Post # 1
So at my last appointment my doctor noted that the baby’s heart rate was a little higher then normal and did a urine analysis. One of the nurses called today (3 days later) saying that I have a bladder infection and called me in a perscription. I picked up the perscription and took the first dose to get things started. After the fact (dummie of me I know) I read the warning and information and is says very boldly and clearly THIS MEDICINE IS NOT RECOMMENDED IF YOU ARE PREGNANT AT TERM (38 TO 42 WEEKS PREGNANT). I am 37 weeks and one day and the course of the perscription overlaps into my 38th week. I looked around online and aparently it can cause disruptions with newborn red blood cells. I called my office and was told (very curtly I must say) that that is the medicine that they perscribe in pregnancy and there are no other alternatives to the medicine. I called my hospital and spoke to a nurse there who told me the same thing.
I guess my hesitancy is the perscribing nurse at my practice is not my doctor. I have never met her before (I think she is the GYNO NP). I also find it hard to believe that there is NO OTHER drug out there. Also I’m a little peeved about how I have been treated. I know no one likes a nag (which throughout my whole pregnancy I have not called their question line a single time) but this is about my body and medicine I’m putting in my body that may affect (according to the drug lable!) my baby and I have the right to be informed and treated with respect.
So has anyone had experience with this drug this late in pregnancy? The drug is called Macrobid and the generic name is nitrofurantoin. Thank you everyone 🙁
Post # 3
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
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
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
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
Cipro is class C drug. Not usually used in pregnant patients.
Post # 8
@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
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
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