Why Arent My Uti Antibiotics Working
What happens if your antibiotics dont work for UTI?
There are a number of reasons your UTI antibiotics may not be working to eradicate your UTIs for good:
In all of these scenarios, the only way to find an answer is to get accurate testing to identify the cause of your symptoms. Unfortunately, standard testing can be very inaccurate, and you may find yourself with negative test results despite your acute symptoms.
Can A Uti Go Away On Its Own
While most patients with a UTI will be prescribed antibiotics, the truth is, uncomplicated urinary tract infections are often self-limiting, meaning they can potentially run their course sans antibiotic treatment, noted a 2018 report in PLoS Medicine.
In fact, that same report found that more than one-half of the women studied experienced a UTI resolution without the use antibiotics. However, since kidney infections occurred in 7 out of 181 women using ibuprofen, the researchers concluded that, at this time, they cannot recommend ibuprofen alone as initial treatment to women with uncomplicated UTIs.
A better idea, for now: Simply wait until a positive urine culture comes back before treating with antibiotics.
Uti Antibiotics: Treatment For Urinary Tract Infection
Special Announcement , 2022:
What are the best UTI antibiotics? What happens if antibiotics dont work? Can you treat a UTI without antibiotics?
Here is where we lay out everything you need to know about UTI antibiotics. If youve ever googled questions like
Should I take Amoxicillin for UTI?What are the best antibiotics for UTI?Is Macrobid for UTI appropriate?What happens if antibiotics dont work for UTI?Can you treat a UTI without antibiotics?
This article is for you. Even if you havent googled any of these, but have questions about antibiotics for UTI, this should have you covered.
Jump To Section:
- How UTI antibiotics are selected. > > > >
- What happens if antibiotics dont work for UTI? > > > >
- My UTI test results are negative, what now? > > > >
- Do I have recurrent UTI or Interstitial Cystitis? > > > >
- Can you break the UTI antibiotic treatment cycle? > > > >
We find people discuss UTI antibiotics as though this represents a single treatment option. In reality, UTI antibiotics refers to a whole range of different drugs and doses, selected for specific reasons.
Knowing why certain antibiotics are helpful and others arent will give you more control over your own treatment. So lets start at the very beginning. That way you can confirm the knowledge you already have, then expand on it.
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When You Need Themand When You Dont
Antibiotics are medicines that can kill bacteria. Doctors often use antibiotics to treat urinary tract infections . The main symptoms of UTIs are:
- A burning feeling when you urinate.
- A strong urge to urinate often.
However, many older people get UTI treatment even though they do not have these symptoms. This can do more harm than good. Heres why:
Antibiotics usually dont help when there are no UTI symptoms.
Older people often have some bacteria in their urine. This does not mean they have a UTI. But doctors may find the bacteria in a routine test and give antibiotics anyway.
The antibiotic does not help these patients.
- It does not prevent UTIs.
- It does not help bladder control.
- It does not help memory problems or balance.
Most older people should not be tested or treated for a UTI unless they have UTI symptoms. And if you do have a UTI and get treated, you usually dont need another test to find out if you are cured. You should only get tested or treated if UTI symptoms come back.
Antibiotics have side effects.
Antibiotics can have side effects, such as fever, rash, diarrhea, nausea, vomiting, headache, tendon ruptures, and nerve damage.
Antibiotics can cause future problems.
Antibiotics can kill friendly germs in the body. This can lead to vaginal yeast infections. It can also lead to other infections, and severe diarrhea, hospitalization, and even death.
Antibiotics can be a waste of money.
When should older people take antibiotics for a UTI?
More Common Side Effects
The more common side effects of nitrofurantoin can include:
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this information includes all possible side effects. This information is not a substitute for medical advice. Always discuss possible side effects with a healthcare professional who knows your medical history.
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What Conditions Can It Treat
Nitrofurantoin is prescribed to treat UTIs, which fall into two major categories:
- Lower tract UTIs: Also called bladder infections, these are the most common type of urinary tract infections and also the easiest to treat. They occur in the lower urinary tract, meaning the area from the urethra up to the bladder.
- Upper tract UTIs: These more serious forms of UTIs are also known as kidney infections. Upper UTIs usually result from untreated lower UTIs that spread upward to the kidneys. Symptoms include nausea, fever, body chills, and lower back or side pain. Kidney infections can be treated with antibiotics but in severe cases may require a trip to the hospital to prevent permanent organ damage or renal failure.
Nitrofurantoin is primarily prescribed to treat uncomplicated lower urinary tract infections. A UTI is considered uncomplicated if someone has no urinary tract abnormalities or underlying health issues. If you are prone to recurrent UTIsmeaning you get two or more in six months or three or more in a yearyour doctor might prescribe nitrofurantoin in a smaller dose over a longer period of time to prevent UTIs.
