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Nitrofurantoin 25 mg/5 mL Oral Liquid

The Nitrofurantoin 25 mg/5 mL Oral Liquid is a specially compounded medication designed for oral use, offering a precise and manageable method of drug delivery. This liquid formulation is particularly beneficial for patients who experience difficulty swallowing pills or tablets, such as children and the elderly. Nitrofurantoin is an antibiotic that is commonly prescribed to treat urinary tract infections (UTIs). By providing the medication in a liquid form, it ensures that patients receive the correct dosage for effective treatment of the infection, while also enhancing patient compliance and ease of administration.

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Nitrofurantoin
Oral Liquid
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Formula Information

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Nitrofurantoin 25 mg/5 mL Oral Liquid is a specially compounded medication designed for oral use, providing a precise 25 mg dose of nitrofurantoin in every 5 mL of liquid. This formulation is particularly beneficial for patients who have difficulty swallowing pills, such as children and the elderly, or for those who prefer a liquid medication. Nitrofurantoin is an antibiotic that is commonly used to treat and prevent urinary tract infections (UTIs) caused by certain bacteria. It works by inhibiting the synthesis of bacterial cell walls, thereby leading to the elimination of the infection-causing bacteria.

The liquid form of nitrofurantoin ensures that patients receive an accurate dose, which is essential for the effectiveness of the treatment and the prevention of resistance. It is important for patients to take this medication exactly as prescribed by their healthcare provider and to complete the full course of therapy, even if symptoms improve before the medication is finished. This helps to ensure that the infection is fully treated and reduces the risk of the bacteria developing resistance to the antibiotic.

Patients should be advised that nitrofurantoin may cause side effects such as nausea, vomiting, loss of appetite, and diarrhea. If these or other side effects persist or worsen, they should contact their healthcare provider. Additionally, patients should be informed that nitrofurantoin should not be used for treating infections outside of the urinary tract, as its efficacy is limited to this specific area. It is also important to note that nitrofurantoin is not effective against all types of bacteria, and its use should be based on the results of susceptibility testing when available.

Prescribers should consider the patient's renal function when prescribing nitrofurantoin, as its clearance is significantly reduced in patients with renal impairment, which may necessitate dosage adjustments or alternative treatments. Furthermore, nitrofurantoin is contraindicated in patients with a history of hypersensitivity to the drug, significant renal impairment, or in those at the end of term pregnancy, during labor and delivery, or in neonates under one month of age.

For any questions or additional information regarding the use of Nitrofurantoin 25 mg/5 mL Oral Liquid, or to discuss specific patient needs, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is dedicated to providing the highest quality of care and is available to support both patients and healthcare providers with their medication needs.

Drug Interactions

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Nitrofurantoin is an antibiotic commonly used to treat and prevent urinary tract infections (UTIs). When considering the use of nitrofurantoin 25 mg/5 mL oral liquid, it is important to be aware of potential drug interactions that may affect the efficacy of the medication or increase the risk of adverse effects. Patients should inform their healthcare provider of all medications they are currently taking, including prescription drugs, over-the-counter medications, herbal supplements, and vitamins.

One significant interaction is with antacids containing magnesium trisilicate, which can decrease the absorption of nitrofurantoin, leading to reduced effectiveness. Patients should avoid taking antacids within a couple of hours of their nitrofurantoin dose. Similarly, drugs that acidify the urine, such as ammonium chloride and ascorbic acid, can decrease the drug's efficacy by reducing its renal concentration and should be used with caution.

Conversely, drugs that alkalinize the urine, such as sodium bicarbonate, may increase the therapeutic effect of nitrofurantoin by promoting higher renal drug concentrations. However, this could also increase the risk of toxicity, and careful monitoring is advised. Probenecid and sulfinpyrazone, medications used to treat gout, can inhibit the renal excretion of nitrofurantoin, leading to increased blood levels and potential toxicity. These drugs should be avoided or used with caution in patients receiving nitrofurantoin.

