(Closed) UTI and possible unsafe medicine?…. PLEASE HELP!

posted 6 years ago in Pregnancy
Post # 3
Member
10571 posts
Sugar Beekeeper
  • Wedding: January 2011

I don’t have any advice about the drug, but have you taked to the pharmacist?  I find they are often better to talk to about any questions you have about medications.

Post # 4
Member
84 posts
Worker bee
  • Wedding: June 2014

I ended up in a somewhat similar situation. I got a very, very bad tooth infection and ran to the emergency room during a weekend. The best they could do was give me antibiotics and Vicodin which they told me to take every 4 to 6 hours. I was floored that they would perscribe me that pain reliever while pregnant.

I asked the doctor if it would be safe to take with the baby, and she rudely replied that she had given it to others before and I would have to decide if I wanted to take the risk or just deal with the pain. When I went to pick up the perscriptions I asked the pharmecist as well. He said with moderation it should be fine.

Although it’s very frustrating and naturally you are going to have worries taking the perscription (and for good reason), if your doctors are all informing you that it should be safe, I would imagine it is, with the warning being a precaution.

Post # 5
Member
209 posts
Helper bee
  • Wedding: April 2013

Although Macrobid is class B pregnancy drug, during the last couple of weeks before labor, it can cause hemolytic anemia in your baby. I wouldn’t take it and I would call the office and ask to speak to the physician. Your other options of drugs include keflex and erythromycin. 

 

I’m not a doctor, I am my last year physician assistant school. But that what I know. 

Post # 6
Member
2819 posts
Sugar bee
  • Wedding: February 2013

I’m surprised that your MD didn’t prescribe ciprofloxacin for you; it’s usually the drug of choice for UTIs.

That said, I’m sure that your doctor did consider your condition when prescribing the drug, but it doesn’t hurt to ask. I would call again & make sure.

Post # 7
Member
209 posts
Helper bee
  • Wedding: April 2013

Cipro is class C drug. Not usually used in pregnant patients. 

Post # 8
Member
2819 posts
Sugar bee
  • Wedding: February 2013

@cstarkwe:  Oh, OK. Thanks for letting me know. : ) I’m a nurse & don’t have a lot of pregnant patients. When I took my pharmacology course they implied that class C drugs were regularly prescribed to pregnant patients, but I suppose that since there are alternatives here (class Bs), that it makes sense that they wouldn’t routinely write scripts for cipro.

Post # 9
Member
209 posts
Helper bee
  • Wedding: April 2013

I think they don’t use it as often becuase there are other options. Ive only used it a few times during my clinicals for UTIs (nonpregnant) because the bacterial resistance in our county to cipro is high. But yes,always go with a B over C in pregnant patients. 

Post # 10
Member
1622 posts
Bumble bee
  • Wedding: September 2012

Yes, nitrofurantoin can increase the risk of hemolytic anemia in the newborn, but generally is rare and most often found in a people with a rare genetic condition called G6PD deficiency, and of those, usually baby girls aren’t severely affected but baby boys can be.

The other options are cephalexin or amoxicillin.  (At least where I live and work) when the culture result comes back positive, the lab also reports which drugs this particular bacteria are susceptible to.

I don’t prescribe nitrofuratoin beyond 36 weeks, but I know some practitioners that do.  Other drugs are safer but may not be quite as effective.

Given that you are concerned, you should call your provider’s office and voice your concerns again.  I know they were rude, but consumers need to be their own best advocate.

p.s. the prescription ususally should only be 5 days, one capsule twice a day

 

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