Other Antibiotics And Treatments For Urinary Tract Infections
Other antibiotics may be as effective as first-line antibiotics but have more side effects or risks of complications. They are not commonly used. They include:
Antibiotics called beta-lactams may be used when other first-line antibiotics are unavailable or cannot be used for any other reason. They include:
These are not usually first-line choices because they are broad-spectrum antibiotics that have a higher risk of causing antibiotic resistance.
Another drug that is frequently prescribed for a UTI is phenazopyridine, available under several brand names such as Pyridium. This medication is not an antibiotic and does not cure a UTI. It is used to relieve symptoms of pain, burning, urgency and pressure.
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Implications For Research And Practice
Based on the data we analysed, a pragmatic approach is required when considering prescribing long-term antibiotics in older patients with recurrent UTI. Although long-term antibiotics may reduce the risk of UTI recurrence in women, this benefit diminishes on cessation of treatment. Little is known about optimal prophylaxis period, long-term effects on health, risk of antibiotic resistant infections, effect in older men, effect in frail care home residents or impact on important patient-centred outcomes. These unknowns must be balanced against benefits and patient preferences.
Future research efforts on recurrent UTI should focus on improving the design and reporting of trials and developing a core set of outcomes to allow better synthesis of trial data. Antibiotic prophylaxis should be compared with non-antibiotic prophylaxis with some evidence of efficacy rather than those with little or poor evidence of efficacy. Researchers should address unanswered questions regarding long-term effects, duration of use, adverse effects and antibiotic resistance.
Enhancing Healthcare Team Outcomes
All healthcare workers, including the primary care provider and nurse practitioner who prescribe nitrofurantoin, should know its indications, duration of treatment, and adverse drug reactions. The drug has been around for decades and has a good safety profile. Its pulmonary toxicity is overstated and is, in fact, very rare. Nitrofurantoin lacks a broader tissue distribution hence, nitrofurantoin should not be prescribed to treat pyelonephritis or perinephric abscesses.
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How Uti Antibiotics Are Selected
Clinical and therapeutic guidelines for urinary tract infections guide medical practitioners on how to make a diagnosis. On top of this, the guidelines may help them select an appropriate treatment.
However, when it comes to choosing an antibiotic to treat any infection, there is a whole long list of things that can influence a doctors decision:
|No single is considered best for treating acute uncomplicated cystitis… Choosing an antibiotic depends on effectiveness, risks of adverse effects, resistance rates, and Additionally, physicians should consider cost, availability, and specific patient factors, such as allergy history.|
Without accurate test results, none of these things mean much, and the choice of any antibiotic is really just an educated guess.
Dosage For Prevention Of Urinary Tract Infections
- Macrodantin and its generic form: 50100 mg at bedtime.
- Macrobid and its generic form: These drugs are not used for the prevention of urinary tract infections.
- Macrodantin and its generic form: 1 mg/kg of body weight once per day or divided into two doses per day.
- Macrobid and its generic form: These drugs are not used for the prevention of urinary tract infection.
- Macrodantin and its generic form: These drugs should not be used in children younger than 1 month.
- Macrobid and its generic form: These drugs are not used for the prevention of urinary tract infections.
The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk of side effects. Your doctor may start you on a lowered dosage or a different treatment schedule. This can help keep levels of this drug from building up too much in your body.
Disclaimer: Our goal is to provide you with the most relevant and current information. However, because drugs affect each person differently, we cannot guarantee that this list includes all possible dosages. This information is not a substitute for medical advice. Always speak with your doctor or pharmacist about dosages that are right for you.
This drug comes with serious risks if you dont take it as prescribed.
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How To Feel Better
If your healthcare professional prescribes you antibiotics:
- Take antibiotics exactly as your healthcare professional tells you.
- Do not share your antibiotics with others.
- Do not save antibiotics for later. Talk to your healthcare professional about safely discarding leftover antibiotics.
Drink plenty of water or other fluids. Your healthcare professional might also recommend medicine to help lessen the pain or discomfort. Talk with your healthcare professional if you have any questions about your antibiotics.
What Is The Best Antibiotic For Urinary Tract Infection
The urinary tract is comprised of the ureters , kidneys, bladder, and urethra . Urinary tract infections wake forest nc are most commonly located in the urethra and bladder and while typically caused by bacteria, UTIs can also be viral or fungal. For patients suffering from a bacterial UTI, they may be curious about what antibiotics are the best for treating their infection.
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Warnings For Other Groups
For pregnant women: During weeks 037 of pregnancy, nitrofurantoin is a category B pregnancy drug. That means two things:
Talk with your doctor if youre pregnant or plan to become pregnant. Animal studies do not always predict the way humans would respond.
