibacterial effects.

Patients who are taking any medications that can cause peripheral neuropathy, such as phenytoin, should be monitored closely, as nitrofurantoin can also cause this side effect, and the risk may be increased when these medications are used together. Furthermore, nitrofurantoin may decrease the effectiveness of the typhoid vaccine and should not be taken simultaneously with the vaccine.

It is also important to note that nitrofurantoin can interfere with the results of certain laboratory tests, including urine glucose tests and hepatic function tests. Patients should inform their healthcare providers and laboratory personnel that they are taking nitrofurantoin before undergoing such tests.

Patients with renal impairment should use nitrofurantoin with caution, as the drug is primarily eliminated by the kidneys, and impaired renal function can lead to drug accumulation and increased risk of toxicity. The use of nitrofurantoin is contraindicated in patients with a creatinine clearance of less than 60 mL/min or in those with significant renal disease.

As with all medications, it is essential for patients and prescribers to consider all potential drug interactions before starting treatment with nitrofurantoin. This is not an exhaustive list of all possible interactions, and patients should disclose all medications, supplements, and over-the-counter drugs they are taking to their healthcare provider to ensure safe and effective use of nitrofurantoin oral liquid. If you have any questions or concerns regarding drug interactions with nitrofurantoin, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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Nitrofurantoin is an antibiotic medication that is specifically designed to target and eliminate bacteria that cause urinary tract infections (UTIs). When formulated as a 12.5 mg/ml oral liquid, it provides a convenient method of administration for patients who may have difficulty swallowing pills, such as children and the elderly, or for those who prefer a liquid dosage form. The liquid formulation ensures that the medication can be accurately measured to provide the precise dose required for effective treatment.

The mechanism of action of nitrofurantoin involves interfering with the bacterial enzymes and other chemical processes that are essential for the bacteria to produce proteins, DNA, and cell walls. By disrupting these vital functions, nitrofurantoin inhibits the growth and multiplication of bacteria, ultimately leading to their death. This action is specific to certain types of bacteria, making nitrofurantoin an effective treatment for UTIs caused by susceptible strains.

Upon oral administration, the liquid formulation of nitrofurantoin is absorbed from the gastrointestinal tract and is quickly distributed to the urinary tract, where it exerts its antibacterial effects. The concentration of the drug in the urine is typically much higher than in the blood, which enhances its efficacy in treating UTIs. It is important to note that nitrofurantoin is not suitable for treating systemic infections as its therapeutic effects are localized to the urinary tract.

Patients and prescribers should be aware that the effectiveness of nitrofurantoin depends on the susceptibility of the bacteria causing the infection. Therefore, it is often recommended to perform a culture and sensitivity test to ensure that the bacteria are susceptible to nitrofurantoin before initiating treatment. Additionally, the full course of the medication should be completed, even if symptoms improve before the medication is finished, to prevent the development of antibiotic resistance and ensure the infection is fully eradicated.

For those considering the use of nitrofurantoin 12.5 mg/ml oral liquid, it is essential to follow the prescribed dosage and administration guidelines to achieve the best outcomes. If you have any questions or require further information about this formulation, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide the support and guidance you need to effectively manage urinary tract infections with this specialized medication.

Other Uses

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The Nitrofurantoin 12.5 mg/ml Oral Liquid formulation, while primarily indicated for the treatment of urinary tract infections caused by susceptible strains of bacteria, may find utility in other clinical scenarios, albeit they are less common. Due to its antibacterial properties, nitrofurantoin has been occasionally considered for the prophylaxis of recurrent lower urinary tract infections. However, it is crucial to note that the suitability of nitrofurantoin for prophylactic use or other off-label applications should be assessed on a case-by-case basis by healthcare professionals.

While nitrofurantoin is not typically recommended for other types of infections owing to its specific mechanism of action and spectrum of activity confined primarily to the urinary tract, the oral liquid formulation may offer advantages for patients who have difficulties with medication adherence due to dysphagia, young children who cannot swallow pills, or the elderly with complicating conditions. The liquid dosage form allows for flexible dosing, which can be particularly helpful for adjusting doses in special populations such as those with renal impairment, where the dosing of nitrofurantoin would need careful adjustment based on creatinine clearance levels.

