تخطي إلى المحتوى الرئيسي

Nitrofurantoin for urine infections

Macrobid

Take nitrofurantoin with (or just after) a meal or a snack. This will help your body to absorb the medicine and help to prevent stomach upset.

Space out your doses evenly throughout the day, and remember to finish the course prescribed.

Nitrofurantoin can darken the colour of your urine. This is nothing to worry about.

Contact your doctor if you develop a cough with difficulty breathing and pains in your chest during treatment with nitrofurantoin.

At a glance

  • Nitrofurantoin is an antibiotic used to treat urinary tract infections (UTIs) in adults and children over 3 months.

  • It kills the bacteria causing the infection and can be used for treatment or prevention.

  • Common side effects include feeling sick, being sick, loss of appetite, dizziness, sleepiness, or an itchy rash.

  • Take each dose with food or a snack to help reduce side effects.

  • Always finish the full course of medicine, even if you feel better.

  • See your doctor if your UTI symptoms do not improve within a few days.

  • Nitrofurantoin can turn your urine yellow or brown, which is harmless.

تابع القراءة أدناه

About nitrofurantoin

نوع الدواء

An antibacterial

يستخدم لـ

Urinary tract infection (UTI) in adults and in children over 3 months of age

يُعرف أيضًا باسم

Macrobid®

متوفر كـ

Tablets, capsules, prolonged-release capsules, oral liquid medicine

Nitrofurantoin is a type of المضاد الحيوي used to treat urinary tract infections (UTIs) in adults and children over 3 months.

Most UTIs are caused by germs (bacteria) that come from your own bowel. They are usually easily treated with a short course of an antibacterial medicine such as nitrofurantoin.

Occasionally, longer-term treatment is needed to prevent infections from coming back. Nitrofurantoin works by killing the bacteria causing the infection.

تابع القراءة أدناه

Common side effects of nitrofurantoin are:

  • الشعور بالغثيان.

  • Being sick.

  • فقدان الشهية.

  • Feeling dizzy or sleepy.

  • Itchy rash.

You will find a full list in the manufacturer's information leaflet supplied with your medicine.

غالبًا ما تتحسن الآثار غير المرغوب فيها مع تكيف جسمك مع الدواء الجديد، ولكن تحدث مع طبيبك أو الصيدلي إذا استمرت أي من الآثار التالية أو أصبحت مزعجة.

Nitrofurantoin side effects

ماذا يمكنني أن أفعل إذا واجهت هذا؟

الشعور بالغثيان أو التقيؤ، فقدان الشهية

Stick to simple foods - avoid fatty or spicy meals. Remember to take nitrofurantoin with food

إسهال

اشرب الكثير من الماء لتعويض السوائل المفقودة

الشعور بالدوار أو النعاس

لا تقم بالقيادة ولا تستخدم الأدوات أو الآلات أثناء التأثر

Itchy rash, allergic-type reactions, swollen salivary glands

Speak with your doctor or a pharmacist for further advice

مهم: your doctor will have discussed with you the possibility of a less common side effect that may affect your lungs. You should let your doctor know straightaway if you experience any of the following:

  • Any difficulty breathing, pains in your chest, coughing, chills, or a high temperature (fever).

إذا شعرت بأي أعراض أخرى تعتقد أنها قد تكون بسبب الدواء، تحدث مع طبيبك أو الصيدلي للحصول على مزيد من النصائح.

تابع القراءة أدناه

Some medicines aren’t suitable for certain health conditions or may require extra care. Before taking nitrofurantoin, it is important to let your doctor know:

  • If you are pregnant or breastfeeding. Although nitrofurantoin can be taken during pregnancy, it is still important that you tell your doctor about being pregnant.

  • إذا كان لديك أي مشاكل في طريقة عمل الكبد لديك، أو إذا كان لديك أي مشاكل في طريقة عمل الكلى لديك.

  • إذا كنت مصابًا بمرض السكري (داء السكري).

