Lets talk about Macrobid (Nitrofurantoin) for urinary tract infections (UTIs).
I see way to many providers prescribing this to elderly patients for UTIs. You should consider an alternative.
Nitrofurantoin may be ineffective for UTIs in the elderly because age-related declines in renal function result in subtherapeutic concentrations in the urinary tract. Therefore, it does not work as well as other options, such as Bactrim or Cipro.
In addition, nitrofurantoin is identified in the Beers Criteria as a potentially inappropriate medication and should be avoided in individuals 65 years and older due to its potential for pulmonary toxicity, hepatotoxicity and peripheral neuropathy. Also, the Pharmacy Quality Alliance has categorized it as a high risk medication in those older than 65.
Think twice before prescribing nitrofurantoin to elderly patients! There are safer alternatives out there!