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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Recurrent Escherichia Coli Infection

Hello Doc, A 78 yr female, with recurrent E.coli infection. she is on Nitrofurantoin macrocrystals 100 mg PO as a prophylaxis for almost a yr. How long she can be on Nitro or does she can switch to TMP/SMX low dose1 tab of 1/2 tab qhs 3 times weekly or what is the other option? Thx
Fri, 24 Apr 2015
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Urologist 's  Response
Hi,
If she is comfortable on nitrofurantoin, there is no need to change it. Bactrim is about as good as nitrofurantoin, but f you are looking at alternatives, cephalexin 250mg at bedtime is a good one. Levofloxacin 250 mg is also an option.
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Suggest Treatment For Recurrent Escherichia Coli Infection

Hi, If she is comfortable on nitrofurantoin, there is no need to change it. Bactrim is about as good as nitrofurantoin, but f you are looking at alternatives, cephalexin 250mg at bedtime is a good one. Levofloxacin 250 mg is also an option.