  • If you have been told you have anaemia, or if you have low levels of vitamin B or folic acid.

  • If you have any breathing problems.

  • If you have a problem where your nerves cause pain or numbness, called peripheral neuropathy.

  • If you have been told you have one of the following rare inherited conditions: porphyria or glucose-6-phosphate dehydrogenase (G6PD) deficiency.

  • إذا كنت تتناول أي أدوية أخرى. يشمل ذلك أي أدوية يمكن شراؤها بدون وصفة طبية، بالإضافة إلى الأدوية العشبية والمكملات الغذائية.

  • إذا كنت قد تعرضت في أي وقت مضى لرد فعل تحسسي تجاه دواء.

  • Read the information leaflet in the pack before starting. It explains nitrofurantoin and its possible side effects.

  • Take nitrofurantoin exactly as your doctor instructs. Your dose depends on whether it’s for treating or preventing an infection. Follow the label instructions.

  • Take each dose with food or a snack. Space doses evenly: four times a day = every 6 hours, twice a day = every 12 hours, once a day = every 24 hours.

  • Finish the full course, even if you feel well, to prevent the infection from returning. Most courses last 3-7 days; for frequent urine infections, treatment may last up to six months.

  • If you forget a dose, take it as soon as you remember. Do not take two doses at once to make up for a missed one.

  • Most people feel better within a few days. If your symptoms don’t improve, see your doctor as you may need a different antibiotic.

  • Nitrofurantoin can turn your urine yellow or brown. This is harmless.

  • Check with a pharmacist before taking any other medicines. Some antacids can stop nitrofurantoin from working properly.

  • If you take the contraceptive pill, its effectiveness may be reduced if you have vomiting or diarrhoea lasting more than 24 hours. Ask your doctor or pharmacist about extra precautions.

  • Tell your doctor or dentist that you are taking nitrofurantoin before any treatment, as it can affect some tests.

  • Nitrofurantoin can stop the oral typhoid vaccine from working. Inform your healthcare provider if you are due for any vaccinations.

  • احفظ جميع الأدوية بعيدًا عن متناول ورؤية الأطفال.

  • احفظه في مكان بارد وجاف، بعيدًا عن الحرارة المباشرة والضوء.

  • The liquid medicine lasts for 30 days after first opening.

معلومات هامة عن جميع الأدوية

لا تأخذ أبدًا أكثر من الجرعة الموصوفة. إذا كنت تشك في أنك أو شخص آخر قد تناول جرعة زائدة من هذا الدواء، اذهب إلى قسم الحوادث والطوارئ في مستشفى منطقتك فورًا. خذ العبوة معك، حتى لو كانت فارغة.

هذا الدواء لك. لا تعطه لأشخاص آخرين حتى لو بدت حالتهم مشابهة لحالتك.

لا تحتفظ بالأدوية منتهية الصلاحية أو غير المرغوب فيها. خذها إلى صيدليتك المحلية التي ستتولى التخلص منها نيابة عنك.

إذا كان لديك أي أسئلة حول هذا الدواء، اسأل الصيدلي الخاص بك.

الإبلاغ عن الآثار الجانبية لدواء أو لقاح

إذا واجهت آثارًا جانبية، يمكنك الإبلاغ عنها عبر الإنترنت من خلال Yellow Card website.

How long does it take for nitrofurantoin take to work on a UTI?

Most people start to feel better within 2-3 days of taking nitrofurantoin for a UTI. Burning and urgency often improve first, while bladder pressure or discomfort may take a bit longer. Always finish the full course, even if you feel better.

Is nitrofurantoin safe to take during pregnancy?

Nitrofurantoin is generally considered safe to take during pregnancy, especially in the 2nd and 3rd trimesters. However, it’s usually avoided close to delivery (around weeks 38-42) as it may affect the baby’s red blood cells.

Can you drink alcohol on nitrofurantoin?

