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Nitrofurantoin counselling — GPhC CRA MCQ

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EasyInfectionsNitrofurantoin counsellingGPhC CRA

A 19-year-old woman is prescribed nitrofurantoin 100mg MR twice daily for 3 days for uncomplicated lower UTI. She asks whether she can stop after one day if symptoms improve. What would you advise the patient?

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

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Correct answer: A — Complete the prescribed course and seek review if symptoms worsen or do not improve

For prescribed antibiotic treatment, the patient should complete the course as directed and seek review if symptoms persist or worsen. Nitrofurantoin MR is taken twice daily and should not be combined into one daily dose. Saving antibiotics for future self-treatment is unsafe and may delay care. Antacids are not needed to improve urinary concentrations.

Reference: BNF; NICE CKS UTI