Patients on quinolone antibiotics should also be cautious, as there may be a reduced antibacterial effect when used concurrently with nitrofurantoin. Additionally, nitrofurantoin may interfere with the results of certain lab tests, such as urinary glucose tests or urinary catecholamine tests, leading to false results. Healthcare providers should be made aware of nitrofurantoin use prior to testing.

It is also important to note that nitrofurantoin should not be used in patients with significant renal impairment, as decreased renal function can lead to drug accumulation and increased risk of toxicity. The effectiveness of nitrofurantoin is also reduced in these patients due to lower urinary concentrations of the drug.

Lastly, nitrofurantoin may cause pulmonary reactions, and the risk may be increased when combined with other medications known to cause pulmonary toxicity, such as certain chemotherapy agents. Patients should be monitored for signs of pulmonary distress, and healthcare providers should be informed of any existing lung conditions before starting treatment with nitrofurantoin.

This is not an exhaustive list of all potential interactions with nitrofurantoin. It is essential to consult with a healthcare provider for a complete assessment of possible drug interactions based on individual health conditions and medication profiles. If you have any questions or concerns regarding the use of nitrofurantoin 25 mg/5 mL oral liquid or its interactions with other medications, please reach out to us at Bayview Pharmacy for further assistance.

How Does it Work

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The Nitrofurantoin 25 mg/5 mL Oral Liquid is a specially compounded medication designed for ease of administration and accurate dosing. Nitrofurantoin is an antibiotic agent that works by inhibiting the synthesis of bacterial DNA, RNA, and cell wall proteins, leading to the disruption of vital cellular processes in the bacteria. This action makes it particularly effective against a range of urinary tract pathogens, which are the common culprits in urinary tract infections (UTIs).

Upon oral administration, the liquid formulation of Nitrofurantoin is absorbed from the gastrointestinal tract and quickly begins its action within the urinary tract. The drug is specifically concentrated in the urine, which allows it to directly target the site of infection. This high urinary concentration of Nitrofurantoin ensures effective eradication of the infecting bacteria while minimizing systemic exposure and potential side effects.

This liquid formulation is ideal for patients who have difficulty swallowing pills, such as children and the elderly, or for those who may have certain gastrointestinal conditions that impede the absorption of solid dosage forms. The 25 mg/5 mL concentration allows for flexible dosing, which can be adjusted according to the specific needs of the patient, their kidney function, and the severity of the infection. The liquid form also allows for a more pleasant administration experience, as it can be flavored to mask the bitter taste of the medication.

Nitrofurantoin is primarily used to treat and prevent uncomplicated UTIs caused by susceptible strains of bacteria. It is not effective against systemic infections or infections outside of the urinary tract. It is important to note that Nitrofurantoin should only be used under the guidance of a healthcare provider, as inappropriate use can lead to resistance and decreased effectiveness of the medication.

For optimal results, patients are advised to take the medication exactly as prescribed, at evenly spaced intervals, to maintain a consistent level of drug in the body. Completing the full course of therapy is crucial, even if symptoms improve before the medication is finished, to ensure the complete eradication of the infection and to prevent the development of resistant bacteria.

If you have any questions about the Nitrofurantoin 25 mg/5 mL Oral Liquid or its use in treating urinary tract infections, please reach out to us at Bayview Pharmacy. Our team of compounding pharmacists is here to provide you with the information and support you need to effectively manage your health or the health of your patients.

Other Uses

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Nitrofurantoin is primarily prescribed to treat and prevent urinary tract infections caused by certain bacteria. It is not typically used for other infections since its antimicrobial activity is specific to the urinary tract. However, in some instances, nitrofurantoin has been used off-label for treating infections caused by susceptible strains of bacteria in other parts of the body, although such uses are rare and must be approached with caution due to potential side effects and resistance concerns.

Another important use of nitrofurantoin oral liquid is during desensitization protocols for individuals with a history of nitrofurantoin allergy who cannot take alternative antibiotics. Under the guidance of an allergist, the patient may be administered gradually increasing doses to build tolerance to the drug. Desensitization should only be conducted in a controlled medical setting due to the risk of a serious allergic reaction.

