Re: Nitrofur Monohy CP 100 MG ???

July 11, 2008

I'm not aware of any antibiotics to have adverse reactions to those

w/ LBD...

>

> Does anyone know if this antibiotic is safe for mom to be taking? I

> looked for it on the list and either it's not there or my eyes are

too

> strained to read it.

>

> Mom has a continual UTI and her Urologist prescribed it for her. But

> first he wanted to prescribe Dertrol and I told him she had tried it

> before ( a waste of $$) and it was not a safe drug for her to be

using.

>

> Clearly he didn't know how LBD works. He would ask her how much

water

> she'd drink in a day and she would just look at him confused. I told

> him on an upward cycle mood day she'd drink a good amount, on a

> downward cycle day I wouldn't be able to get her to drink hardly at

> all, outside of meals.

>

> I told him her moods run in cycles and they can be by the hour or by

> the day. So there is no rhyme or reason to her daily routines.

>

July 11, 2008

Hi!

I am so very sorry to hear about your mom's recurring UTIs. My mom has had them

- nearly without a break - for over 2 years. They are hard to combat, require

constant monitoring, and anti-Bs need to be changed as the bacteria changes.

If I'm reading correctly, you're talking about nitrofurantoin, the generic

version of Macrobid and Macrodantin. I certainly can't speak to what would be

best for your mom, but I'll mention a few things I've learned from the

pharmacologist where I work (senior care organization with hospital) about this

problem and meds. I think there's also a link to a long post from me about

anti-Bs and the UTI issue - I won't repeat everything here.

Has the urologist determined why your mom is susceptible to UTIs? It's important

to rule out certain causes. Some of them can be addressed.

You were smart to say no to Detrol. Does the MD think the UTIs are related to

your mom's bladder not emptying completely? Of course Detrol isn't an anti-B.

According to the PharmD, nitro doesn't have lots of red flags related to LBD as

some ant-Bs do, but it will not work for people with low creatinine clearance

levels. (My mom is one of those.) The CrCl is checked via blood work. I could

give my mom nitro for a year and it would do no good. Many of the MDs here who

work with seniors order a CrCl level test when they order the urinalysis/culture

& sensitivity. Then they know what anti-B to use.

Bacteria mutate. The cause of this week's UTI may be different from the one

that occurs a month from now, so both the check for bacteria and the test to

determine what anti-B to use should be done each time a UTI is suspected.

Different anti-Bs treat different bacteria - there's no one pill for all

bacteria.

Many MD's don't order a long-enough course of anti-Bs. People with

recurring/relapsing infections may need a much longer course of treatment.

Certain meds can interact with certain anti-Bs. Readjustment of meds, dosages

and dosing times may be needed.

While a given anti-B may be " safe " in LBD, it may still affect the person. My

mom gets very sleepy on certain anti-Bs, irritable on others.

Take care. Your mom is so fortunate you're watching out for her. Please let us

know how she's doing.

Lin

Subject: Nitrofur Monohy CP 100 MG ???

To: LBDcaregivers

Date: Friday, July 11, 2008, 4:50 PM

Does anyone know if this antibiotic is safe for mom to be taking? I

looked for it on the list and either it's not there or my eyes are too

strained to read it.

Mom has a continual UTI and her Urologist prescribed it for her. But

first he wanted to prescribe Dertrol and I told him she had tried it

before ( a waste of $$) and it was not a safe drug for her to be using.

Clearly he didn't know how LBD works. He would ask her how much water

she'd drink in a day and she would just look at him confused. I told

him on an upward cycle mood day she'd drink a good amount, on a

downward cycle day I wouldn't be able to get her to drink hardly at

all, outside of meals.

I told him her moods run in cycles and they can be by the hour or by

the day. So there is no rhyme or reason to her daily routines.

------------------------------------

Welcome to LBDcaregivers.

July 11, 2008

Ok. Just making sure...after Risperdal...I just get paranoid when she

has a new med.

> >

> > Does anyone know if this antibiotic is safe for mom to be taking? I

> > looked for it on the list and either it's not there or my eyes are

> too

> > strained to read it.

> >

> > Mom has a continual UTI and her Urologist prescribed it for her. But

> > first he wanted to prescribe Dertrol and I told him she had tried it

> > before ( a waste of $$) and it was not a safe drug for her to be

> using.

> >

> > Clearly he didn't know how LBD works. He would ask her how much

> water

> > she'd drink in a day and she would just look at him confused. I told

> > him on an upward cycle mood day she'd drink a good amount, on a

> > downward cycle day I wouldn't be able to get her to drink hardly at

> > all, outside of meals.

> >

> > I told him her moods run in cycles and they can be by the hour or by

> > the day. So there is no rhyme or reason to her daily routines.