Yes, you can drink alcohol in moderation while taking nitrofurantoin as alcohol does not interfere with how it works. However, drinking too much can make side effects such as nausea, dizziness, or stomach upset feel worse.

What should you avoid while taking nitrofurantoin?

When taking nitrofurantoin, you should avoid taking antacids containing magnesium trisilicate as they can reduce how well the medicine works.

Does nitrofurantoin make you urinate more?

No, nitrofurantoin does not make you urinate more. If you feel like you’re peeing more often, it is usually because of the UTI itself, not the medication.

Does nitrofurantoin contain penicillin?

No, nitrofurantoin does not contain penicillin. It is a different type of antibiotic used mainly to treat urinary tract infections and works differently from penicillin.

symptom checker

غير متأكد من خلط الأدوية؟

تحقق من التفاعلات المحتملة بين الأدوية والمكملات الغذائية والأطعمة قبل تناولها معًا.

الأسئلة الشائعة

How long will I need to take nitrofurantoin for?

The length of your course of nitrofurantoin depends on what it is being used for. Most courses for typical infections last between 3 to 7 days. If you are taking it to prevent frequent urine infections from coming back, your doctor might prescribe it for up to six months.

Can nitrofurantoin affect my other medications?

Yes, nitrofurantoin can interact with other medicines. Some antacids, particularly those containing magnesium trisilicate, can stop it from working properly. It can also reduce the effectiveness of the oral typhoid vaccine. Always check with a pharmacist or your doctor before taking any other medicines, including those bought without a prescription, herbal or complementary medicines.

What should I do if I forget to take a dose of nitrofurantoin?

If you forget to take a dose of nitrofurantoin, take it as soon as you remember. However, do not take two doses at once to make up for the missed one. Continue with your regular dosing schedule from there.

My urine has changed colour since starting nitrofurantoin, is this normal?

Yes, it is normal and harmless for nitrofurantoin to turn your urine yellow or brown. You do not need to be concerned about this.

When should I expect to feel better after starting nitrofurantoin?

Most people generally start to feel better within a few days of taking nitrofurantoin. If your symptoms do not improve after this time, you should contact your doctor as you might need a different antibiotic.

How should I store nitrofurantoin medicine?

Nitrofurantoin should be kept in a cool, dry place, away from direct heat and light, and out of the reach and sight of children. If you have the liquid medicine, it will only last for 30 days after you first open the bottle.

قراءة إضافية ومراجع

تابع القراءة أدناه

About the authorView full bio

Author image

مايكل ستيوارت، MRPharmS

Medicine Leaflet Review Manager – Contractor, Pharmacist

BPharm (Hons), MRPharmS

Michael is a community pharmacist practicing in the Midlands and South Yorkshire with more than 20 years’ experience advising on medicines and medical conditions. He has a strong background in healthcare training, having produced and delivered training courses for pharmacy teams and staff of residential care settings, including nurses. He has also contributed to pharmacy advisory boards for the management of low acuity conditions in the community.

About the reviewerView full bio

Author image

الدكتور كولين تايدي، MRCGP

General Practitioner, Medical Author

MBBS, MRCGP, MRCP (Paediatrics), DCH

Dr Colin Tidy is an NHS Doctor, based in Oxfordshire.

تاريخ المقال

تمت كتابة المعلومات على هذه الصفحة ومراجعتها من قبل أطباء مؤهلين.

أداة التحقق من أهلية لقاح الإنفلونزا

اسأل، شارك، تواصل.

تصفح المناقشات، اطرح الأسئلة، وشارك التجارب عبر مئات المواضيع الصحية.

اشترك في النشرة الإخبارية للمرضى

جرعتك الأسبوعية من النصائح الصحية الواضحة والموثوقة - مكتوبة لمساعدتك على الشعور بالاطلاع والثقة والتحكم.

يرجى إدخال عنوان بريد إلكتروني صالح

By subscribing you accept our سياسة الخصوصية. يمكنك إلغاء الاشتراك في أي وقت. نحن لا نبيع بياناتك أبدًا.