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Nitrofurantoin urine colour — GPhC CRA MCQ

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ModerateInfectionsNitrofurantoin urine colourGPhC CRA

A woman taking nitrofurantoin asks if brown urine is dangerous and has no breathlessness, rash or jaundice. What would you advise the patient?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Explain that urine discoloration can occur, but seek help for breathlessness, rash or jaundice

Urine discoloration can occur, while pulmonary, hepatic or allergic symptoms need review. In this scenario, the pharmacist should prioritise safe supply, appropriate counselling and timely referral or clarification where needed. This is the single best answer because the other options would either delay assessment, ignore a clinically significant risk, or create an unsafe legal or professional outcome.

Reference: BNF