Product image of Nitrofurantoin Agepha (Nitrofurantoin) supplied by GNH India

Nitrofurantoin Agepha

Active Ingredient:
Nitrofurantoin
Origin:
EU

Nitrofurantoin Agepha (Nitrofurantoin)

Nitrofurantoin, the active ingredient in Nitrofurantoin Agepha, is a nitrofuran antibiotic presented as an oral tablet for oral use. It treats uncomplicated urinary tract infections in adult patients by inhibiting bacterial enzyme systems that are essential for bacterial growth.

GNH India supplies Nitrofurantoin Agepha as a licensed, GDP‑compliant international pharmaceutical supplier serving hospitals, pharmacies and clinics worldwide. The company adheres to strict quality standards and provides regulatory documentation for global distribution.

Manufacturer / TM Owner

Agepha Pharma S.R.O

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Indications & Clinical Uses

  • Nitrofurantoin is used to treat infections of the urinary tract, targeting bacterial pathogens that cause cystitis and related conditions.
  • Uncomplicated cystitis: resolves infection symptoms and eradicates causative bacteria.
  • Acute uncomplicated urinary tract infection: provides bacteriological cure and symptom relief.
  • Prevention of recurrent urinary tract infection: reduces frequency of infection episodes when used as prophylaxis.

How It Works

  • Nitrofurantoin interferes with bacterial enzyme systems involved in carbohydrate metabolism and cell‑wall synthesis. By inhibiting bacterial flavoprotein enzymes, it reduces production of essential macromolecules, leading to impaired bacterial growth and death. The drug is concentrated in urine, achieving high local concentrations that target susceptible Gram‑negative and some Gram‑positive organisms responsible for urinary infections.

Side Effects

Nitrofurantoin may cause a range of adverse reactions, varying from mild to severe.

Common Side Effects

  • Nausea
  • Diarrhea
  • Headache
  • Metallic taste in mouth

Serious or Rare Side Effects

  • Pulmonary toxicity (interstitial pneumonitis)
  • Liver injury (hepatitis, jaundice)
  • Hemolytic anemia in patients with G6PD deficiency

Precautions & Warnings

  • When prescribing Nitrofurantoin, several safety considerations should be observed.
  • Renal function assessment: ensure creatinine clearance is ≥60 mL/min before initiating therapy.
  • Severe renal impairment: avoid use in patients with markedly reduced kidney function.
  • Pregnancy: use only if benefits outweigh potential risks, as safety data are limited.
  • G6PD deficiency: monitor for signs of hemolysis and discontinue if observed.
  • Allergic reactions: discontinue immediately if rash, pruritus, or anaphylaxis occurs.
  • Store at room temperature: keep in the original container, protect from moisture and heat.

Avoid Interactions

Nitrofurantoin can interact with other medicines, affecting its absorption or toxicity.

Major Interactions (Avoid)

  • Antacids containing magnesium or aluminum: reduce nitrofurantoin absorption.
  • Probenecid: increases nitrofurantoin plasma levels, raising toxicity risk.

Moderate Interactions (Monitor Closely)

  • Warfarin: may enhance anticoagulant effect, requiring INR monitoring.
  • NSAIDs: combined use may increase risk of renal impairment.
  • Diuretics: can affect renal clearance of nitrofurantoin, necessitating renal function monitoring.

Frequently Asked Questions

Nitrofurantoin Agepha is indicated for the treatment of uncomplicated urinary tract infections caused by susceptible bacteria. It is also used as a prophylactic agent to reduce the recurrence of urinary infections in patients with a history of repeated episodes.

Nitrofurantoin interferes with bacterial enzyme systems that are essential for carbohydrate metabolism and cell‑wall synthesis. By inhibiting these flavoprotein enzymes, the drug disrupts bacterial growth and leads to bacterial death, especially within the urinary tract where the drug concentrates.

The dosage regimen for Nitrofurantoin Agepha is determined by the prescribing clinician based on the patient’s age, renal function, severity of infection, and local treatment guidelines. Patients should follow the prescriber’s instructions and not alter the dose without medical advice.

The pregnancy category for nitrofurantoin is listed as unknown, and safety data are limited. It should be used in pregnancy only when the potential benefit justifies any potential risk to the fetus. Caution is also advised during breastfeeding, and the prescriber should evaluate the risk‑benefit balance.

To place an order, submit an enquiry on the product page at gnhindia.com, specifying the required quantity. GNH India supplies hospitals, pharmacies and procurement teams worldwide, and will request verification of trade or institutional credentials. The team then replies with pricing, availability, shipping details and any required import documentation.

Both nitrofurantoin and trimethoprim‑sulfamethoxazole are oral agents for uncomplicated urinary tract infections, but they have different resistance patterns and safety profiles. Nitrofurantoin achieves high urinary concentrations and is less likely to cause systemic side effects, whereas trimethoprim‑sulfamethoxazole has broader tissue distribution but may be associated with allergic reactions and hematologic effects.

Nitrofurantoin Agepha should be stored at room temperature, below 25 °C, in the original packaging to protect it from moisture and heat. Keep the product out of reach of children and avoid exposure to direct sunlight.

The medication is taken orally, usually with a full glass of water. It can be taken with or without food, but patients should follow the prescriber’s instructions regarding timing and any specific dietary considerations.

Serious adverse reactions include pulmonary toxicity such as interstitial pneumonitis, liver injury ranging from hepatitis to jaundice, and hemolytic anemia in individuals with glucose‑6‑phosphate dehydrogenase (G6PD) deficiency. Patients should seek immediate medical attention if they experience shortness of breath, persistent cough, yellowing of the skin or eyes, or dark urine.

Nitrofurantoin Agepha should be avoided in patients with severe renal impairment (creatinine clearance <60 mL/min), known hypersensitivity to nitrofurantoin or other nitrofurans, and in individuals with G6PD deficiency due to the risk of hemolysis. Caution is also advised for pregnant women unless clearly indicated.

Published by

GNH India Pharmaceuticals Limited

Licensed pharmaceutical supplier

Last updated:

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