NFT is specifically indicated for both the treatment and prevention of urinary tract infections (UTIs) caused by susceptible strains of Escherichia coli, Enterococci, Staphylococcus aureus, Staphylococcus saprophyticus, and selected Klebsiella and Enterobacter species.
Contraindicated in infants under 1 month of age
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Nitrofurantoin is a bactericidal agent specifically active in the urinary tract. It is rapidly excreted into the urine, where it exerts its antibacterial effects by altering bacterial ribosomal proteins and other macromolecules, disrupting vital bacterial processes. Its spectrum includes gram-positive (e.g., Staphylococcus saprophyticus, Enterococcus faecalis) and gram-negative bacteria (e.g., Escherichia coli, Klebsiella species). The urine may appear brownish due to the drug's presence—this is harmless.
Acute uncomplicated UTIs: 50–100 mg four times daily for 7 days or at least 3 days after urine becomes sterile
Long-term prophylaxis: 50–100 mg at bedtime
Surgical prophylaxis: 50 mg four times daily during the procedure and for 3 days after
Sustained Release (SR) 100 mg: One capsule every 12 hours for 7 days
Common: Nausea, headache, flatulence
Less common: Diarrhea, abdominal pain, dizziness, drowsiness, dyspepsia
Rare but serious: Peripheral neuropathy, hepatotoxicity, pulmonary fibrosis, and hypersensitivity reactions
Therapeutic dose: 5–7 mg/kg/day in four divided doses
Prophylaxis: 1–2 mg/kg/day in single or divided doses
Pregnancy Category B
Use only when clearly necessary, especially in early pregnancy. Avoid during the last trimester.
Small amounts may be present in breast milk—not recommended while breastfeeding infants under 1 month.
Store below 30°C, protect from light, and keep out of reach of children.
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