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What is most important to remember? If you have questions: Strong Internal Medicine • Take nitrofurantoin (Macrobid®) as directed at the same times Ask your doctor, nurse or pharmacist for each day, at evenly spaced more information about nitrofurantoin intervals. (Macrobid®).

• Take this medicine until it is finished even if you are feeling better

• Do not start any new medicines, over-the-counter drugs or herbal remedies without talking to your doctor

• Tell all doctors, dentists and pharmacists that you are using Strong Internal Medicine nitrofurantoin (Macrobid®) 601 Elmwood Avenue th • This medicine will not treat a viral Ambulatory Care Facility, 5 Floor Rochester, NY 14642 infection such as the common Phone: (585) 275 -7424 cold or flu Visit our website at: Nitrofurantoin (Macrobid®): www.urmc.rochester.edu/medicine/ - general-medicine/patientcare/ Important Patient Information

What does nitrofurantoin (Macrobid®) do? What side effects could occur with What are some things that I need to be aware • It is an used to treat bladder nitrofurantoin (Macrobid®)? of when taking nitrofurantoin (Macrobid®)? infections • • Tell your doctor or pharmacist if you are allergic to nitrofurantoin, or any other How should nitrofurantoin (Macrobid®) be • Change in color of to black, brown, or used? yellow medicines, foods, or other substances

• Use the medicine as directed by your doctor • Upset stomach or throwing up • Before using this medicine, tell your doctor your medical history, especially if this • Take at the same time each day, at evenly • Rarely, this medicine can cause lung damage medicine has caused problems in your spaced intervals. To gain the most benefit, do What should I do if I miss a dose of past, you have kidney disease, or are more not miss doses of this medicine nitrofurantoin (Macrobid®)? than 38 weeks pregnant

• Take until you finish the medicine, even if you • Take the missed dose as soon as you think • Tell your doctor if you are pregnant, plan on are feeling better about it getting pregnant or you are breast-feeding. • Take with food • If it is almost time for your next dose skip the You will need to talk with your doctor about Who should know I am taking nitrofurantoin missed dose and go back to your normal the benefits and risks of using this medicine while pregnant (Macrobid®)? dose time • Avoid alcohol intake (wine, beer, and mixed • Keep a list of all your medicines (prescription, • Do not take 2 doses at the same time or extra natural products, supplements, vitamins, doses drinks) with nitrofurantoin use

over-the-counter) and give it to your • Be careful if you have G6PD deficiency. healthcare provider (doctor, nurse, nurse may happen practitioner, pharmacist, or physician • Store nitrofurantoin in a cool, dry place. Do assistant) not keep it in the bathroom

• Keep out of reach of children and pets If you have any of the following side effects, call your doctor or visit the emergency room Are there any interactions with other drugs immediately: that I need to worry about? • Signs of an allergic reaction, like rash; • Severe • There are many drug interactions that may ; red, swollen, blistered or • Chest pain or pressure increase your risk of side effects peeling skin with or without fever • Itching or rash • Do not start new prescriptions, over-the- • Difficulty breathing or talking counter medicines, or herbal and dietary • Swelling of face, lips or throat • Tightness in the chest or throat supplements without telling your doctor • Feeling very tired or weak • Severe nausea or • Yellow skin or eyes • Numbness or tingling in hands or feet • Severe cough that does not go away