> >

>

July 11, 2008

Thank you for taking the time to answer me in such depth! I truly

appreciate it.

Her MD was at a loss as to why she continues to get these UTIs.

The Urologist says her bladder has dropped, so it's prone to bad

bacteria and prescribed an estrogen cream. He also told me that older

people tend to not want to empty their bladder and this might be part

of the problem too.

And as a preventive measure order the macrobid. He has allowed for 11

re-fills with each lasting one month.

Now I am wondering due to what you've stated, that by Dec. the

bacteria might mutate and this antibiotic may no longer be of use. I

guess if he sees her on a regular basis, he'll monitor her??

She goes back to the urologist in one month.

Thanks again for the great information.

>

> Subject: Nitrofur Monohy CP 100 MG ???

> To: LBDcaregivers

> Date: Friday, July 11, 2008, 4:50 PM

>

> Does anyone know if this antibiotic is safe for mom to be taking? I

> looked for it on the list and either it's not there or my eyes are too

> strained to read it.

>

> Mom has a continual UTI and her Urologist prescribed it for her. But

> first he wanted to prescribe Dertrol and I told him she had tried it

> before ( a waste of $$) and it was not a safe drug for her to be using.

>

> Clearly he didn't know how LBD works. He would ask her how much water

> she'd drink in a day and she would just look at him confused. I told

> him on an upward cycle mood day she'd drink a good amount, on a

> downward cycle day I wouldn't be able to get her to drink hardly at

> all, outside of meals.

>

> I told him her moods run in cycles and they can be by the hour or by

> the day. So there is no rhyme or reason to her daily routines.

>

> ------------------------------------

>

> Welcome to LBDcaregivers.

>

July 11, 2008

i personally take the generic for macrobid/macrodanton 100mg nightly as i have

recurrent kidney infections due to a urostomy *i have no bladder i have a urine

bag similar to what most people are familair with colostomy for poo urostomy is

for pee) there is another prevenetative that Univ of Florida and Shands is

Trimethoprim, it is used to prevent kidney and uti infections in people who get

them chronically. i found that macrobid worked better for me than the

trimethoprim but i did try it. so that might be another to check into. also some

of the medicines like levaquni come in higher mg which might hlep eliminate the

infections. it is best for them to run a urine sensitivity and culture with the

standard Urinalysis *UA* that tells them which medicines would be better for

that particular infection. good luck and hugs sharon

From: ouryellowrose <ouryellowrose@ yahoo.com>

Subject: Nitrofur Monohy CP 100 MG ???

To: LBDcaregivers@ yahoogroups. com

Date: Friday, July 11, 2008, 4:50 PM

Does anyone know if this antibiotic is safe for mom to be taking? I

looked for it on the list and either it's not there or my eyes are too

strained to read it.

Mom has a continual UTI and her Urologist prescribed it for her. But

first he wanted to prescribe Dertrol and I told him she had tried it

before ( a waste of $$) and it was not a safe drug for her to be using.

Clearly he didn't know how LBD works. He would ask her how much water

she'd drink in a day and she would just look at him confused. I told

him on an upward cycle mood day she'd drink a good amount, on a

downward cycle day I wouldn't be able to get her to drink hardly at

all, outside of meals.

I told him her moods run in cycles and they can be by the hour or by

the day. So there is no rhyme or reason to her daily routines.

------------ --------- --------- ------

Welcome to LBDcaregivers.

July 12, 2008

Boy, do I hear you loud and clear. Risperdal nearly killed my husband.

Love a lot, and find time to play,

Imogene

In a message dated 7/12/2008 12:29:27 AM Central Daylight Time,

ouryellowrose@... writes:

Ok. Just making sure...after Risperdal...I just get paranoid when she

has a new med.

> >

> > Does anyone know if this antibiotic is safe for mom to be taking? I

> > looked for it on the list and either it's not there or my eyes are

> too

> > strained to read it.

> >

> > Mom has a continual UTI and her Urologist prescribed it for her. But

> > first he wanted to prescribe Dertrol and I told him she had tried it

> > before ( a waste of $$) and it was not a safe drug for her to be

> using.

> >

> > Clearly he didn't know how LBD works. He would ask her how much

> water

> > she'd drink in a day and she would just look at him confused. I told

> > him on an upward cycle mood day she'd drink a good amount, on a

> > downward cycle day I wouldn't be able to get her to drink hardly at

> > all, outside of meals.

> >

> > I told him her moods run in cycles and they can be by the hour or by

> > the day. So there is no rhyme or reason to her daily routines.

> >

>

**************Get the scoop on last night's hottest shows and the live music

scene in your area - Check out TourTracker.com!

(http://www.tourtracker.com?NCID=aolmus00050000000112)

July 12, 2008

My husband had constant UTIs the last year or so of his life, particularly when

in the NH. One day I asked the nurse if it was staph, and she said there was

some staph there. If that is the case, I don't think they ever get rid of it.

