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Nitrofurantoin cannot be used to treat infections other than simple cystitis. At the concentrations achieved in urine (>100 μg/mL), nitrofurantoin is a bactericide. It is bacteriostatic against most susceptible organisms at concentrations less than 32 μg/mL. [9] Nitrofurantoin and the quinolone antibiotics are mutually antagonistic in vitro ...
When nitrofurantoin is metabolized, it converts into a reactive intermediate that attacks bacterial ribosomes, inhibiting bacterial protein synthesis. [9] [11] This medication is typically taken orally and has minimal systemic absorption, reducing potential side effects. [12]
Nitrofurantoin — a drug used to treat urinary tract infections [3] Ranbezolid — technically an oxazolidinone antibiotic bearing a nitrofuran group; Antimicrobials. Furaltadone — an antiprotozoal; Furazidine — an antibacterial and antiprotozoal Furaginum — an antibacterial; Furylfuramide — a formerly used food preservative
Pharmacokinetics: . Process of the uptake of drugs by the body, the biotransformation they undergo, the distribution of the drugs and their metabolites in the tissues, and the elimination of the drugs and their metabolites from the body over a period of time.
Orally, as a liquid or solid, that is absorbed through the intestines. Rectally as a suppository, that is absorbed by the rectum or colon. Sublingually, diffusing into the blood through tissues under the tongue. Topically, usually as a cream or ointment. A drug administered in this manner may be given to act locally or systemically. [41]
flesh eating infections (necrotizing fasciits) is often caused by streptococcus pyogenes or staphylococcus sp. i don't think this is the appropriate forum for a discussion on treatment options, but nitrofurantoin does not get absorbed very well and doesn't penetrate most of the tissues associated with staph infections.
Macrolides exhibit enterohepatic recycling; that is, the drug is absorbed in the gut and sent to the liver, only to be excreted into the duodenum in bile from the liver. This can lead to a buildup of the product in the system, thereby causing nausea. In infants the use of erythromycin has been associated with pyloric stenosis.
People with chronic kidney disease and large total body surface area (TBSA) burns should not use nitrofurazone, as topical preparations commonly contain polyethylene glycol, which is readily absorbed through the skin. Rapid absorption of the medication induces increased serum osmolalities and anion gap, leading to death. [15]
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