Re: UTI: UTI prophylactic antibiotics vs treatment medication/antibiotics
From: Pat Sonnenstuhl (anonymous@obgyn.net)
Thu, 29 Nov 2007 10:23:53 -0600 (CST)
Macrodantin 50mg is the most common prophylactic medication used for
recurrent urinary tract infections. There are low does of acyclovir
used for HSV prevention. I cannot speak to these other medications.
I do not believe all of these medications are used regularly for a
urinary tract infections, and even fewer of them are used
prophylactically.
Perhaps some of the other gyn providers have some comments. on this.
These issues all fall within the prerogative of the prescriber.
A good source for some of your questions would be your local pharmacist.
I would be cautious about using anything prophylactically for a long
period of time. I suspect a resistance would develop with some of these
medications.
At Thu, 29 Nov 2007, Robin wrote:
>
>Katrin,
>
>Both my aunt and I have had UTIs that never would go away for long.
>Ultimately my Urologist put me on a once daily dose of Macrodantin 50mg
>for a period of several months. It worked. I discussed with my aunt
>what was being done, so she could speak with her MD. Her MD prescribed
>the same course and she has been doing well. I still get UTI's but
>nothing like I used to.
>
>Hope this helps.
>
>At Thu, 29 Nov 2007, katrin wrote:
>>
>>Pat, thank you for the clarification regarding to the dosage in terms of
>>prophylaxys. According to http://adam.about.com/reports/000036_7.htm
>>“Typical prophylactic regimens include one dose of nitrofurantoin (50
>>mg), 1/2 tablet of TMP-SMX, or cephalexin (250 mg) daily.”
>>It causes the next question: where one could find a recommended doses
>>for the list of UTI antibiotics in terms of prophylaxyx purpose only?
>>Are they established in the literature? I have read various web articles
>>and was unable to find sources recommending a dose for prophylactic
>>ones. Actually articles very rarely address a prophylactic dosage.
>>Checking the on-line “guidelines”, I can not find a firm recommendation
>>so I would like to defer to your input as to what occurs in clinical
>>practice with the attached list of the most frequently prescribed UTI
>>antibiotics.
>
--
Pat Sonnenstuhl, CNM, CHT
Hypnosis for Healing and HypnoFertility Therapy
http://home.comcast.net/~prebirthhealth/hypnosisforhealing.htm
http://home.comcast.net/~prebirthhealth/birthcounseling.htm
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