Informational only — Not medical advice. Always consult a licensed healthcare provider.

Community data Updated 2 months ago

Indications

Nitrofurantoin (NFT) is specifically indicated for the treatment and prophylaxis of urinary tract infections caused by susceptible strains of Escherichia coli, Enterococci, Staphylococcus aureus, Staphylococcus saprophyticus and certain susceptible strains of Klebsiella and Enterobacter species.

⚠️ Always consult a registered physician before taking any medicine.

Pharmacology

Nitrofurantoin is an antibacterial agent used specifically for urinary tract infections. It is highly soluble in urine, which it may turn brown. It works by inactivating or altering bacterial ribosomal proteins and other macromolecules. Nitrofurantoin has been shown to be active against the following bacteria: Gram-Positive Aerobes: Staphylococcus saprophyticus, coagulase-negative staphylococci (including Staphylococcus epidermidis), Enterococcus faecalis, Staphylococcus aureus, Streptococcus agalactiae, Group D streptococci, and viridans group streptococci. Gram-Negative Aerobes: Escherichia coli, Citrobacter amalonaticus, Citrobacter diversus, Citrobacter freundii, Klebsiella oxytoca, and Klebsiella ozaenae.

Pregnancy & Breastfeeding

Pregnancy Category B. Well-controlled studies in pregnant women are lacking, so this medicine should be used in pregnancy only if there is a clear need for it. Nitrofurantoin passes into breast milk in trace amounts. Because nursing infants under one month of age may be more susceptible to serious side effects from it, the mother and her doctor should decide together whether to stop breastfeeding or stop the medicine, weighing how important it is for her treatment.

⚠️ Talk to your doctor before taking any medicine during pregnancy or while breastfeeding.

Dosage Reference

⚠️ Reference ranges from official sources only. Consult your doctor for personalized dosing.

Adults: Nitrofurantoin tablets for adults, uncomplicated urinary tract infections: 50 to 100 mg four times a day, and the lower dose is the one recommended. Treatment goes on for one week, or for at least 3 days after the urine has become sterile. If long-term suppressive therapy is needed, cutting the dose to 50 to 100 mg at bedtime may be enough. Nitrofurantoin capsules for adults, acute uncomplicated urinary tract infections (UTIs): 50 mg four times daily for 7 days. Long-term suppression is 50 to 100 mg once a day. Prophylaxis is 50 mg four times daily during the procedure and for three days afterwards. Nitrofurantoin SR capsules for adults: one 100 mg capsule every 12 hours for seven days. Genito-urinary surgical prophylaxis uses one capsule twice daily on the day of the procedure and for the next 3 days. The suspension and its paediatric dosing are not covered here, as this section deals with adults only.

Side Effects & Interactions