Just suppresses it for awhile, and then as soon as the AB is done with, it comes

back. He, too, was on Macrodantin to try to prevent it, but it didn't do the

trick. I suspect it's probably caused by several things, such as you listed,

but if there is staph present, I don't think it gets completely cleared up.

Just my opinion. June C.,

>

> Subject: Re: Nitrofur Monohy CP 100 MG ???

> To: LBDcaregivers

> Date: Friday, July 11, 2008, 7:28 PM

> Thank you for taking the time to answer me in such depth! I

> truly

> appreciate it.

>

> Her MD was at a loss as to why she continues to get these

> UTIs.

> The Urologist says her bladder has dropped, so it's

> prone to bad

> bacteria and prescribed an estrogen cream. He also told me

> that older

> people tend to not want to empty their bladder and this

> might be part

> of the problem too.

>

> And as a preventive measure order the macrobid. He has

> allowed for 11

> re-fills with each lasting one month.

>

> Now I am wondering due to what you've stated, that by

> Dec. the

> bacteria might mutate and this antibiotic may no longer be

> of use. I

> guess if he sees her on a regular basis, he'll monitor

> her??

>

> She goes back to the urologist in one month.

>

> Thanks again for the great information.

>

> >

> > Subject: Nitrofur Monohy CP 100 MG ???

> > To: LBDcaregivers

> > Date: Friday, July 11, 2008, 4:50 PM

> >

> > Does anyone know if this antibiotic is safe for mom to

> be taking? I

> > looked for it on the list and either it's not

> there or my eyes are too

> > strained to read it.

> >

> > Mom has a continual UTI and her Urologist prescribed

> it for her. But

> > first he wanted to prescribe Dertrol and I told him

> she had tried it

> > before ( a waste of $$) and it was not a safe drug

> for her to be using.

> >

> > Clearly he didn't know how LBD works. He would ask

> her how much water

> > she'd drink in a day and she would just look at

> him confused. I told

> > him on an upward cycle mood day she'd drink a

> good amount, on a

> > downward cycle day I wouldn't be able to get her

> to drink hardly at

> > all, outside of meals.

> >

> > I told him her moods run in cycles and they can be by

> the hour or by

> > the day. So there is no rhyme or reason to her daily

> routines.

> >

> > ------------------------------------

> >

> > Welcome to LBDcaregivers.

> >

July 12, 2008

Thanks for the information. Gathering facts is so necessary.

> > >

> > > From: ouryellowrose <ouryellowrose@>

> > > Subject: Nitrofur Monohy CP 100 MG ???

> > > To: LBDcaregivers

> > > Date: Friday, July 11, 2008, 4:50 PM

> > >

> > > Does anyone know if this antibiotic is safe for mom to

> > be taking? I

> > > looked for it on the list and either it's not

> > there or my eyes are too

> > > strained to read it.

> > >

> > > Mom has a continual UTI and her Urologist prescribed

> > it for her. But

> > > first he wanted to prescribe Dertrol and I told him

> > she had tried it

> > > before ( a waste of $$) and it was not a safe drug

> > for her to be using.

> > >

> > > Clearly he didn't know how LBD works. He would ask

> > her how much water

> > > she'd drink in a day and she would just look at

> > him confused. I told

> > > him on an upward cycle mood day she'd drink a

> > good amount, on a

> > > downward cycle day I wouldn't be able to get her

> > to drink hardly at

> > > all, outside of meals.

> > >

> > > I told him her moods run in cycles and they can be by

> > the hour or by

> > > the day. So there is no rhyme or reason to her daily

> > routines.

> > >

> > > ------------------------------------

> > >

> > > Welcome to LBDcaregivers.

> > >

July 13, 2008

Hi again -

If your husband's creatinine clearance level is high enough, it's fine to use

the Macrobid as a prophylactic. We use Bactrim for the same purpose for my mom.

But since not all infections are caused by the same bacteria, one antibiotic

won''t protect against them all. So watching for new infections is important.

Urinalyses aren't typically done when there are anti-Bs in the system: the med

has to wash out of the bloodstream to get an accurate reading.

And yes, while many people are on preventive anti-Bs, there's also a chance that

over time the body develops an immunity to that particular anti-B and it may

prove useless in future. Bacteria get " smart " and adapt to their environment.

And June's description of her husband's situation is a good reminder to insist

on a complete C & S - culture and sensitivity - of what the bacteria is/are - and

what anti-Bs are needed. Doctors sometimes don't want to treat what they

consider a " low level " infection - or want to treat only the bacteria that

appear in larger numbers, not the " lesser " infection. Multiple infections are

not uncommon in older or compromised folks - the clinical literature is full of