section name header

Pronunciation

nye-troe-fyoor-AN-toyn

Classifications

Therapeutic Classification: anti-infectives

Indications

BEERS REMS


Action

  • Interferes with bacterial enzymes.
Therapeutic effects:
  • Bactericidal or bacteriostatic action against susceptible organisms.

Spectrum:

Pharmacokinetics

Absorption: Readily absorbed after oral administration. Absorption is slower but more complete with macrocrystals (Macrodantin).

Distribution: Minimally distributed to tissues (concentrated in urine).

Metabolism/Excretion: Partially metabolized by the liver; 30–50% excreted unchanged by the kidneys.

Half-Life: 20 min ( in renal impairment).

Time/Action Profile

(urine levels)

ROUTEONSETPEAKDURATION
POunknown30 min6–12 hr



Contraind./Precautions

Contraindicated in:

Use Cautiously in:

Adv. Reactions/Side Effects

CV: chest pain

Derm: photosensitivity

EENT: nystagmus

GI: anorexia, nausea, vomiting, abdominal pain, CLOSTRIDIOIDES DIFFICILE-ASSOCIATED DIARRHEA (CDAD), diarrhea, HEPATOTOXICITY

GU: rust/brown discoloration of urine

Hemat: blood dyscrasias, hemolytic anemia

Neuro: dizziness, drowsiness, headache, peripheral neuropathy

Resp: PNEUMONITIS, PULMONARY FIBROSIS

Misc: hypersensitivity reactions

Interactions

Drug-drug:

Route/Dosage

Availability

(Generic available)

Assessment

Lab Test Considerations:

Implementation

Patient/Family Teaching

Evaluation/Desired Outcomes

US Brand Names

Furadantin, Macrobid, Macrodantin

Code

NDC Code