We have changed to Nitrofurantoin(brand name Macrobid) as first line treatment for women with lower urinary tract infection (also called cystitis)due to the NICE (National Institute for Clinical Excellence) guidelines for women who do not have a catheter. It aims to optimise antibiotic use and reduce antibiotic resistance.(1)
Previously Trimethoprim was recommended as first line treatment but developing resistance to it’s effectiveness has meant that Nitrofurantoin may be the preferred choice. It depends on your geographical location and your kidney function.
Read more information: Nitrofurantoin
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