skip to main content

Nitrofurantoin renal contraindication — GPhC CRA MCQ

Instant feedback + full explanation. One question, done properly.

EasyRenal and Hepatic ImpairmentNitrofurantoin renal contraindicationGPhC CRA

A prescription for nitrofurantoin is presented for an 86-year-old with eGFR 24 and suspected lower UTI with fever. What is the most appropriate alternative?

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

Reveal the answer and explanation

Correct answer: B — Discuss an alternative UTI antibiotic with the prescriber

Nitrofurantoin is unsuitable below relevant renal thresholds, so an alternative is required. This makes discuss an alternative uti antibiotic with the prescriber the single best answer in this scenario. The other options would either miss the key safety issue, delay appropriate review, or fail to meet the relevant clinical or professional requirement.

Reference: BNF; NICE CKS