Nitrofurantoin can cause red blood cell problems in a newborn. For this reason, women who are pregnant should not take this drug:
- when they are at term ,
- during labor and delivery
- if they think they are in labor
For women who are breastfeeding: Nitrofurantoin may pass into breast milk and cause side effects in a child who is breastfed. Talk with your doctor about breastfeeding your child. You may need to decide whether to stop breastfeeding or stop taking this medication.
For seniors: The kidneys of older adults may not work as well as they used to. This can cause your body to process drugs more slowly. As a result, more of a drug stays in your body for a longer time. This raises your risk of side effects. If youre older than 65 years, nitrofurantoin may not be a good choice for you.
This dosage information is for nitrofurantoin oral capsule. All possible dosages and drug forms may not be included here. Your dosage, drug form, and how often you take the drug will depend on:
Are Nitrofurantoin And Amoxicillin Safe To Use While Pregnant Or Breastfeeding
Although there are no adequate studies of nitrofurantoin in pregnant women, many women have safely used it during pregnancy. However, nitrofurantoin should not be used near the time of delivery since it interferes with the immature enzyme systems in the red blood cells of newborns, damaging the cells and resulting in anemia.
Nitrofurantoin is distributed into breast milk and should be used with caution in women who are breastfeeding.
Penicillins are generally considered safe for use by pregnant women who are not allergic to penicillin.
Small amounts of amoxicillin may be excreted in breast milk and may cause diarrhea or allergic responses in nursing infants. Amoxicillin is generally considered safe to use while breastfeeding. Amoxicillin is used to treat infections in the newborn.
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Who Needs Antibiotics For Uti
While the question seems like it answers itself, treatment of UTIs is not always a straightforward affair. There are different bacteria involved, infections are discovered at different points in their pathology, and different people respond to antibiotics differently. So, while anyone suffering from a UTI will probably need to consider antibiotics, which one is the right one will vary from case to case and from person to person.
How the antibiotic is administered will also need to be determined on a case by case basis. As will the duration of treatment. These days, single-dose antibiotic treatment may also be a viable alternative.
Antibiotics Used For Uncomplicated Utis
If you are a healthy individual whose urinary tract is anatomically and functionally normal and you have no known heightened UTI susceptibility youve got whats dubbed an uncomplicated UTI, according to guidelines published in August 2019 in the Journal of Urology. For these individuals, antibiotics are considered the first-line of treatment.
The type of antibiotics you are prescribed and for how long is contingent on the type of bacteria detected in your urine, your current health status, and whether your UTI is uncomplicated or complicated. Depending on which antibiotic your doctor prescribes, women may need a single dose or up to a five-day course. For men, antibiotics are usually given for a slightly longer period of time, notes UpToDate.
Typically, if you are diagnosed with an uncomplicated UTI, one of the following will be prescribed as first-line treatment:
The following antibiotics are considered second-line treatments for UTI. They are generally chosen because of resistance patterns or allergy considerations:
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How To Take Nitrofurantoin
Whether in capsule or liquid form, take your medication as prescribed. If its a pill, simply swallow it with a glass of water. For the liquid, measure out the appropriate dose with the provided measuring device. If you miss a dose, try to take the next dose as soon as you remember. If you miss multiple doses, contact your doctor.
Nitrofurantoin can be kept at room temperature, so no need to refrigerate it unless you are specifically instructed to do so.
What Antibiotics Are Commonly Used To Treat Urinary Tract Infections
A handful of antibiotics are used to treat the most common urinary tract infections . In 75-95% of these cases, the infection is caused by bacteria called Escherichia coli , so experts know which antibiotics work well against the infection. These antibiotics are called first-line antibiotics.
They are given orally and include:
Amoxicillin and ampicillin are no longer used because of a high level of antibiotic resistance.
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Uti Treatment Antibiotics Overview
When faced with an uncomplicated urinary tract infection, your three main treatment options are antibiotics, natural remedies, or riding it out with nothing but water.
Can you take just any antibiotic for bladder infection?
The short and very decisive answer to that is no.
Every antibiotic is processed by our bodies differently. Some antibiotics, when taken orally, will never pass through the urinary tract. Or if they do, it is in such small amounts as to be completely ineffective.
Self-prescribing antibiotics could result in you taking medication that has zero positive impact, and possibly negative side effects.
Even if google tells you that whatever you have on hand does indeed pass through the urinary tract, do you know what types of bacteria it treats? More importantly, do you know which bacteria are causing your symptoms?
Most people dont have the answers to either of these questions when they opt to self-treat a UTI. Below weve provided crucial information for you to consider.