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Doctor insights on: Macrobid Insomnia

Yeap: Any antibiotic can cause constipation including nitrofurantoin.

No, not indicated: Is used for urinary tract infections. It is excreted by the kidney ; sterilises the urine ; does not affect the vagina.

No interactions were: Found using the Drugs. Com drug interaction checker. That is not a guarantee that an interaction could not occur.

Yes: There were no interactions found in my E-Presribing database between Macrobid and Nexium (esomeprazole). There are several posts on line about possible side effects, but posts on side effects in a global market are numerous and need to be taken with the knowledge that these are NOT scientifically studied outcomes data. I have several patients who took the combo and did well. Best wishes.

Yes: Macrobid is a common and safe antibiotic for urinary tract infections as long as you are not allergic to it.

Should be: It should be sufficient. If symptoms persist after completing the anabiotic, contact your doctor. Hope this was helpful. Best of luck with this. Dr. R

It depend: What antibiotic you talking about it in general 24-72 hours to leave the system.

Absolutely: This is a classic presentation of a delayed hypersensitivity (allergic) reaction.

Lipitor (atorvastatin): And Macrobid should be ok together.

2-4 days: 2-4 days is usual. If it lasts longer, especially if there is a fever, you should go back and see your doctor as it could mean an ascending infection into the kidneys.

Depends: It depends on what kind of reactions you experienced from the macrobid. If hives or rash, I would expect it to go away in days. We need more details on the timing and the type of reactions.

UTI: You don't retest unless there are symptoms. It is pointless.

Macrobid: Macrobid is designed to be taken twice a day if used to treat infection. If there is no allergy at a once a day level, it is unlikely that one will develop when taking twice a day.

Get urine culture: Return of symptoms might indicate that bacteria causing your UTI are resistant to Nitrofurantoin (active ingredient of macrobid) is not effective. Thus either original bacteria were not sensitive to the antibiotic, became resistant to it or you acquired a new or breakthru infection whil;st on macrobid. Thus u need a urine culture followed different antibiotic. Culture will reveal sensitivities.

Important to follow: Up with your treating physician. I wouldn't stop a medication unless you touch base with your doctor, or his/her coverage, and he/she tells you it's ok. It's a bit concerning that your symptoms got better and now are worse, but you didn't specify what those symptoms were. ..

Yes: You could take Azo, but the question is why not wait and give the meds you are already taking a chance to work.

Usually safe: macrobid is usually safe, if you think you are having a bad reaction check with your doctor

Judgment call: Usual dose of Macrobid for UTI is 100mg 2x a day for 7 days. When UTI comes back soon after, it may be an incompletely treated UTI or it may be a new uti. 2 days after, it is likely incompletely treated so number of days should be increased, but I wouldn't increase the dose above recommended. If new uti, the new bug may be resistant. If you have low kidney function, Macrobid isn't as effective.

5 days is OK: Your doctor knows what she is doing. Urinary tract infections usually only need 5 days treatment.

Yes but: Yes, but what else were you taking? Any unusual foods in the past 24 hours?