This particular formulation (25 mg/5 mL) also allows for precise dose adjustments which can be particularly beneficial for pediatrics and geriatrics, or for patients with kidney impairment where doses need to be carefully calibrated according to creatinine clearance levels. Additionally, this lends itself to being used in hospitals and long-term care facilities, where the ability to adjust doses accurately is critical, especially for patients who have difficulty communicating their needs. The palatability of the liquid formulation also improves adherence in young children and other patients who may refuse to take capsules or tablets.

It is essential for prescribers and patients to consider that while the oral liquid form of nitrofurantoin may present some alternative uses, it is always crucial to adhere to evidence-based medicine and current treatment guidelines. Usage outside of these recommendations should be done with thorough medical supervision and rationale. If you or other healthcare professionals have any questions regarding the uses of nitrofurantoin 25 mg/5 mL Oral Liquid or require further information, please do not hesitate to reach out to us at Bayview Pharmacy. Our team of knowledgeable compounding pharmacists is here to assist with your inquiries and ensure safe and effective use of this medication.

Frequently Asked Questions

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What is Nitrofurantoin 25 mg/5 mL Oral Liquid used for?

Nitrofurantoin 25 mg/5 mL Oral Liquid is commonly prescribed to treat and prevent urinary tract infections (UTIs), particularly when caused by bacteria that are susceptible to nitrofurantoin. Its liquid form makes it especially suitable for patients who have difficulty swallowing pills, such as children and elderly individuals.

How should Nitrofurantoin Oral Liquid be stored?

This medication should be stored at room temperature, away from light and moisture. Do not store it in the bathroom, and keep it out of reach of children and pets to prevent accidental ingestion.

How is Nitrofurantoin Oral Liquid taken?

Nitrofurantoin Oral Liquid should be taken exactly as prescribed by your healthcare provider. The medication is usually taken with food to enhance absorption and to reduce the risk of stomach upset. Shake the bottle well before each use, and use the accompanying measuring device to ensure an accurate dose.

What if I miss a dose of Nitrofurantoin Oral Liquid?

If you miss a dose, take it as soon as you remember. However, if it is almost time for your next dose, skip the missed dose and continue with your regular dosing schedule. Do not double up on doses to make up for a missed one.

Are there any side effects of taking Nitrofurantoin Oral Liquid?

As with any medication, Nitrofurantoin Oral Liquid may cause side effects. Common side effects include nausea, vomiting, loss of appetite, and diarrhea. If you experience any severe side effects such as persistent headache, vision changes, or symptoms of a new infection, contact your healthcare provider immediately.

Can Nitrofurantoin Oral Liquid be taken with other medications?

Before starting Nitrofurantoin Oral Liquid, it is important to discuss your current medications with your healthcare provider, as it may interact with other drugs. Some interactions can affect the effectiveness of the medication or increase the risk of side effects.

Is Nitrofurantoin Oral Liquid safe for pregnant or breastfeeding women?

Nitrofurantoin is typically not recommended for use at the very end of pregnancy or during labor and delivery. It should only be used when clearly needed during pregnancy and breastfeeding. Discuss the risks and benefits with your healthcare provider if you are pregnant or planning to become pregnant or are breastfeeding.

How long will I need to take Nitrofurantoin Oral Liquid?

The duration of treatment with Nitrofurantoin Oral Liquid varies based on the nature and severity of the infection, as well as patient-specific factors. It is important to complete the full course of treatment as prescribed, even if symptoms improve before the medication is finished.

Can I drink alcohol while taking Nitrofurantoin Oral Liquid?

Consuming alcohol during treatment with Nitrofurantoin Oral Liquid may increase the risk of certain side effects, such as upset stomach or dizziness. It is generally advisable to avoid alcohol until you have finished your course of medication and are symptom-free.

What should I do if I experience an allergic reaction to Nitrofurantoin Oral Liquid?

If you experience symptoms of an allergic reaction, such as rash, itching, swelling, severe dizziness, or trouble breathing, seek immediate medical attention. Allergic reactions to this medication are serious and require prompt treatment.

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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.