Additionally, the oral liquid formulation can be utilized when precise dosing is imperative, as the liquid form can be measured out to provide doses that are not standardized in solid dosage forms. Physicians may also elect to use the liquid form for ease of administration for patients with feeding tubes, ensuring that the correct dosage is delivered without the need for crushing or altering medication forms which may affect the drug's efficacy or safety profile.

However, it is important to emphasize that nitrofurantoin should not be used for treating systemic bacterial infections or those caused by bacteria outside the urinary tract, nor should it be considered effective for viral infections. Given the potential for adverse effects and considerations regarding the appropriate use of antibiotics to prevent resistance, any off-label use should be preceded by a comprehensive review of the patient's medical history, alongside susceptibility testing of the causative organisms when available.

Our team at Bayview Pharmacy is ready to collaborate with healthcare professionals to determine the suitability of Nitrofurantoin 12.5 mg/ml Oral Liquid for alternative uses. We can provide additional information regarding the formulation, potential interactions, and guidance on best practices for administration. Should you have any questions or require more detailed information about this formulation and its possible applications beyond the approved indications, please reach out to us for personalized support.

Frequently Asked Questions

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What is Nitrofurantoin 12.5 mg/ml Oral Liquid used for?

Nitrofurantoin 12.5 mg/ml Oral Liquid is an antibiotic medication used to treat and prevent urinary tract infections caused by certain bacteria. It is specifically formulated for those who have difficulty swallowing pills or tablets, such as children and elderly patients.

How should Nitrofurantoin Oral Liquid be taken?

This medication should be taken exactly as prescribed by your healthcare provider. The liquid should be measured with an accurate dose-measuring spoon or device, not a household spoon, to ensure the correct dose is administered.

Can I mix Nitrofurantoin Oral Liquid with food or beverages?

It is usually recommended to take this medication with food or milk to enhance absorption and reduce stomach upset. However, it is advisable to follow your healthcare provider's instructions. Do not mix the medication with food or beverages unless directed by your healthcare provider.

What if I miss a dose of Nitrofurantoin Oral Liquid?

If you miss a dose, take it as soon as possible. However, if it is near the time for your next dose, skip the missed dose and return to your regular dosing schedule. Do not double the dose to catch up.

Are there any special storage instructions for Nitrofurantoin Oral Liquid?

Store the medication at room temperature, away from direct light and heat, and keep the bottle tightly closed. Do not refrigerate or freeze the liquid, as this can affect its effectiveness. Keep out of reach of children and pets.

Can Nitrofurantoin Oral Liquid cause side effects?

As with all medications, Nitrofurantoin Oral Liquid can cause side effects, although not everyone will experience them. Some common side effects include nausea, diarrhea, and upset stomach. If you experience severe side effects or signs of an allergic reaction, seek medical attention immediately.

What should I avoid while taking Nitrofurantoin Oral Liquid?

Avoid taking antacids containing magnesium trisilicate while using this medication, as they can reduce its effectiveness. Additionally, it is advised to avoid missing doses and to complete the entire course of the medication, even if you feel better, to prevent resistance or recurrence of infection.

Is Nitrofurantoin Oral Liquid safe for everyone?

While Nitrofurantoin Oral Liquid is safe for many patients, it is not suitable for everyone. People with certain conditions, such as severe kidney disease, should not take it. Pregnant women, especially those at the end of their pregnancy, should avoid this medication unless prescribed by a healthcare provider. Always discuss your medical history with your healthcare provider to ensure this medication is safe for you.

How often should I take Nitrofurantoin Oral Liquid?

The dosing frequency of Nitrofurantoin Oral Liquid will depend on the specific instructions given by your healthcare provider. Typically, it is taken several times a day at evenly spaced intervals. It is important to follow the regimen precisely to ensure the effectiveness of the treatment.

Can Nitrofurantoin Oral Liquid interact with other medications?

Yes, Nitrofurantoin Oral Liquid can interact with other medications, potentially altering their effects or increasing the risk of side effects. Inform your healthcare provider of all the medications, supplements, and herbal products you are taking before starting treatment with Nitrofurantoin Oral Liquid.

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Formulas and/or material listed are not to be interpreted as a promise, guarantee or claim of therapeutic efficacy or safety. The information contained herein is not intended to replace or substitute for conventional medical care, or encourage its abandonment. Every patient is unique, and formulas should be adjusted to meet their individual needs.

No compounded medications are reviewed by the FDA for safety or efficacy.