This treatment plan reviews the risks and benefits of the treatment we are recommending. Please make sure to read it and the manufacturer's pamphlet that comes with the medicine. The manufacturer's pamphlet contains the full information on interactions, side effects, and other important information you should know about the medicine before you start.
You have stated that you wish to take a medication for your symptoms of Urinary Tract Infection (bladder infection, UTI). The medication you have been prescribed is Nitrofurantoin, which you are to take 1 Tablet (100mg) 2 times each day (morning and evening) for 7 days. This medication is used to kill the infection of bacteria growing in your urinary bladder. >90% of these infections are caused by E. coli and are due to the proximity of the female urethra (urine tube) to the end of the gastrointestinal (GI) tract.
Signs of this infection include burning with urination, foul-smelling urine without itching or vaginal discharge. You may experience fullness or tenderness of the lower abdomen, more frequent need to use the restroom, or a sensation of being unable to fully empty your bladder. A slight pink or red tinge to the urine can be common, but bleeding is not and should be addressed immediately with an in-person physician.
If you need a refill, please email email@example.com
If your symptoms aren't getting better after you start taking the medicine or if you develop new or worsening symptoms such as fever, chills, nausea, vomiting, or pain, in the mid to upper back, you should see a doctor in-person immediately. More than 3 UTIs in a year should also be managed in person with testing and a referral to Urology to identify potential underlying causes.
This medicine contains the following active ingredients. If you are allergic to any of these components, similar components, or any of the others components listed in the manufacturer's pamphlet do not take it and call or message us immediately.
This medicine may cause an allergic reaction if you are allergic to similar medicines or components. If you are allergic to any of the following please stop the medicine and call or message us or see your doctor in-person.
We have evaluated your health history and the specific health information you provided us, however if anything changes and you develop or discover that one of these conditions applies to you please stop taking this medicine and call or message us immediately.
Central nervous system problems
Pregnancy and Breastfeeding
Oral nitrofurantoin can potentially cause birth defects if taken in the first trimester of pregnancy. It is not recommended for use during early breastfeeding due to the potential for side effects in the infant. All pregnant women with UTIs are considered high risk and should be seen in person for management.
Emergency Side Effects
This medicine can cause dangerous and potentially life threatening side effects. If any of the emergency side effects listed in the manufacturer's pamphlet or those below happen to you please stop taking the medicine and call 911 or seek immediate medical help in-person.
Easy bruising or bleeding
Difficulty swallowing or throat swelling
Jaundice or yellow skin
Liver and kidney disease
Severe skin rash or changes
Severe weakness or fatigue
Heart palpitations or chest pain
Problems with balance
Other Side Effects
This medicine can also cause other side effects. If any of the other side effects listed in the manufacturer's pamphlet or those below happen to you please stop taking the medicine and call or message us or see your doctor in-person.
Loss of appetite
Lightheadedness or passing out
Nausea or vomiting
NOTE: This medication does not cause vaginal yeast infections
Medicines, Supplements, and Foods
We have evaluated your health history and the specific health information you provided us, however if anything changes and you start or discover that you are taking any of the medicines, foods, or supplements listed below call or message us before you take the medicine. Some of these can cause dangerous interactions with the medicine we are prescribing you and we will help you evaluate that risk and decide on an appropriate treatment plan.
Birth control (all hormonal)
Narcotic pain medications
We have evaluated the specific health information you provided and are making our recommendations based on it. If you forgot to provide or incorrectly provided that information we may misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. If you need to clarify or update any information about your health you can message or call us anytime.
This treatment is not 100% effective. It may not work or may only partially resolve the condition for which you are seeking treatment. If the treatment is not working, or if you are experiencing new or worsening symptoms, give us a call or message us anytime. If it is an emergency call 911 or seek immediate medical help in-person. You may need to seek alternative treatment such as those listed below or in the follow-up plan.
Misdiagnosis or Delayed Diagnosis
There is also a risk that we will misdiagnose or fail to diagnose conditions that you may have which could affect our recommendation for treatment. This risk exists with a doctor in-person as well but they may have additional signs and symptoms to aid their evaluation. We use the evidence based practice and guidelines as well as clinical decision support to try to minimize these risks. Here are some other diagnoses that we attempt to rule out:
Sexually Transmitted Infections (STIs)
Bacterial Vaginosis (BV)
Accepting or Declining Our Recommendation
We are recommending this treatment for you because the potential benefits outweigh the risks in our estimation. You should evaluate this information as well as the manufacturer's pamphlet, any input from your in-person healthcare team, and any other relevant information to decide if this treatment plan is appropriate for you. You are free to not follow our recommendations although there may also be risks associated with no treatment.
We have based our recommendation on your specific case and medical guidelines, but there may be alternative treatments or strategies that may be helpful to you. Some may be more or less effective than what we provide. Some treatments may require an in-person exam or procedure which we can't provide. Message us or talk to your doctor in-person to discuss alternative treatments. Here are some other treatments or strategies that you might consider:
In-person exam with testing
Share with Your In-Person Healthcare Team
You can access your records anytime. We strongly recommend that you update your in-person doctor, pharmacist, and the rest of your healthcare team to let them know about any new medicines you are taking or other changes in your health.
You can also ask us questions anytime and we are happy to help you share any information about your health with your in-person healthcare team.